Lessons Learned from Implementing Screening, Brief Intervention, and Referral to Treatment for Youth and Young Adults in Primary Care Settings

2018 ◽  
Vol 1 (1) ◽  
pp. 08-13
Author(s):  
LaFave LR ◽  
Bradley M ◽  
Murray AR ◽  
Pepin AL ◽  
Sprangers KS ◽  
...  
Keyword(s):  
Substance Use ◽  
Brief Intervention ◽  
Technical Assistance ◽  
Healthcare Providers ◽  
Lessons Learned ◽  
Clinical Workflow ◽  
Medical Centers ◽  
Primary Care Settings ◽  
Youth And Young Adults

Screening, Brief Intervention, and Referral to Treatment (S·BI·RT) in pediatric practices normalizes conversationsbetween youth and healthcare providers about alcohol and other substance use, and supports guidance about healthybehaviors. S·BI·RT also identifies youth ages 12-22 whose current use of addictive substances places them at risk fordeveloping substance use disorders, prompting provider brief intervention and referral for further assessment ortreatment before a substance use disorder develops. From May 2014 to June 2017, S·BI·RT was implemented as astandard of care in 23 pediatric practices in three cohorts across 10 organizations in New Hampshire —includingacademic medical centers and FQHCs—serving over 74,000 youth. This case study focuses on strategies associatedwith operationalizing S·BI·RT, specifically training and technical assistance related to clinical workflow, for youth andyoung adults.

Teen Pregnancy Prevention Evaluation Technical Assistance: A Case Study

2020 ◽  
pp. 0193841X2097527
Author(s):  
Jean Knab ◽  
Russell Cole
Keyword(s):  
Sexual Behavior ◽  
Teen Pregnancy ◽  
Large Scale ◽  
Technical Assistance ◽  
Pregnancy Prevention ◽  
Lessons Learned ◽  
Teen Pregnancy Prevention ◽  
Important Lesson ◽  
Behavior Outcomes

Purpose: This case study discusses Mathematica’s experience providing large-scale evaluation technical assistance (ETA) to 65 grantees across two cohorts of Teen Pregnancy Prevention (TPP) Program grants. The grantees were required to conduct rigorous evaluations with specific evaluation benchmarks. This case study provides an overview of the TPP grant program, the evaluation requirements, the ETA provider, and other key stakeholders and the ETA provided to the grantees. Finally, it discusses the successes, challenges, and lessons learned from the effort. Conclusion: One important lesson learned is that there are two related evaluation features, strong counterfactuals and insufficient target sample sizes, that funders should attend to prior to selecting awardees because they are not easy to change through ETA. In addition, if focused on particular outcomes (for TPP, the goal was to improve sexual behavior outcomes), the funder should prioritize studies with an opportunity to observe differences in these outcomes across conditions; several TPP grantees served young populations, and sexual behavior outcomes were not observed or were rare, limiting the opportunity to observe impacts. Unless funders are attentive to weaning out evaluations with critical limitations during the funding process, requiring grantees to conduct impact evaluations supported by ETA might unintentionally foster internally valid, yet underpowered studies that show nonsignificant program impacts. The TPP funder was able to overcome some of the limitations of the grantee evaluations by funding additional evidence-building activities, including federally led evaluations and a large meta-analysis of the effort, as part of a broader learning agenda.

Health Marketing for the Massachusetts Childhood Obesity Research Demonstration Study: A Case Study

2018 ◽  
Vol 20 (2) ◽  
pp. 282-291
Author(s):  
Shaniece Criss ◽  
Rachel E. Blaine ◽  
Megan Palamé ◽  
Meghan Perkins ◽  
Kirsten Davison ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Text Messaging ◽  
Technical Assistance ◽  
Lessons Learned ◽  
Health Marketing ◽  
Obesity Research ◽  
Main Components ◽  
Event Based ◽  
Lunch Program

Introduction. This case study describes the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD) health marketing campaign, examines the strategies used in such campaigns, and offers lessons learned to improve health marketing for future interventions. MA-CORD Health Marketing Components and Implementation. The three main components were an outdoor printed advertisement and texting campaign, social media with a focus on Facebook, and the Summer Passport Program, an event-based initiative in parks for children. The advertisements consisted of billboards, bus advertisements, and handouts. The text messaging component, which required families to actively text a keyword to join, had a low opt-in rate. Facebook page “likes” increased from 1,024 to 1,453 in New Bedford and from 175 to 1,091 in Fitchburg. Fitchburg received technical assistance and paid for ads on Facebook. The Summer Passport participation in parks ranged from 120 to 875 children with participation in the free park lunch program doubling in Fitchburg. Discussion. Key lessons learned are engage communication experts from each community at the beginning of the project, use text messaging components with in-person staff onsite to assist participants in the opt-in process, build momentum for a Facebook presence through purchasing Facebook advertisements, and partner with local park departments for programming.

scholarly journals Community-based in situ simulation: bringing simulation to the masses

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Barbara M. Walsh ◽  
◽  
Marc A. Auerbach ◽  
Marcie N. Gawel ◽  
Linda L. Brown ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Lessons Learned ◽  
Community Based ◽  
In Situ Simulation ◽  
Professional Groups ◽  
Medical Centers ◽  
Academic Center ◽  
Academic Medical ◽  
The Masses

AbstractSimulation-based methods are regularly used to train inter-professional groups of healthcare providers at academic medical centers (AMC). These techniques are used less frequently in community hospitals. Bringing in-situ simulation (ISS) from AMCs to community sites is an approach that holds promise for addressing this disparity. This type of programming allows academic center faculty to freely share their expertise with community site providers. By creating meaningful partnerships community-based ISS facilitates the communication of best practices, distribution of up to date policies, and education/training. It also provides an opportunity for system testing at the community sites. In this article, we illustrate the process of implementing an outreach ISS program at community sites by presenting four exemplar programs. Using these exemplars as a springboard for discussion, we outline key lessons learned discuss barriers we encountered, and provide a framework that can be used to create similar simulation programs and partnerships. It is our hope that this discussion will serve as a foundation for those wishing to implement community-based, outreach ISS.

Lessons Learned From Developing a MCI Virtual Empowerment Program?

2021 ◽  
Vol 10 (1) ◽  
pp. 13-17
Author(s):  
W. Bradley Fain ◽  
Megan Nare ◽  
Matthew Doiron ◽  
Sarah Farmer ◽  
Jeremy Johnson ◽  
...  
Keyword(s):  
User Interfaces ◽  
Healthcare Providers ◽  
Lessons Learned ◽  
Online Application ◽  
Treatment Providers ◽  
Process Testing ◽  
Care Partners ◽  
Lifestyle Program ◽  
The Us

In the Spring of 2020, COVID-19 closures and safe distancing orders required healthcare programs across the US to cease in-person treatment. This paper presents a case study of rapidly pivoting a novel, 12-month comprehensive clinical lifestyle program combining education, occupational therapy, cognitive training, and social interaction to an online application-based education program. The focus of the program is empowerment research for people newly diagnosed with mild cognitive impairment (MCI) and their care partners, and is conducted by the Emory Brain Health Center. Georgia Tech developed an education application (named MyCEP) for use with our MCI and care partner population combining off-the-shelf services and customized user interfaces. We used an iterative design and development process, testing our application with our end users and our treatment providers, and made updates based on our discovery of the need for new capabilities and requirements. We present the discovery of emergent practices by family members and healthcare providers to meet the new requirements for successful virtual engagement.

scholarly journals Exploring Implementation and Fidelity of Evidence-Based Behavioral Interventions for HIV Prevention: Lessons Learned From the Focus on Kids Diffusion Case Study

2008 ◽  
Vol 36 (3) ◽  
pp. 532-549 ◽  
Author(s):  
Jennifer S. Galbraith ◽  
Bonita Stanton ◽  
Bradley Boekeloo ◽  
Winifred King ◽  
Sharon Desmond ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Behavioral Interventions ◽  
Technical Assistance ◽  
Lessons Learned ◽  
Evidence Based ◽  
Cross Sectional ◽  
Staff Members ◽  
Hiv Intervention ◽  
Core Elements

Evidence-based interventions (EBIs) are used in public health to prevent HIV infection among youth and other groups. EBIs include core elements, features that are thought to be responsible for the efficacy of interventions. The authors evaluate experiences of organizations that adopted an HIV-prevention EBI, Focus on Kids (FOK), and their fidelity to the intervention's eight core elements. A cross-sectional telephone survey was administered to 34 staff members from organizations that had previously implemented FOK. Questions assessed how the organization adhered to, adapted, dropped, or altered the intervention. None of the organizations implemented all eight core elements. This study underscores the importance for HIV intervention researchers to clearly identify and describe core elements. More effort is needed to reflect the constraints practitioners face in nonresearch settings. To ensure intervention effectiveness, additional research and technical assistance are needed to help organizations implement HIV prevention EBIs with fidelity.

Healthcare Providers' Beliefs About Working with Patients with Substance Use Disorders

2014 ◽  
Author(s):  
L. C. van Boekel ◽  
E. P. M. Brouwers ◽  
J. van Weeghel ◽  
H. F. L. Garretsen
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Healthcare Providers

Who Has Potatoes?

2003 ◽  
Vol 1 (2) ◽  
pp. 148-159
Author(s):  
Keith V. Bletzer
Keyword(s):  
Substance Use ◽  
Home Country ◽  
Single Case ◽  
Turning Points ◽  
Farm Labor ◽  
Single Case Study ◽  
Long Period ◽  
Migrant Work

Migratory farm labor like other forms of migrant work both in and outside agriculture impedes on the opportunity to make choices. The following essay explores particular phases in the life of one man (a single case study) and examines how he considers turning points in his life that led to a long period of substance use, both as an immigrant in the country and as a working man in his home country, followed by a cessation of use and the beginning stages of recovery. / Para el migrante, viajar en busca de trabajo es díficil, ya sea que trabaje en agricultura o en otras labores. Este ensayo examina ciertas etapas en la vida de un hombre (estudio de un solo caso) que examina los cambios que le han ocurrido durante un período en que él consumía grandes cantidades de alcohol en los estados y en su país, seguido por un período de sobriedad (no tomaba alcohol, no usaba drogas) en este país en que él comienza una etapa de rehabilitación.

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