Abstract:
BACKGROUND:The Implementation Research Institute (IRI) provides two years of training in mental health implementation science for 10 new fellows each year. The IRI is supported by a National Institute of Mental Health (NIMH) R25 grant and the Department of Veterans Affairs (VA). Fellows attend two annual week-long trainings at Washington University in St. Louis. Training is provided through a rigorous curriculum, local and national mentoring, a 'learning site visit' to a federally funded implementation research project, pilot research, and grant writing. METHODS:This paper describes the rationale, components, outcomes to date, and participant experiences with IRI. RESULTS:IRI outcomes include 31 newly trained implementation researchers, their new grant proposals, contributions to other national dissemination and implementation research training, and publications in implementation science authored by the Core Faculty and fellows. Former fellows have obtained independent research funding in implementation science and are beginning to serve as mentors for more junior investigators. CONCLUSIONS:Based on the number of implementation research grant proposals and papers produced by fellows to date, the IRI is proving successful in preparing new researchers who can inform the process of making evidence-based mental healthcare more available through real-world settings of care and who are advancing the field of implementation science.
journal_name
Implement Scijournal_title
Implementation science : ISauthors
Proctor EK,Landsverk J,Baumann AA,Mittman BS,Aarons GA,Brownson RC,Glisson C,Chambers Ddoi
10.1186/1748-5908-8-105subject
Has Abstractpub_date
2013-09-05 00:00:00pages
105issn
1748-5908pii
1748-5908-8-105journal_volume
8pub_type
杂志文章abstract::In October 2006, the Chief Medical Officer (CMO) of England asked Professor Sir John Tooke to chair a High Level Group on Clinical Effectiveness in response to the chapter 'Waste not, want not' in the CMOs 2005 annual report 'On the State of the Public Health'. The high level group made recommendations to the CMO to a...
journal_title:Implementation science : IS
pub_type: 社论
doi:10.1186/1748-5908-4-18
更新日期:2009-04-07 00:00:00
abstract:BACKGROUND:Previous efforts to produce case descriptions have typically not focused on the organizations that produce research evidence and support its use. External evaluations of such organizations have typically not been analyzed as a group to identify the lessons that have emerged across multiple evaluations. Case ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-3-56
更新日期:2008-12-17 00:00:00
abstract:BACKGROUND:Evaluating the impact of recommendations based upon health technology assessment (HTA) represents a challenge for both HTA agencies and healthcare policy-makers. Using a psychosocial theoretical framework, this study aimed at exploring the factors affecting physician intention to adopt HTA recommendations. T...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-1-8
更新日期:2006-03-31 00:00:00
abstract:BACKGROUND:Diabetes is a common disease with self-management a key aspect of care. Large prospective trials have shown that maintaining glycated hemoglobin less than 7% greatly reduces complications but translating this level of control into everyday clinical practice can be difficult. Intensive improvement programs ar...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-1-24
更新日期:2006-10-20 00:00:00
abstract:BACKGROUND:Guideline development and uptake are still suboptimal; they focus on clinical aspects of diseases rather than on improving the integration of care. We used a patient-centered network approach to develop five harmonized guidelines (one multidisciplinary and four monodisciplinary) around clinical pathways in f...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-9-68
更新日期:2014-06-04 00:00:00
abstract:OBJECTIVE:Formative evaluation of the implementation process for a digitally supported intervention in polypharmacy in Germany. Qualitative research was conducted within a cluster randomized controlled trial (C-RCT). It focused on understanding how the intervention influences behavior-related outcomes in the prescripti...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-020-01043-6
更新日期:2020-09-21 00:00:00
abstract:BACKGROUND:Service development innovation in health technology and practice is viewed as a pressing need within the field of mental health yet is relatively poorly understood. Macro-level theories have been criticised for their limited explanatory power and they may not be appropriate for understanding local and fine-g...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-6-120
更新日期:2011-10-26 00:00:00
abstract:BACKGROUND:The use of guidelines in general practice is not optimal. Although evidence-based methods to improve guideline adherence are available, variation in physician adherence to general practice guidelines remains relatively high. The objective for this study is to transfer a quality improvement strategy based on ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-4-6
更新日期:2009-02-17 00:00:00
abstract:BACKGROUND:This study describes a collaborative planning approach that blends principles of community-based participatory research (CBPR) and intervention mapping to modify a healthcare manager intervention to a new patient population and provider group and to assess the feasibility and acceptability of this modified i...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-6-80
更新日期:2011-07-26 00:00:00
abstract:BACKGROUND:This paper describes the intervention planning process for the Home and Online Management and Evaluation of Blood Pressure (HOME BP), a digital intervention to promote hypertension self-management. It illustrates how a Person-Based Approach can be integrated with theory- and evidence-based approaches. The Pe...
journal_title:Implementation science : IS
pub_type: 杂志文章,评审
doi:10.1186/s13012-017-0553-4
更新日期:2017-02-23 00:00:00
abstract:BACKGROUND:Shared decision-making is not widely implemented in healthcare. We aimed to set a research agenda about promoting shared decision-making through continuing professional development. METHODS:Thirty-six participants met for two days. RESULTS:Participants suggested ways to improve an environmental scan that h...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-6-68
更新日期:2011-07-05 00:00:00
abstract:BACKGROUND:The ethical argument that shared decision-making is "the right" thing to do, however laudable, is unlikely to change how healthcare is organized, just as evidence alone will be an insufficient factor: practice change is governed by factors such as cost, profit margin, quality, and efficiency. It is helpful, ...
journal_title:Implementation science : IS
pub_type: 杂志文章,评审
doi:10.1186/s13012-016-0480-9
更新日期:2016-08-08 00:00:00
abstract:BACKGROUND:For early stage breast cancer, randomized controlled trials (RCTs) have shown that patient decision aids (PtDAs), when used by surgeons, result in increased patient knowledge about options and different patient treatment choices as compared to standard care. Yet, recent data suggests that PtDAs are used by l...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-014-0174-0
更新日期:2014-11-29 00:00:00
abstract:BACKGROUND:The fields of implementation and improvement sciences have experienced rapid growth in recent years. However, research that seeks to inform health care change may have difficulty translating core components of implementation and improvement sciences within the traditional paradigms used to evaluate efficacy ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-018-0770-5
更新日期:2018-05-29 00:00:00
abstract:BACKGROUND:The WISE (Whole System Informing Self-management Engagement) approach encompasses creating, finding, and implementing appropriate self-care support for people with long-term conditions. A training package for primary care to introduce the approach was developed and underwent formative evaluation. This entail...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-5-7
更新日期:2010-01-29 00:00:00
abstract:BACKGROUND:Children with emotional and behavioural disorders should be able to count on receiving care that meets their needs and is based on the best scientific evidence available, however, many do not receive these services. Implementation of evidence-based practice (EBP) relies, in part, on the research utilization ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-3-19
更新日期:2008-04-09 00:00:00
abstract:BACKGROUND:A large proportion of the annual 3.3 million neonatal deaths could be averted if there was a high uptake of basic evidence-based practices. In order to overcome this 'know-do' gap, there is an urgent need for in-depth understanding of knowledge translation (KT). A major factor to consider in the successful t...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-7-117
更新日期:2012-12-03 00:00:00
abstract:BACKGROUND:Blood for transfusion is a frequently used clinical intervention, and is also a costly and limited resource with risks. Many transfusions are given to stable and non-bleeding patients despite no clear evidence of benefit from clinical studies. Audit and feedback (A&F) is widely used to improve the quality of...
journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
doi:10.1186/s13012-017-0614-8
更新日期:2017-07-03 00:00:00
abstract:BACKGROUND:Ageing has become a worldwide reality and presents new challenges for the health-care system. Research has shown that potentially inappropriate prescribing, both potentially inappropriate medications and potentially prescribing omissions, is highly prevalent in older people, especially in the nursing home se...
journal_title:Implementation science : IS
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s13012-016-0394-6
更新日期:2016-03-11 00:00:00
abstract:BACKGROUND:In 2011, Manitoba implemented a province-wide program of physician detailing and free sampling for generic atorvastatin to increase use of this generic statin. We examined the impact of this unique combined program of detailing and sampling for generic atorvastatin on the use and cost of statin medicines, ma...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-017-0671-z
更新日期:2017-11-25 00:00:00
abstract:BACKGROUND:We sought to determine whether a multi-modal intervention, which included mailing a patient reminder with a colon cancer decision aid to patients and system changes allowing direct access to scheduling screening tests through standing orders, would be an effective and efficient means of promoting colon cance...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-3-32
更新日期:2008-06-02 00:00:00
abstract:BACKGROUND:It is challenging to interpret the results of multifaceted interventions due to complex program theories that are difficult to measure in a quantifiable manner. The aims of this paper were, first, to develop a model for a comprehensive quantitative implementation evaluation and, second, to operationalize it ...
journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
doi:10.1186/s13012-018-0720-2
更新日期:2018-02-08 00:00:00
abstract:BACKGROUND:Despite wide distribution and promotion of clinical practice guidelines, adherence among Dutch general practitioners (GPs) is not optimal. To improve adherence to guidelines, an analysis of barriers to implementation is advocated. Because different recommendations within a guideline can have different barrie...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-4-54
更新日期:2009-08-12 00:00:00
abstract:BACKGROUND:The need to better understand processes of removing, reducing, or replacing healthcare services that are no longer deemed essential or effective is common across publicly funded healthcare systems. This paper explores expert international opinion regarding, first, the factors and processes that shape the suc...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-014-0123-y
更新日期:2014-09-10 00:00:00
abstract:BACKGROUND:Patients in control of their own haemodialysis report better outcomes than those receiving professional controlled care in a hospital setting, even though home and hospital haemodialysis are largely equivalent from mechanical and physiological perspectives. Shared Haemodialysis Care (SHC) describes an initia...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-8-118
更新日期:2013-10-07 00:00:00
abstract:BACKGROUND:In healthcare settings, system and organization leaders often control the selection and design of implementation strategies even though frontline workers may have the most intimate understanding of the care delivery process, and factors that optimize and constrain evidence-based practice implementation withi...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-019-0914-2
更新日期:2019-06-14 00:00:00
abstract::Complex behaviour change interventions are not well described; when they are described, the terminology used is inconsistent. This constrains scientific replication, and limits the subsequent introduction of successful interventions. Implementation Science is introducing a policy of initially encouraging and subsequen...
journal_title:Implementation science : IS
pub_type: 社论
doi:10.1186/1748-5908-4-40
更新日期:2009-07-16 00:00:00
abstract:BACKGROUND:Implementing change in primary care is difficult, and little practical guidance is available to assist small primary care practices. Methods to structure care and develop new roles are often needed to implement an evidence-based practice that improves care. This study explored the process of change used to i...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-3-3
更新日期:2008-01-16 00:00:00
abstract:BACKGROUND:National leaders recommend documenting social determinants of health and actions taken to address social determinants of health in electronic health records, and a growing body of evidence suggests the health benefits of doing so. However, little evidence exists to guide implementation of social determinants...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-019-0855-9
更新日期:2019-01-28 00:00:00
abstract:BACKGROUND:One of the fastest growing risk groups for early onset of diabetes is women with a recent pregnancy complicated by gestational diabetes, and for this group, Latinas are the largest at-risk group in the USA. Although evidence-based interventions, such as the Diabetes Prevention Program (DPP), which focuses on...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-016-0426-2
更新日期:2016-05-18 00:00:00