scholarly journals Essential elements to “design for dissemination” within a research network—a modified Delphi study of the Community-Academic Aging Research Network (CAARN)

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Maria C. Mora Pinzon ◽  
Shannon Myers ◽  
Jill Renken ◽  
Erin Eggert ◽  
Betty Chewning ◽  
...  
Keyword(s):  
Scale Up ◽  
Essential Elements ◽  
Research Network ◽  
Community Research ◽  
Evidence Based ◽  
Aging Research ◽  
Community Partners ◽  
Modified Delphi ◽  
Evidence Based Programs

Abstract Background The Community-Academic Aging Research Network (CAARN) was developed in 2010 to build partnerships, facilitate research, and ultimately accelerate the pace of development, testing, and dissemination of evidence-based programs related to healthy aging. CAARN has facilitated development and testing of 32 interventions, two of which are being packaged for scale-up, and three of which are being scaled up nationally by non-profit organizations. The purpose of this study is to describe CAARN’s essential elements required to replicate its success in designing for dissemination. Methods We conducted a modified Delphi technique with 31 participants who represented CAARN’s organization (staff and Executive Committee) and academic and community partners. Participants received three rounds of a web-based survey to rate and provide feedback about the importance of a list of potential key elements compiled by the authors. The criterion for establishing consensus was 80% of responses to consider the element to be extremely or very important. Results Response rate was 90% in Round 1, 82% in Round 2, and 87% in Round 3. A total of 115 items were included across rounds. Overall, consensus was achieved in 77 (67%) elements: 8 of 11 elements about academic partners, 8 of 11 about community partners, 29 of 49 about the role of the community research associate, 16 of 21 about the role of the director, 9 of 17 about the purveyor (i.e., the organization that scales up an intervention with fidelity), and 7 of 7 about the overall characteristics of the network. Conclusions The development of evidence-based programs designed for dissemination requires the involvement of community partners, the presence of a liaison that facilitates communications among academic and community stakeholders and a purveyor, and the presence of a pathway to dissemination through a relationship with a purveyor. This study delineates essential elements that meet the priorities of adopters, implementers, and end-users and provide the necessary support to community and academic partners to develop and test interventions with those priorities in mind. Replication of these key elements of the CAARN model may facilitate quicker development, testing, and subsequent dissemination of evidence-based programs that are feasible to implement by community organizations.

scholarly journals Key factors to facilitate locally driven family planning programming: a qualitative analysis of urban stakeholder perspectives in Africa and Asia

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Lisa Mwaikambo ◽  
Sarah Brittingham ◽  
Saori Ohkubo ◽  
Ruwaida Salem ◽  
Denis Joel Sama ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Systems ◽  
Thematic Analysis ◽  
Urban Areas ◽  
Local Governments ◽  
Scale Up ◽  
Analytical Framework ◽  
Essential Elements ◽  
Evidence Based ◽  
Country Ownership

Abstract Background There has been greater recognition of the importance of country ownership in global health and development. However, operationalising country ownership to ensure the scale up and sustainability of proven interventions remains elusive at best. To address this challenge, we undertook a thematic analysis of interviews collected from representatives of local governments, public health systems, and communities in poor urban areas of East Africa, Francophone West Africa, India, and Nigeria, supported by The Challenge Initiative (TCI), aiming to rapidly and sustainably scale up evidence-based reproductive health and family planning solutions. Methods The main objective of this study was to explore critical elements needed for implementing and scaling evidence-based family planning interventions. The research team conducted thematic analysis of 96 stories collected using the Most Significant Change (MSC) technique between July 2018 and September 2019. After generating 55 unique codes, the codes were grouped into related themes, using TCI’s model as a general analytical framework. Results Five key themes emerged: (1) strengthening local capacity and improving broader health systems, (2) shifting mindsets of government and community toward local ownership, (3) institutionalising the interventions within existing government structures, (4) improving data demand and use for better planning of health services, and (5) enhancing coordination of partners. Conclusion While some themes feature more prominently in a particular region than others, taken together they represent what stakeholders perceive to be essential elements for scaling up locally-driven health programmes in urban areas in Africa and Asia.

scholarly journals Key Factors to Facilitate Locally Driven Family Planning Programming: A Qualitative Analysis of Urban Stakeholder Perspectives in Africa and Asia

2020 ◽  
Author(s):  
Lisa Mwaikambo ◽  
Sarah Brittingham ◽  
Saori Ohkubo ◽  
Ruwaida Salem ◽  
Denis Joel Sama ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Systems ◽  
Urban Areas ◽  
Local Governments ◽  
Scale Up ◽  
Essential Elements ◽  
Evidence Based ◽  
Country Ownership ◽  
Stakeholder Perspectives ◽  
Most Significant Change

Abstract BackgroundThere has been greater recognition of the importance of country ownership in global health and development. However, operationalising country ownership to ensure the scale up and sustainability of proven interventions remains elusive at best. To address this challenge, we undertook a thematic analysis of interviews collected from representatives of local governments, public health systems, and communities in poor urban areas of East Africa, Francophone West Africa, India, and Nigeria, supported by The Challenge Initiative, aiming to rapidly and sustainably scale up evidence-based reproductive health and family planning solutions. MethodsThe main objective of this study was to explore critical elements needed for implementing and scaling evidence-based family planning interventions. The research team conducted interviews and collected 96 stories using the Most Significant Change (MSC) technique between July 2018 and September 2019, and coded and analyzed the stories. Most frequently used codes were identified and grouped into emerging themes.ResultsFive key themes emerged: (1) strengthening local capacity and improving broader health systems, (2) shifting mindsets of government and community toward local ownership, (3) institutionalizing the interventions within existing government structures, (4) improving data demand and use for better planning of health services, and (5) enhancing coordination of partners. Conclusion While some themes feature more prominently in a particular region than others, taken together they represent what stakeholders perceive to be essential elements for scaling up locally-driven health programmes in urban areas in Africa and Asia.

scholarly journals The Role of Evidence-Based Practice in German Special Education—State of Research and Discussion

2019 ◽  
Vol 9 (2) ◽  
pp. 106
Author(s):  
Yvonne Blumenthal ◽  
Bodo Hartke ◽  
Stefan Voß
Keyword(s):  
Special Education ◽  
Essential Elements ◽  
Current Situation ◽  
Evidence Based ◽  
Not Given ◽  
Educational Materials ◽  
The Social ◽  
The Usa ◽  
State Of Research

This paper reviews the discourse on the concept of evidence-based special education in Germany. A short overview of the current situation in regard to available evidence-based educational materials for schools in Germany and the USA is given. Critical objections on the topic within Germany will be outlined thereafter. With these in mind, a discussion on the described points of criticism will follow in closing. Overall, the concept’s essential elements, such as the social and internal evidence, are not given sufficient consideration.

scholarly journals Adoption of an Evidence-Based Intervention for Mammography Screening Adherence in Safety Net Clinics

2021 ◽  
Vol 9 ◽  
Author(s):  
Jennifer Holcomb ◽  
Gayla Ferguson ◽  
Isabel Roth ◽  
Gretchen Walton ◽  
Linda Highfield
Keyword(s):  
Scale Up ◽  
Cancer Control ◽  
Safety Net ◽  
Academic Community ◽  
Health Centers ◽  
Research Network ◽  
Evidence Based ◽  
Community Partner ◽  
Federally Qualified Health Centers ◽  
Safety Net Clinics

Through an academic-community partnership, an evidence-based intervention to reduce mammography appointment no-show rates in underserved women was expanded to safety net clinics. The partnership implemented four strategies to improve the adoption and scale-up of evidence-based interventions with Federally Qualified Health Centers and charity care clinics: (1) an outreach email blast targeting the community partner member clinics to increase program awareness, (2) an adoption video encouraging enrollment in the program, (3) an outreach webinar educating the community partner member clinics about the program, encouraging enrollment and outlining adoption steps, and (4) an adoption survey adapted from Consolidated Framework for Implementation Research constructs from the Cancer Prevention and Control Research Network for cancer control interventions with Federally Qualified Health Centers. The development of academic-community partnerships can lead to successful adoption of evidence-based interventions particularly in safety net clinics.

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