Evidence map›Paper›PMID 37981708›Full record

ArticleBMC health services research2023

Using a theory informed approach to design, execute, and evaluate implementation strategies to support offering reproductive genetic carrier screening in Australia.

Stephanie Best, Janet C Long, Zoe Fehlberg, Natalie Taylor, Louise A Ellis, Kirsten Boggs, Jeffrey Braithwaite

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In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

7 authors.

Stephanie BestAustralian Institute of Heath Innovation, Macquarie University, Sydney, Australia. stephanie.best@petermac.org.
Janet C LongAustralian Institute of Heath Innovation, Macquarie University, Sydney, Australia.
Zoe FehlbergAustralian Institute of Heath Innovation, Macquarie University, Sydney, Australia.
Natalie TaylorSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.
Louise A EllisAustralian Institute of Heath Innovation, Macquarie University, Sydney, Australia.
Kirsten BoggsAustralian Genomics, Murdoch Children's Research Institute, Melbourne, Australia.
Jeffrey BraithwaiteAustralian Institute of Heath Innovation, Macquarie University, Sydney, Australia.

Funding

Medical Research Future Fund as part of the Genomics Health Futures Mission (GHFM) GHFM73390 (MRFF-G-MM)
6 · The paper itself

Abstract

backgroundHealth care professionals play a central role in offering reproductive genetic carrier screening but face challenges when integrating the offer into practice. The aim of this study was to design, execute, and evaluate theory-informed implementation strategies to support health care professionals in offering carrier screening.

methodsAn exploratory multi-method approach was systematically employed based on the Theoretical Domain Framework (TDF). Implementation strategies were designed by aligning TDF barriers reported by health care professionals involved in a large carrier screening study, to behaviour change techniques combined with study genetic counsellors' experiential knowledge. The strategies were trialled with a subset of health care professionals and evaluated against controls, using findings from questionnaires and interviews with healthcare professionals. The primary outcome measure was the number of couples who initiated enrolment.

resultsHealth care professionals (n = 151) reported barriers in the TDF Domains of skills, e.g., lack of practice in offering screening, and challenges of environmental context and resources, e.g., lack of time, which informed the design of a skills video and a waiting room poster using the TDF-behaviour change technique linking tool. Following implementation, (Skills video n = 29 vs control n = 31 and Poster n = 46 vs control n = 34) TDF barrier scores decreased across all groups and little change was observed in the primary outcome measure. The skills video, though welcomed by health care professionals, was reportedly too long at seven minutes. The waiting room poster was seen as easily implementable.

conclusionsAs carrier screening moves towards mainstream healthcare, health care professionals report barriers to offering screening. To meet their needs, developing and testing experiential and theory-informed strategies that acknowledge contextual factors are essential.

Indexed as

Delivery of Health CareHealth PersonnelAustraliaGenetic Carrier ScreeningHumansHealth care professionalsImplementation strategyPrimary careReproductive genetic carrier screeningTheoretical domains framework

Identifiers

PMID37981708
PMCPMC10658900

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Registered trials

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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.