scholarly journals Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations

2021 ◽  
Vol 10 ◽  
pp. 216495612110425
Author(s):  
David W. Miller ◽  
Eric J. Roseen ◽  
Jennifer A.M. Stone ◽  
Paula Gardiner ◽  
Juli Olson ◽  
...  
Keyword(s):  
Implementation Science ◽  
Evidence Based ◽  
Policy And Practice ◽  
Patient Centered ◽  
Allied Health Professionals ◽  
Implementation Processes ◽  
The Status ◽  
Core Concepts ◽  
Acupuncture Research ◽  
Professional Practitioners

Introduction The field of implementation science is the study of methods that promote the uptake of evidence-based interventions into healthcare policy and practice. While acupuncture has gained significant traction in the American healthcare landscape, its journey has been somewhat haphazard and non-linear. Methods In June 2019, a group of thirty diverse stakeholders was convened by the Society for Acupuncture Research with the support of a Patient Centered Outcomes Research Institute, Eugene Washington Engagement Award. This group of stakeholders represented a diverse mix of patients, providers, academicians, researchers, funders, allied health professionals, insurers, association leaders, certification experts, and military program developers. The collective engaged in discussion that explored acupuncture’s status in healthcare, including reflections on its safety, effectiveness, best practices, and the actual implementation of acupuncture as seen from diverse stakeholder viewpoints. Objectives A primary goal was to consider how to utilize knowledge from the field of implementation science more systematically and intentionally to disseminate information about acupuncture and its research base, through application of methods known to implementation science. The group also considered novel challenges that acupuncture may present to known implementation processes. Findings This article summarizes the initial findings of this in-person meeting of stakeholders and the ongoing discussion among the subject matter experts who authored this report. The goal of this report is to catalyze greater conversation about how the field of implementation science might intersect with practice, access, research, and policymaking pertaining to acupuncture. Core concepts of implementation science and its relationship to acupuncture are introduced, and the case for acupuncture as an Evidence Based Practice (EBP) is established. The status of the field and current environment of acupuncture is examined, and the perspectives of four stakeholder groups––patients, two types of professional practitioners, and researchers––are explored in more detail.

scholarly journals Knowledge, evidence, expertise? The epistemics of experience in contemporary healthcare

2020 ◽  
Vol 16 (2) ◽  
pp. 267-284
Author(s):  
Fadhila Mazanderani ◽  
Tehseen Noorani ◽  
Farzana Dudhwala ◽  
Zara Thokozani Kamwendo
Keyword(s):  
Personal Experience ◽  
Healthcare Services ◽  
Evidence Based ◽  
Mutual Aid ◽  
Policy And Practice ◽  
User Experiences ◽  
Patient Feedback ◽  
Self Help ◽  
The Status ◽  
Patient Activism

This paper explores how personal experience acquires the status of knowledge and/or evidence in contemporary healthcare contexts that emphasise being both patient-centred and evidence-based. Drawing on a comparative analysis of three case studies ‐ self-help and mutual aid groups; online patient activism; and patient feedback in healthcare service delivery ‐ we foreground: a) the role that different technologies and temporalities play in how experience is turned (or fails to be turned) into knowledge or evidence; b) the role that experts-of-experience, in addition to the more frequently referenced experts-by-experience, play in mediating how, when and why experience is turned into an epistemic resource; and finally, c) how the need to be ‘evidence-based’ remains a persistent, yet at times productive, challenge to how patient and user experiences are incorporated in contemporary healthcare policy and practice. Throughout the paper, we argue that it is necessary to look at both democratic and epistemic imperatives for including patient and service users in healthcare services and policymaking based on their experience.

scholarly journals Bridging the Gap Between Research and Practice: Predicting What Will Work Locally

2019 ◽  
Vol 57 (3) ◽  
pp. 1045-1082 ◽  
Author(s):  
Kathryn E. Joyce ◽  
Nancy Cartwright
Keyword(s):  
Education Policy ◽  
Randomized Controlled Trials ◽  
Implementation Science ◽  
Controlled Trials ◽  
Evidence Based ◽  
Improvement Science ◽  
Policy And Practice ◽  
Research And Practice ◽  
Randomized Controlled ◽  
What Works

This article addresses the gap between what works in research and what works in practice. Currently, research in evidence-based education policy and practice focuses on randomized controlled trials. These can support causal ascriptions (“It worked”) but provide little basis for local effectiveness predictions (“It will work here”), which are what matter for practice. We argue that moving from ascription to prediction by way of causal generalization (“It works”) is unrealistic and urge focusing research efforts directly on how to build local effectiveness predictions. We outline various kinds of information that can improve predictions and encourage using methods better equipped for acquiring that information. We compare our proposal with others advocating a better mix of methods, like implementation science, improvement science, and practice-based evidence.

scholarly journals What have we learned here? Questioning accountability in aid policy and practice

Evaluation ◽  
2018 ◽  
Vol 24 (1) ◽  
pp. 98-112 ◽  
Author(s):  
Lauren Kogen
Keyword(s):  
Project Design ◽  
Evidence Based ◽  
Funding Policy ◽  
Gender Based Violence ◽  
Policy And Practice ◽  
The West ◽  
Implementation Processes ◽  
Design And Implementation ◽  
Gender Based ◽  
Aid Policy

In recent decades, development donors in the West have touted a shift to rigorous evaluations and evidence-based policymaking in order to address global skepticism regarding the effectiveness of aid. In the accompanying rhetoric, “accountability” and “learning” have been held up as twin pillars that will ensure a more effective aid-making system. This contribution questions the ability of these concepts to improve aid in their current working forms. The contribution offers a revised conceptualization of learning in order to improve funding and funding policy. The revised definition supports two particular areas in which “learning” is sorely needed but which are eschewed in most current institutionalized evaluation rhetoric: developing theory undergirding social change (such as theories relating to gender-based violence) and evaluating project design and implementation processes (such as participatory designs).

Best Practices for Data Visualization: Creating and Evaluating a Report for an Evidence-Based Fall Prevention Program (Preprint)

2018 ◽  
Author(s):  
Srijesa Khasnabish ◽  
Zoe Burns ◽  
Madeline Couch ◽  
Mary Mullin ◽  
Randall Newmark ◽  
...  
Keyword(s):  
Literature Review ◽  
Best Practices ◽  
Implementation Science ◽  
Data Visualization ◽  
Systematic Literature Review ◽  
Fall Prevention ◽  
Prevention Program ◽  
Evidence Based ◽  
Data Display ◽  
Fall Prevention Program

BACKGROUND Data visualization experts have identified core principles to follow when creating visual displays of data that facilitate comprehension. Such principles can be applied to creating effective reports for clinicians that display compliance with quality improvement protocols. A basic tenet of implementation science is continuous monitoring and feedback. Applying best practices for data visualization to reports for clinicians can catalyze implementation and sustainment of new protocols. OBJECTIVE To apply best practices for data visualization to create reports that clinicians find clear and useful. METHODS First, we conducted a systematic literature review to identify best practices for data visualization. We applied these findings and feedback collected via a questionnaire to improve the Fall TIPS Monthly Report (FTMR), which shows compliance with an evidence-based fall prevention program, Fall TIPS (Tailoring Interventions for Patient Safety). This questionnaire was based on the requirements for effective data display suggested by expert Stephen Few. We then evaluated usability of the FTMR using a 15-item Health Information Technology Usability Evaluation Scale (Health-ITUES). Items were rated on a 5-point Likert scale from strongly disagree (1) to strongly agree (5). RESULTS The results of the systematic literature review emphasized that the ideal data display maximizes the information communicated while minimizing the cognitive efforts involved with data interpretation. Factors to consider include selecting the correct type of display (e.g. line vs bar graph) and creating simplistic reports. The qualitative and quantitative evaluations of the original and final FTMR revealed improved perceptions of the visual display of the reports and their usability. Themes that emerged from the staff interviews emphasized the value of simplified reports, meaningful data, and usefulness to clinicians. The mean (SD) rating on the Health-ITUES scale when evaluating the original FTMR was 3.86 (0.19) and increased to 4.29 (0.11) when evaluating the revised FTMR (Mann Whitney U Test, z=-12.25, P<0.001). CONCLUSIONS Best practices identified through a systematic review can be applied to create effective reports for clinician use. The lessons learned from evaluating FTMR perceptions and measuring usability can be applied to creating effective reports for clinician use in the context of other implementation science projects.

Implementation Strategies

2017 ◽  
Author(s):  
JoAnn E. Kirchner ◽  
Thomas J. Waltz ◽  
Byron J. Powell ◽  
Jeffrey L. Smith ◽  
Enola K. Proctor
Keyword(s):  
Implementation Science ◽  
Comparative Effectiveness ◽  
Implementation Strategies ◽  
Evidence Based ◽  
Efficient Manner

As the field of implementation science moves beyond studying barriers to and facilitators of implementation to the comparative effectiveness of different strategies, it is essential that we create a common taxonomy to define the strategies that we study. Similarly, we must clearly document the implementation strategies that are applied, the factors that influence their selection, and any adaptation of the strategy during the course of implementation and sustainment of the innovation being implemented. By incorporating this type of rigor into our work we will be able to not only advance the science of implementation but also our ability to place evidence-based innovations into the hands of practitioners in a timely and efficient manner.

Implementation Science: Application of Evidence‐Based Practice Models to Improve Healthcare Quality

2021 ◽  
Vol 18 (2) ◽  
pp. 76-84
Author(s):  
Sharon Tucker ◽  
Molly McNett ◽  
Bernadette Mazurek Melnyk ◽  
Kirsten Hanrahan ◽  
Sarah C. Hunter ◽  
...  
Keyword(s):  
Implementation Science ◽  
Evidence Based Practice ◽  
Healthcare Quality ◽  
Evidence Based ◽  
Practice Models ◽  
Science Application

Against evidence-based oppression: Marginalized youth and the politics of risk-based assessment and intervention

2016 ◽  
Vol 21 (2) ◽  
pp. 151-167 ◽  
Author(s):  
Tim Goddard ◽  
Randolph R Myers
Keyword(s):  
Lived Experience ◽  
Evidence Based ◽  
Marginalized Youth ◽  
Youth Justice ◽  
Policy And Practice ◽  
Individual Level ◽  
Needs Assessments ◽  
Actuarial Risk ◽  
The Individual ◽  
Causes Of Crime

Actuarial risk/needs assessments exert a formidable influence over the policy and practice of youth offender intervention. Risk-prediction instruments and the programming they inspire are thought not only to link scholarship to practice, but are deemed evidence-based. However, risk-based assessments and programs display a number of troubling characteristics: they reduce the lived experience of racialized inequality into an elevated risk score; they prioritize a very limited set of hyper-individualistic interventions, at the expense of others; and they privilege narrow individual-level outcomes as proof of overall success. As currently practiced, actuarial youth justice replicates earlier interventions that ask young people to navigate structural causes of crime at the individual level, while laundering various racialized inequalities at the root of violence and criminalization. This iteration of actuarial youth justice is not inevitable, and we discuss alternatives to actuarial youth justice as currently practiced.

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