Research Methods 3 Midterm

Acceptability

perceptions that an intervention is agreeable, palatable, and satisfactory

Adoption

intention, initial decision, or action to try or employ an intevention

Appropiatness

perceived fit, relevance, or compatibility of the intervention for a given setting and to address a particular issue/problem

Cost

the cost impact of an implementation effort

Feasibility

the extent to which an intervention can be successfully carried out in a given setting

Fidelity

the degree to which an intervention was implemented as originally intended

Penetration

the integration of a practice within a service setting and its subsystems

Sustainability

the extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations

Engage Consumers

involve consumers in implementation effort, use mass media, prepare consumers to be active participants, intervene with consumers to enhance uptake

Use Evaluative and Iterative Strategies

purposefully reexamine the implementation, obtain and use consumers and family feedback, conduct local needs assessments

Change Infrastructure

change physical structure and equipment (ex. make virtual), create of change credentialing/licensure, mandate change, change record systems

Adapt & Tailor to the Context

tailor strategies, promote adaptability, use date experts, use data warehouing techniques

Develop Stakeholder Interrelationships

identify early adopters, inform local opinion leaders, use advisory boards and workgroups, capture and share local knowledge

Utilize Financial Strategies

access new funding, make billing easier, use incentives and disincentives, alter consumer fees

Support Clinicians

create new clinical teams, remind clinicians, revise professional roles, develop resource sharing agreements

Provide Interactive Assistance

provide local technical assistance, provide clinical supervision, centralize technical assistance, facilitation

Train and Educate Stakeholders

conduct educational meetings, develop educational materials, shadow other experts, conduct ongoing training

Stakeholders

People or organizations who are affected by or involved in the delivery of an EBI or change effort

4 Benefits of Stakeholder Engagement

identifies barriers and facilitators, builds trust, enhances feasibility and stability, improves relevance and fit

At what stage of implementation should stakeholders be involved?

All stages

What is an Evidence-Based Intervention?

a broad range of acrivites that are intended to improve the health of individuals or or populations

What make an intervention evidence based?

it has been tested in one or more well designed research studies and found to be effective at improving health related outcomes h

What are the 4 Implementation Criterias?

reach, adoption, fidelity cost and readiness, maintenance

Intervention Failure

the intervention was ineffective in the new setting

Implementation Outcomes

The effects of deliberate actions to implement an intervention

Implementation Failure

an intervention was done incorrectly

What type of framework is RE-AIM

Evaluation Framework

What does RE-AIM Stand for?

Reach, Effectiveness, Adoption, Implementation, Maintence

Implementation Strategy

methods, techniques, and approaches used to support adoption, integration, and sustainability of putting an EBI into practice

What is the difference from a discrete and multifaceted strategy?

Discrete- involves one action

Multifaceted- combines two or more strategies

Top Down Strategy

higher level saying you have to do this

Bottom Up Strategy

driven by an individual

Push Strategy

researchers are pushing out info

Pull Strategy

Consumers are pulling for the intervention

Carrot Strategy

has an incentive for implementing the intervention

Stick Strategy

has a disincentive for not implementing the intervention

What framework is CFIR?

Determinant Framework

Implementation Science

The study of how to make sure what we know from research actually get used in real life

State CFIR domain and subdomain for barrier.

Women have long wait times to recieve treatment, taking up to three months to recieve an initial appointment due to the shortage of trained physical therapists.

Inner Setting, Available Resources