Evidence map›Paper›PMID 36029028›Full record

ArticleThe Gerontologist2023

Intensification of Implementation Strategies: Developing a Model of Foundational and Enhanced Implementation Approaches to Support National Adoption and Scale-up.

Jaime M Hughes, Leah L Zullig, Ashley L Choate, Kasey P Decosimo, Virginia Wang, Courtney H Van Houtven, Kelli D Allen, S Nicole Hastings

Abstract read
In one paragraph

Article in The Gerontologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

8 authors.

Jaime M HughesDepartment of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0001-6410-0068
Leah L ZulligCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.
Ashley L ChoateCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.
Kasey P DecosimoCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.
Virginia WangCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.
Courtney H Van HoutvenCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.
Kelli D AllenCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.
S Nicole HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina, USA.

Funding

Optimizing Function and IndependenceI50HX003200 · VA · DURHAM VA MEDICAL CENTER · PI ALLEN, KELLI D., HASTINGS, SUSAN NICOLE · 2021 to 2021
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HSR&D Senior Research Career Scientist AwardIK6HX002838 · VA · DURHAM VA MEDICAL CENTER · PI Kelli D. Allen · 2020 to 2026
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HSR&D Merit Review Research Career Scientist AwardIK6HX003396 · VA · DURHAM VA MEDICAL CENTER · PI VAN HOUTVEN, COURTNEY HAROLD · 2021 to 2025
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Optimizing Function and Independence QUERIIP1HX002258 · VA · DURHAM VA MEDICAL CENTER · PI ALLEN, KELLI D., HASTINGS, SUSAN NICOLE · 2020 to 2021
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HSRD VA I50 HX003200HSRD VA IK6 HX002838HSRD VA IK6 HX003396HSRD VA IP1 HX002258HSRD VA QUE 16-170
6 · The paper itself

Abstract

Implementation strategies are activities to support integration of evidence-based programs (EBPs) into routine care. Comprised of 170+ facilities, the Veterans Affairs Healthcare System is conducive to evaluating feasibility and scalability of implementation strategies on a national level. In previous work evaluating implementation of three EBPs for older Veterans (hospital-based walking, caregiver skills training, group physical therapy), we found facilities varied in their need for implementation support, with some needing minimal guidance and others requiring intensive support. Committed to national scalability, our team developed an implementation intensification model consisting of foundational (low-touch) and enhanced (high-touch) implementation support. This Forum article describes our multilevel and multistep process to develop and evaluate implementation intensification. Steps included (a) review completed trial data; (b) conduct listening sessions; (c) review literature; (d) draft foundational and enhanced implementation support packages; (e) iteratively refine packages; and (7) devise an evaluation plan. Our model of implementation intensification may be relevant to other health care systems seeking strategies that can adapt to diverse delivery settings, optimize resources, help build capacity, and ultimately enhance implementation outcomes. As more health care systems focus on spread of EBPs into routine care, identifying scalable and effective implementation strategies will be critical.

Indexed as

United States Department of Veterans AffairsVeteransDelivery of Health CareHumansUnited StatesFacilitationFunctionImplementation strategiesScalabilityVeterans

Identifiers

PMID36029028
PMCPMC10461172

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.