Factors Related to Implementation and Reach of a Pragmatic Multisite Trial : The My Own Health Report (MOHR) Study
© Copyright 2017 by the American Board of Family Medicine..
BACKGROUND: Contextual factors relevant to translating healthcare improvement interventions to different settings are rarely collected systematically. This study articulates a prospective method for assessing and describing contextual factors related to implementation and patient reach of a pragmatic trial in primary care.
METHODS: In a qualitative case-series, contextual factors were assessed from the My Own Health Report (MOHR) study, focused on systematic health risk assessments and goal setting for unhealthy behaviors and behavioral health in nine primary care practices. Practice staff interviews and observations, guided by a context template were conducted prospectively at three time points. Patient reach was calculated as percentage of patients completing MOHR of those who were offered MOHR and themes describing contextual factors were summarized through an iterative, data immersion process.These included practice members' motivations towards MOHR, practice staff capacity for implementation, practice information system capacity, external resources to support quality improvement, community linkages, and implementation strategy fit with patient populations.
CONCLUSIONS: Systematically assessing contextual factors prospectively throughout implementation of quality improvement initiatives helps translation to other health care settings. Knowledge of contextual factors is essential for scaling up of effective interventions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Journal of the American Board of Family Medicine : JABFM - 30(2017), 3 vom: 15. Mai, Seite 337-349 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Balasubramanian, Bijal A [VerfasserIn] |
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| Links: |
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| Themen: |
Delivery of Health Care |
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| Anmerkungen: |
Date Completed 26.01.2018 Date Revised 06.03.2020 published: Print Citation Status MEDLINE |
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| doi: |
10.3122/jabfm.2017.03.160151 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM271693649 |
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| 500 | |a Date Revised 06.03.2020 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Copyright 2017 by the American Board of Family Medicine. | ||
| 520 | |a BACKGROUND: Contextual factors relevant to translating healthcare improvement interventions to different settings are rarely collected systematically. This study articulates a prospective method for assessing and describing contextual factors related to implementation and patient reach of a pragmatic trial in primary care | ||
| 520 | |a METHODS: In a qualitative case-series, contextual factors were assessed from the My Own Health Report (MOHR) study, focused on systematic health risk assessments and goal setting for unhealthy behaviors and behavioral health in nine primary care practices. Practice staff interviews and observations, guided by a context template were conducted prospectively at three time points. Patient reach was calculated as percentage of patients completing MOHR of those who were offered MOHR and themes describing contextual factors were summarized through an iterative, data immersion process.These included practice members' motivations towards MOHR, practice staff capacity for implementation, practice information system capacity, external resources to support quality improvement, community linkages, and implementation strategy fit with patient populations | ||
| 520 | |a CONCLUSIONS: Systematically assessing contextual factors prospectively throughout implementation of quality improvement initiatives helps translation to other health care settings. Knowledge of contextual factors is essential for scaling up of effective interventions | ||
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| 650 | 4 | |a Delivery of Health Care | |
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| 650 | 4 | |a Quality Improvement | |
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| 700 | 1 | |a Krasny, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Rohweder, Catherine L |e verfasserin |4 aut | |
| 700 | 1 | |a Fair, Kayla |e verfasserin |4 aut | |
| 700 | 1 | |a Olmos-Ochoa, Tanya T |e verfasserin |4 aut | |
| 700 | 1 | |a Stange, Kurt C |e verfasserin |4 aut | |
| 700 | 1 | |a Gorin, Sherri Sheinfeld |e verfasserin |4 aut | |
| 700 | 0 | |a MOHR Study Group |e verfasserin |4 aut | |
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