Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities

Pankow, Jennifer; Willett, Jennifer; Yang, Yang; Swan, Holly; Dembo, Richard; Burdon, William M.; Patterson, Yvonne; Pearson, Frank S.; Belenko, Steven; Frisman, Linda K.

doi:10.1007/s11414-017-9551-1

Cited by 10 publications

(20 citation statements)

References 44 publications

(40 reference statements)

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“…We found one randomised controlled trial (Pankow et al, 2018 ; Pearson et al, 2014 ) and one controlled interrupted time series analysis (Lee et al, 2016 ). The other 13 studies employed uncontrolled before and after designs, three of which were included within mixed-methods studies (Emerson et al, 2020 ; Meine, 2018 ; O’Toole et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…We grouped interventions broadly into professional behaviour change and patient education; 12 studies evaluated interventions that concentrated on professional behaviour change (Beyda et al, 2018 ; Cabelguenne et al, 2018 ; Elwood Martin et al, 2004 ; Finnie, 2018 ; Francis-Graham et al, 2020 ; Lee et al, 2016 ; Lerat et al, 2011 ; Lin et al, 2019 ; Meine, 2018 ; Morey et al, 2019 ; Pankow et al, 2018 ; Pearson et al, 2014 ; Reeves, 2012 ; Toledanes et al, 2021 ) and three evaluated patient-mediated interventions involving educating or empowering patients (Arif, 2018 ; Emerson et al, 2020 ; O’Toole et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies evaluated multifaceted strategies which combined interventions (Arif, 2018 ; Beyda et al, 2018 ; Cabelguenne et al, 2018 ; Finnie, 2018 ; Francis-Graham et al, 2020 ; Lerat et al, 2011 ; Meine, 2018 ; Morey et al, 2019 ; Pankow et al, 2018 ; Pearson et al, 2014 ; Reeves, 2012 ; Toledanes et al, 2021 ). Eight studies evaluated educational meetings, largely aiming to improve staff knowledge and patient health literacy.…”

Section: Resultsmentioning

confidence: 99%

“… O’Toole, S. 2018 Ireland To explore efficacy of an exercise referral scheme for promoting mental health 30 adult males in one prison Mixed methods study, including uncontrolled before and after Exercise referral scheme Depression and anxiety scale, anger scale and self-esteem symptom scale Patient semi-structured interviews Improved symptoms scores for anxiety, depression, stress, anger and self-esteem Pearson, F. 2014 and Pankow, J. 2018 USA Investigate if a model of HIV care would improve quality of care 14 clusters of matched prisons Cluster randomised controlled trial Introduced a local change team with a QI protocol Staff training on protocol Screening uptake for HIV Proportion of positive HIV cases Patient knowledge surveys Protocol adherence Improvement in patient knowledge scores and proportion of HIV screening uptake. Reported adequate adherence to the structural components of the improvement protocol in 12 sites.…”

Section: Methodsmentioning

confidence: 99%

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Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review

et al. 2023

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Background There are challenges to delivering high quality primary care within prison settings and well-recognised gaps between evidence and practice. There is a growing body of literature evaluating interventions to implement evidence-based practice in the general population, yet the extent and rigour of such evaluations in incarcerated populations are unknown. We therefore conducted a scoping literature review to identify and describe evaluations of implementation interventions in the prison setting. Methods We searched EMBASE, MEDLINE, CINAHL Plus, Scopus, and grey literature up to August 2021, supplemented by hand searching. Search terms included prisons, evidence-based practice, and implementation science with relevant synonyms. Two reviewers independently selected studies for inclusion. Data extraction included study populations, study design, outcomes, and author conclusions. We took a narrative approach to data synthesis. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance for scoping reviews. Results Fifteen studies reported in 17 papers comprised one randomised controlled trial, one controlled interrupted time series analysis and 13 uncontrolled before and after studies. Eight studies took place in the US and four in the UK. Ten studies evaluated combined (multifaceted) interventions, typically including education for staff or patients. Interventions most commonly targeted communicable diseases, mental health and screening uptake. Thirteen studies reported adherence to processes of care, mainly testing, prescribing and referrals. Fourteen studies concluded that interventions had positive impacts. Conclusions There is a paucity of high-quality evidence to inform strategies to implement evidence-based health care in prisons, and an over-reliance on weak evaluation designs which may over-estimate effectiveness. Whilst most evaluations have focused on recognised priorities for the incarcerated population, relatively little attention has been paid to long-term conditions core to primary care delivery. Initiatives to close the gaps between evidence and practice in prison primary care need a stronger evidence base.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review

et al. 2023

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“…The NIATx Model can be applied to engage local implementation teams across a broad range of settings and highlights the importance of practice facilitation. While NIATx was originally designed for increasing behavioral health services utilization, Pankow et al [ 33 ] modified the NIATx Model to engage local implementation teams in correctional facilities to increase provision of HIV services. In this study, we successfully engaged patient and clinical stakeholders using I-SITE to sustain increased teleophthalmology use and diabetic eye screening rates by applying the NIATx Model .…”

Section: Discussionmentioning

confidence: 99%

Implementation for Sustained Impact in Teleophthalmology (I-SITE): applying the NIATx Model for tailored implementation of diabetic retinopathy screening in primary care

Diaz

Lock

Molfenter

et al. 2021

Implement Sci Commun

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Background Teleophthalmology provides evidence-based, telehealth diabetic retinopathy screening that is underused even when readily available in primary care clinics. There is an urgent need to increase teleophthalmology use in the US primary care clinics. In this study, we describe the development of a tailored teleophthalmology implementation program and report outcomes related to primary care provider (PCP) adoption. Methods We applied the 5 principles and 10 steps of the NIATx healthcare process improvement model to develop and test I-SITE (Implementation for Sustained Impact in Teleophthalmology) in a rural, the US multi-payer health system. This implementation program allows patients and clinical stakeholders to systematically tailor teleophthalmology implementation to their local context. We aligned I-SITE components and implementation strategies to an updated ERIC (Expert Recommendations for Implementing Change) framework. We compared teleophthalmology adoption between PCPs who did or did not participate in various components of I-SITE. We surveyed PCPs and clinical staff to identify the strategies they believed to have the highest impact on teleophthalmology use. Results To test I-SITE, we initiated a year-long series of 14 meetings with clinical stakeholders (n=22) and met quarterly with patient stakeholders (n=9) in 2017. Clinical and patient stakeholder groups had 90.9% and 88.9% participant retention at 1 year, respectively. The increase in teleophthalmology use was greater among PCPs participating in the I-SITE implementation team than among other PCPs (p < 0.006). The proportion of all PCPs who used the implementation strategy of electing diabetic eye screening for their annual performance-based financial incentive increased from 0% (n=0) at baseline to 56% (n=14) following I-SITE implementation (p = 0.004). PCPs and clinical staff reported the following implementation strategies as having the highest impact on teleophthalmology use: reminders to ask patients about diabetic eye screening during clinic visits, improving electronic health record (EHR) documentation, and patient outreach. Conclusions We applied the NIATx Model to develop and test a teleophthalmology implementation program for tailored integration into primary care clinics. The NIATx Model provides a systematic approach to engaging key stakeholders for tailoring implementation of evidence-based telehealth interventions into their local context.

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Community Services for Mental Illnesses and Substance Use Disorders: the Moral Test of Our Time

Rosenberg

2018

J Behav Health Serv Res

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Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities

Cited by 10 publications

References 44 publications

Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review

Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review

Implementation for Sustained Impact in Teleophthalmology (I-SITE): applying the NIATx Model for tailored implementation of diabetic retinopathy screening in primary care

Community Services for Mental Illnesses and Substance Use Disorders: the Moral Test of Our Time

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