ArticleJournal of health organization and management2021
Barriers and facilitators in the implementation of an evidence-based health promotion intervention in a primary care setting: a qualitative study.
Article in Journal of health organization and management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health Care Professionals' Barriers and Facilitators for the Implementation of Lifestyle Interventions Targeting Weight Loss in Primary Care - A Systematic Review of Qualitative Studies.Current obesity reports · 2026Pooled it
- Using a volitional help sheet to increase university students' attendance at on-campus lectures: A randomized controlled trial.The British journal of educational psychology · 2026Trial
- Exploring expectations and readiness for healthy lifestyle promotion in Swedish primary health care: a qualitative analysis of managers, facilitators, and professionals.Scandinavian journal of primary health care · 2024Trial
- Expectations on implementation of a health promotion practice using individually targeted lifestyle interventions in primary health care: a qualitative study.BMC primary care · 2023Trial
- Stakeholders' experiences of physical activity programmes development, implementation, and evaluation in universities in the United Kingdom and Indonesia.International journal of qualitative studies on health and well-being · 2026Article
- Optimizing Nurse-Involved Non-Pharmacological Interventions for Postoperative Pain: A Scoping Review.Journal of clinical nursing · 2026Article
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- Health Care Provider Perceptions of Screening for Early-Stage Type 1 Diabetes-A Survey Study.Diabetes, obesity & metabolism · 2026Article
- The HeartHealth Program: A Mixed Methods Study of a Community-Based Text Messaging Support Program for Patients With Cardiovascular Disease From 2020 to 2024.JMIR cardio · 2026Article
- Why aggregated data falls short: an exploratory survey study on barriers and facilitators in implementing the stepped care model for mental health in primary care.BMC primary care · 2026Article
- Evaluating the use of the consolidated framework for implementation research in primary care settings: a systematic review.Implementation science communications · 2026Review
- Article
- Implementation Science in the Development of a Care Pathway for Chronic Chagas Disease: An Experience from a Municipality in Minas Gerais.Revista da Sociedade Brasileira de Medicina Tropical · 2026Article
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- Article
- Barriers and facilitators perceived by professionals while implementing Soothing and Sleeping in Dutch Healthcare: a mixed-methods study.BMJ paediatrics open · 2025Article
- Insights into Singapore's national strategy for primary care reform: physician attitudes, facilitators and barriers to healthier SG.BMC health services research · 2025Article
- A beginner's guide to implementation science.JTCVS techniques · 2025Article
- Facilitators and barriers to implement community engagement approaches in health promotion projects: A qualitative study in 13 projects in Spain.Public health in practice (Oxford, England) · 2025Article
- Informing Implementation of a National Integrated Clinical Pathway for Low Back Pain in Ireland: A Pre-Implementation Qualitative Study With General Practitioners.Musculoskeletal care · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to elucidate the health care organization, management and policy barriers and facilitators associated with implementation of an evidence-based health promotion intervention in primary care centers in the Basque Country, Spain. DESIGN/METHODOLOGY/APPROACH: Seven focus groups were conducted with 49 health professionals from six primary care centers participating in the Prescribing Healthy Life program. Text was analyzed using the Consolidated Framework for Implementation Research (CFIR) focusing on those constructs related to health care organization, management and policy.
findingsThe health promotion intervention was found to be compatible with the values of primary care professionals. However, professionals at all centers reported barriers to implementation related to: (1) external policy and incentives, (2) compatibility with existing workflow and (3) available resources to carry out the program. Specific barriers in these areas related to lack of financial and political support, consultation time constraints and difficulty managing competing day-to-day demands. Other barriers and facilitators were related to the constructs networks and communication, culture, relative priority and leadership engagement. A set of six specific barrier-facilitator pairs emerged. ORIGINALITY/VALUE: Implementation science and, specifically, the CFIR constructs were used as a guide. Barriers and facilitators related to the implementation of a health promotion program in primary care were identified. Healthcare managers and policy makers can modify these factors to foster a more propitious implementation environment. These factors should be appropriately monitored, both in pre-implementation phases and during the implementation process, in order to ensure effective integration of health promotion into the primary care setting.
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