scholarly journals Organizational culture and climate as moderators of enhanced outreach for persons with serious mental illness: results from a cluster-randomized trial of adaptive implementation strategies

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Shawna N. Smith ◽  
Daniel Almirall ◽  
Katherine Prenovost ◽  
David E. Goodrich ◽  
Kristen M. Abraham ◽  
...  
Keyword(s):  
Mental Illness ◽  
Organizational Culture ◽  
Randomized Trial ◽  
Serious Mental Illness ◽  
Implementation Strategies ◽  
Cluster Randomized Trial ◽  
Cluster Randomized ◽  
Culture And Climate

Reducing mental-illness stigma via high school clubs: A matched-pair, cluster-randomized trial.

2020 ◽  
Vol 5 (2) ◽  
pp. 230-239
Author(s):  
Shaikh I. Ahmad ◽  
Bennett L. Leventhal ◽  
Brittany N. Nielsen ◽  
Stephen P. Hinshaw
Keyword(s):  
High School ◽  
Mental Illness ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Mental Illness Stigma ◽  
Matched Pair ◽  
Cluster Randomized

scholarly journals Cluster randomized trial comparing standard versus enhanced implementation strategies for improving outreach to persons with SMI: 12-month results

2015 ◽  
Vol 10 (S1) ◽  
Author(s):  
David E Goodrich ◽  
Daniel Almirall ◽  
Kristin M Abraham ◽  
Kristina M Nord ◽  
Zongshan Lai ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Implementation Strategies ◽  
Cluster Randomized Trial ◽  
Cluster Randomized

scholarly journals PATHWEIGH, pragmatic weight management in adult patients in primary care in Colorado, USA: study protocol for a stepped wedge cluster randomized trial

Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Krithika Suresh ◽  
Jodi Summers Holtrop ◽  
L. Miriam Dickinson ◽  
Emileigh Willems ◽  
Peter C. Smith ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Randomized Trial ◽  
Weight Management ◽  
Implementation Strategies ◽  
Cluster Randomized Trial ◽  
Weight Loss Maintenance ◽  
Stepped Wedge ◽  
Patient Weight ◽  
Cluster Randomized

Abstract Background Despite the overwhelming prevalence and health implications of obesity, it is rarely adequately addressed in a health care setting. PATHWEIGH is a pragmatic approach to weight management that uses tools built into the electronic medical record to overcome barriers and guide care. Implementation strategies are employed to facilitate adoption and use of the PATHWEIGH tools and processes. The current study will compare the effectiveness of PATHWEIGH versus standard of care (SOC) on patient weight loss in primary care and explore factors for its successful implementation. Methods A stepped wedge cluster randomized trial design will be used within an effectiveness-implementation hybrid study. Adult patient weight loss and weight loss maintenance will be compared in PATHWEIGH versus SOC in 57 family and internal medicine clinics in a large health system in Colorado, USA. Effectiveness will be evaluated using generalized linear mixed models to determine statistical differences in weight loss and weight loss maintenance at 6, 12, and 18 months. Patient-, provider-, and clinic-level predictors will be identified using mediator and moderator analyses. Conceptually guided by the Practical, Robust, Implementation and Sustainability Model (PRISM), a mixed methods approach including quantitative (practice surveys, use tracking) and qualitative (interviews, observations) data collection will be used to determine factors impeding and facilitating adoption, implementation, and maintenance of PATHWEIGH and evaluate specified implementation strategies. A cost analysis of the practice and system costs and resources required by PATHWEIGH relative to the reimbursement collected will be performed. Discussion The effectiveness and implementation of PATHWEIGH, and their interrelatedness, for patient weight loss are collectively the focus of the current trial. Findings from this study are expected to serve as a blueprint for available and effective weight management in primary care medical practice. Trial registration ClinicalTrials.govNCT04678752. Registered on December 21, 2020.

scholarly journals A School-Based Intervention for Mental Illness Stigma: A Cluster Randomized Trial

PEDIATRICS ◽  
2020 ◽  
Vol 145 (6) ◽  
pp. e20190780
Author(s):  
Bruce G. Link ◽  
Melissa J. DuPont-Reyes ◽  
Kay Barkin ◽  
Alice P. Villatoro ◽  
Jo C. Phelan ◽  
...  
Keyword(s):  
Mental Illness ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Mental Illness Stigma ◽  
School Based Intervention ◽  
School Based ◽  
Cluster Randomized

scholarly journals “Symptom Screening is Easier, but You Can Miss…”: Perceptions of Nurse-led Symptom-based Screening to Promote Tuberculosis Preventive Therapy in the Context of a Cluster Randomized Trial in South Africa

2020 ◽  
Author(s):  
Nicole Salazar-Austin ◽  
Minja Milovanovic ◽  
Nora S West ◽  
Molefi Tladi ◽  
Grace Link Barnes ◽  
...  
Keyword(s):  
South Africa ◽  
Randomized Trial ◽  
Community Health ◽  
Health Workers ◽  
Implementation Strategies ◽  
Cluster Randomized Trial ◽  
Preventive Therapy ◽  
Symptom Screening ◽  
Study Implementation ◽  
Cluster Randomized

Abstract Background: Tuberculosis is a top-10 cause of under-5 mortality, despite policies promoting tuberculosis preventive therapy (TPT). We previously conducted a cluster randomized trial to evaluate the effectiveness of symptom-based versus tuberculin skin-based screening on child TPT uptake. Symptom-based screening did not improve TPT uptake and nearly two-thirds of child contacts were not identified or not linked to care. Here we qualitatively explored healthcare provider perceptions of factors that impacted TPT uptake among child contacts.Methods: Sixteen in-depth interviews were conducted with key informants including healthcare providers and administrators who participated in the trial in Matlosana, South Africa. The participants’ experience with symptom-based screening, study implementation strategies, and ongoing challenges with child contact identification and linkage to care were explored. Interviews were systematically coded and thematic content analysis was conducted. Results: Participants’ had mixed opinions about symptom-based screening and high acceptability of the study implementation strategies. A key barrier to optimizing child contact screening and evaluation was the supervision and training of community health workers. Conclusions: Symptom screening is a simple and effective strategy to evaluate child contacts, but additional pediatric training is needed to provide comfort with decision making. New clinic-based child contact files were highly valued by providers who continued to use them after trial completion. Future interventions to improve child contact management will need to address how to best utilize community health workers in identifying and linking child contacts to care. Trial Registration: The results presented here were from research related to NCT03074799, retrospectively registered on 9 March 2017.

Sign in / Sign up

Export Citation Format

Share Document