ArticleImplementation science communications2023
Implementation research priorities for addressing the maternal health crisis in the USA: results from a modified Delphi study among researchers.
Article in Implementation science communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Collaborative tailoring of the Reach Out, Stay Strong Essentials (ROSE) program for pregnant veterans in the U.S. Veterans Health Administration: a qualitative case study of contextual conditions and adaptations.BMC health services research · 2025Trial
- Optimizing outpatient cervical ripening: A mixed-methods study identifying implementation drivers during a multisite, randomized trial.Pregnancy (Hoboken, N.J.) · 2026Article
- Society for Maternal-Fetal Medicine Special Statement: Incorporating quality improvement roles into your maternal-fetal medicine career.Pregnancy (Hoboken, N.J.) · 2026Article
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- Research priority setting for implementation science and practice: a living systematic review protocol.Systematic reviews · 2025Article
- Understanding barriers and facilitators to implementation of a patient safety bundle for pregnancy-related severe hypertension in 3 North Carolina outpatient clinics: a qualitative study.Implementation science communications · 2025Article
- Implementation processes and capacity-building needs in Ontario maternal-newborn care hospital settings: a cross-sectional survey.BMC nursing · 2025Article
- Standardized protocol for labor induction: a type I hybrid effectiveness-implementation trial.Lancet regional health. Americas · 2025Article
- Understanding context: leveraging the pragmatic robust implementation sustainability model to inform the implementation of a community-based southeastern preconception counseling intervention to improve maternal health equity.Discover health systems · 2025Article
- Implementation Science and Pediatric Diabetes: A Scoping Review of the State of the Literature and Recommendations for Future Research.Current diabetes reports · 2024Article
- Establishing NIH Community Implementation Programs to improve maternal health.Implementation science communications · 2024Article
- Exploring implementation of intrapartum trial evidence: a qualitative study with clinicians and clinical academics.Implementation science communications · 2024Article
- "A Wake-Up Call": A Mixed-Methods Analysis of Barriers to Type 2 Diabetes Prevention After Gestational Diabetes Mellitus.Diabetes spectrum : a publication of the American Diabetes Association · 2024Article
- "God gives the child": An abductive analysis of barriers to postnatal care using the Health Equity Implementation Framework.Women's health (London, England)Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundMaternal health outcomes in the USA are far worse than in peer nations. Increasing implementation research in maternity care is critical to addressing quality gaps and unwarranted variations in care. Implementation research priorities have not yet been defined or well represented in the plans for maternal health research investments in the USA.
methodsThis descriptive study used a modified Delphi method to solicit and rank research priorities at the intersection of implementation science and maternal health through two sequential web-based surveys. A purposeful, yet broad sample of researchers with relevant subject matter knowledge was identified through searches of published articles and grant databases. The surveys addressed five implementation research areas in maternal health: (1) practices to prioritize for broader implementation, (2) practices to prioritize for de-implementation, (3) research questions about implementation determinants, (4) research questions about implementation strategies, and (5) research questions about methods/measures.
resultsOf 160 eligible researchers, 82 (51.2%) agreed to participate. Participants were predominantly female (90%) and White (75%). Sixty completed at least one of two surveys. The practices that participants prioritized for broader implementation were improved postpartum care, perinatal and postpartum mood disorder screening and management, and standardized management of hypertensive disorders of pregnancy. For de-implementation, practices believed to be most impactful if removed from or reduced in maternity care were cesarean delivery for low-risk patients and routine discontinuation of all psychiatric medications during pregnancy. The top methodological priorities of participants were improving the extent to which implementation science frameworks and measures address equity and developing approaches for involving patients in implementation research.
conclusionsThrough a web-based Delphi exercise, we identified implementation research priorities that researchers consider to have the greatest potential to improve the quality of maternity care in the USA. This study also demonstrates the feasibility of using modified Delphi approaches to engage researchers in setting implementation research priorities within a clinical area.
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Registered trials
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.