Evidence map›Paper›PMID 31246777›Full record

ArticleQuality management in health care

Implementing a Mandated Program Across a Regional Health Care System: A Rapid Qualitative Assessment to Evaluate Early Implementation Strategies.

Nina R Sperber, Rebecca A Bruening, Ashley Choate, Elizabeth Mahanna, Virginia Wang, Byron J Powell, Teresa Damush, George L Jackson, Courtney H Van Houtven, Kelli D Allen and 1 more

Abstract read
In one paragraph

Article in Quality management in health care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Multi-Level Factors Impacting Implementation of Outpatient Palliative Care: Perceptions of VA Providers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Nina R SperberCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, North Carolina (Drs Sperber, Wang, Jackson, Van Houtven, Allen, and Hastings and Mss Bruening, Choate, and Mahanna); Department of Population Health Sciences (Drs Sperber, Wang, Jackson, Van Houtven, and Hastings), Division of General Internal Medicine (Dr Wang), and Division of Geriatrics, Department of Medicine and Center for the Study of Aging (Dr Hastings), Duke University School of Medicine, Durham, North Carolina; Department of Health Policy and Management, Gillings School of Global Public Health (Dr Powell), and Department of Medicine & Thurston Arthritis Research Center (Dr Allen), University of North Carolina, Chapel Hill, North Carolina; Center for Health Information and Communication, Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana (Dr Damush); and Department of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis (Dr Damush).
Rebecca A Bruening
Ashley Choate
Elizabeth Mahanna
Virginia Wang
Byron J Powell
Teresa Damush
George L Jackson
Courtney H Van Houtven
Kelli D Allen
Susan N Hastings

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
IMPROVING THE IMPLEMENTATION AND SUSTAINMENT OF EBPS IN MENTAL HEALTH: DEVELOPING AND PILOTING THE COLLABORATIVE ORGANIZATIONAL APPROACH TO SELECTING AND TAILORING IMPLEMENTATION STRATEGIES (COAST-ISK01MH113806 · NIMH · WASHINGTON UNIVERSITY · PI POWELL, BYRON JAMES · 2017 to 2020
$697k
HSRD VA IP1 HX002258HSRD VA QUE 16-170NIA NIH HHS P30 AG028716NIMH NIH HHS K01 MH113806
6 · The paper itself

Abstract

backgroundRapid qualitative assessment was used to describe early strategies to implement an evidence-based walking program for hospitalized older adults, assiSTed eaRly mobIlity for hospitalizeD older vEterans (STRIDE), mandated by a regional Department of Veterans Affairs health care system office (Veterans Integrated Service Network [VISN]).

methodsData were collected from 6 hospital sites via semistructured interviews with key informants, observations of telephone-based technical assistance, and review of VISN-requested program documents (eg, initial implementation plans). An overarching framework of actionable feedback for VISN leadership and specification of locally initiated implementation strategies, using the Expert Recommendations for Implementing Change (ERIC) compilation, was used. Actionable feedback was shared with VISN leadership 1 month after the initiative.

resultsERIC implementation strategies identified were as follows: (1) promoting adaptability-4 sites had physical therapists/kinesiotherapists instead of assistants walk patients; (2) promoting network weaving-strengthening nursing and PT/KT partnership with regular communication opportunities or a point person was important for implementation; (3) distributing educational materials-2 sites distributed information about STRIDE via e-mail and in person; and (4) organizing clinician implementation team meetings-3 sites used interdisciplinary team meetings to communicate with the clinical staff about STRIDE.

conclusionThis qualitative study sheds light on early experiences with implementing STRIDE; the results have been instructive for ongoing implementation and future dissemination of STRIDE, and the approach can be applied across contexts to inform implementation of other programs.

Indexed as

Delivery of Health CareEarly AmbulationPrimary Health CareVeteransWalkingHumansInterviews as TopicProgram DevelopmentQualitative ResearchUnited StatesUnited States Department of Veterans AffairsVeterans Health

Identifiers

PMID31246777
PMCPMC7558850

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.