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1.
Fam Syst Health ; 37(4): 282-290, 2019 12.
Article in English | MEDLINE | ID: mdl-31621349

ABSTRACT

INTRODUCTION: The use of mobile delivery to deliver parent training can address barriers to access and improve the translation of interventions in existing settings like pediatric primary care. Studying implementation provides critical information to identify and address barriers and facilitators and inform sustainability efforts. METHOD: This study was a descriptive evaluation using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework as part of a Hybrid Type I Effectiveness-Implementation trial of the ezParent Program within 4 pediatric primary care clinics. We collected data before, during, and after implementation to evaluate provider implementation and their perspectives on program benefits and barriers to implementation. RESULTS: On average, 14% of eligible parents were introduced to the study. Of these parents, 78% expressed interest in participating and 37% enrolled in the study. Seventy-eight percent of staff providers (n = 36) implemented the procedures at least once, and among those who implemented 3 or more times (n = 24), 79% maintained implementation for 6 months. Barriers to implementation include limited time, lack of information, and full practice buy-in and engagement. DISCUSSION: Implementation fidelity may improve with additional education and training of the interdisciplinary team, clear messaging regarding the purpose and content of the ezParent program, defining roles within the care team, identifying practice champions, and use of the electronic health record. Findings from this evaluation, including data from the randomized controlled trial and literature to support intervention effectiveness and implementation, will be used to develop an implementation toolkit to include specific strategies for implementation and ideas for local adaptations. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Subject(s)
Parents/education , Primary Health Care/standards , Quality of Health Care/standards , Computers, Handheld/statistics & numerical data , Humans , Patient Satisfaction , Pediatrics/methods , Pediatrics/standards , Pediatrics/statistics & numerical data , Primary Health Care/methods , Primary Health Care/statistics & numerical data , Quality of Health Care/statistics & numerical data
2.
Prog Community Health Partnersh ; 13(1): 83-95, 2019.
Article in English | MEDLINE | ID: mdl-30956250

ABSTRACT

BACKGROUND: Children with chronic conditions have unmet health needs. Coordinated Healthcare for Complex Kids (CHECK) is a demonstration project with aims to improve health outcomes using an innovative approach to community-based health care. OBJECTIVE: We describe the development and implementation of a community-based medical neighborhood (CBMN). METHODS: The CHECK CBMN used several novel approaches to partner with clinical and community organizations, including care coordination software, advisory board participation, and an external social service referral database (SSRD). RESULTS: The CHECK CBMN executed 25 formal partnership agreements. We hosted 15 advisory board meetings, participated in 43 community events, and made 1,443 community-based social service referrals. We provided 43 trainings on pediatric chronic conditions and participated in four community in-service trainings. CONCLUSIONS: The CHECK CBMN contributes to the understanding of how innovative processes and collaboration can improve care coordination for children with chronic conditions through community and clinical partnerships.


Subject(s)
Community Health Services , Community-Based Participatory Research , Residence Characteristics , Child , Humans
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