Addressing Tobacco Through Organizational Change in a Hospital-Based Mental Health Center in China: The Intervention and Lessons Learned in a Pilot Implementation Project

Ziedonis, Douglas M.; Wang, Xue; Li, Tao; Kim, Sun S.; Tonelli, Makenzie E.; Li, Sharon; Kalman, David

doi:10.1080/15504263.2012.672116

Cited by 9 publications

(8 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…39 Goal setting as a key component of selfregulatory processing focuses on the effort behind behavior change. The concept of goal setting has been used for reducing drug abuse 40 and tobacco use 41 among Hong Kong youth; however, it has not been applied to childhood obesity prevention. Within Diab, goal setting is integrated as a multistep process at the end of each episode (Episodes 1-4, diet goals; Episodes 5-8, PA goals).…”

Section: Discussionmentioning

confidence: 99%

Acceptability and Applicability of an American Health Videogame with Story for Childhood Obesity Prevention Among Hong Kong Chinese Children

Wang

Baranowski

Lau

et al. 2015

Games for Health Journal

View full text Add to dashboard Cite

Objective: Positive changes in diet have been observed in research carried out in the United States from the use of ''Escape from Diab'' (Diab), a health videogame designed to lower the risk of obesity and type 2 diabetes. Whether the American story and characters in Diab might be perceived by Hong Kong Chinese children as interesting has not been explored. This study assessed the acceptability and applicability of Diab among Hong Kong Chinese children, whether the Diab story was understood by them, and whether it had potential to influence them both during the game and afterward. Subjects and Methods: Thirty-four students (21 males, 13 females) 9-12 years of age were included. Upon completion of all the Diab episodes, children completed an immersion scale with 18 items, as well as an individual interview with 10 open-ended questions. Results: Children achieved average immersion after playing Diab with the mean score at 39.1 (standard deviation = 9.0), higher than the median (36) of possible scores (range, 18-54). Four themes using framework analysis emerged from the interviews, including intuitive feelings about the interface, playing experience, perception of the effect of Diab on behavior change, and the applicability of Diab to Hong Kong children. The story and game developed for American children were found acceptable and applicable to Hong Kong Chinese children. Conclusions:The combination of quantitative and qualitative methods confirmed the acceptability and applicability of Diab to Hong Kong Chinese children.

show abstract

Section: Discussionmentioning

confidence: 99%

Acceptability and Applicability of an American Health Videogame with Story for Childhood Obesity Prevention Among Hong Kong Chinese Children

Wang

Baranowski

Lau

et al. 2015

Games for Health Journal

View full text Add to dashboard Cite

show abstract

“…used a broad range of implementation strategies, consisting of 4 studies that all had strategies, from planning, organizing, leading, and monitoring. 72,79,90,98 These studies had a longer study period, averaging 2.5 years, and were conducted in single sites with an emphasis on internal leadership and significant follow-up periods. Studies that consisted of internally resourced development of systems and structures had a longer term follow-up period and more of a focus on longer term implementation outcomes (sustainability and penetration).…”

Section: Internally Resourced Development Of Systems and Structuresmentioning

confidence: 99%

How can hospitals change practice to better implement smoking cessation interventions? A systematic review

Ugalde

White

Rankin

et al. 2021

CA A Cancer J Clinicians

View full text Add to dashboard Cite

Smoking cessation reduces the risk of death, improves recovery, and reduces the risk of hospital readmission. Evidence and policy support hospital admission as an ideal time to deliver smoking‐cessation interventions. However, this is not well implemented in practice. In this systematic review, the authors summarize the literature on smoking‐cessation implementation strategies and evaluate their success to guide the implementation of best‐practice smoking interventions into hospital settings. The CINAHL Complete, Embase, MEDLINE Complete, and PsycInfo databases were searched using terms associated with the following topics: smoking cessation, hospitals, and implementation. In total, 14,287 original records were identified and screened, resulting in 63 eligible articles from 56 studies. Data were extracted on the study characteristics, implementation strategies, and implementation outcomes. Implementation outcomes were guided by Proctor and colleagues' framework and included acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability. The findings demonstrate that studies predominantly focused on the training of staff to achieve implementation. Brief implementation approaches using a small number of implementation strategies were less successful and poorly sustained compared with well resourced and multicomponent approaches. Although brief implementation approaches may be viewed as advantageous because they are less resource‐intensive, their capacity to change practice in a sustained way lacks evidence. Attempts to change clinician behavior or introduce new models of care are challenging in a short time frame, and implementation efforts should be designed for long‐term success. There is a need to embrace strategic, well planned implementation approaches to embed smoking‐cessation interventions into hospitals and to reap and sustain the benefits for people who smoke.

show abstract

“…Of the 61 articles included in the analysis, 43 [ 39 – 81 ] were research articles and 18 [ 82 – 99 ] were non-research articles (e.g., practice articles, policy updates, issue pieces, case studies, and commentaries). Additionally, 48 articles [ 39 – 41 , 43 , 44 , 48 – 53 , 55 , 57 – 68 , 71 – 80 , 82 , 83 , 86 – 93 , 96 – 99 ] discussed a single intervention; 6 [ 47 , 54 , 81 , 84 , 85 , 94 ] discussed multiple interventions related to the same health problem; and 7 [ 42 , 45 , 46 , 56 , 69 , 70 , 95 ] discussed issues related to the implementation of interventions associated with a specific health problem more generally. Regarding the issues interventions sought to address: 27 [ 42 – 44 , 47 – 50 , 52 , 54 , 55 , 58 – 61 , 63 , 68 , 69 , 73 , 82 , 86 , 87 , 91 , 93 – 95 , 97 ] discussed behavioral health, mental health, or substance use interventions; 16 [ 45 , 51 , 56 , 57 , 62 , 64 , 67 , 72 , 76 , 79 , …”

Section: Resultsmentioning

confidence: 99%

Defining the external implementation context: an integrative systematic literature review

Watson

Adams

Shue

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundProper implementation of evidence-based interventions is necessary for their full impact to be realized. However, the majority of research to date has overlooked facilitators and barriers existing outside the boundaries of the implementing organization(s). Better understanding and measurement of the external implementation context would be particularly beneficial in light of complex health interventions that extend into and interact with the larger environment they are embedded within. We conducted a integrative systematic literature review to identify external context constructs likely to impact implementation of complex evidence-based interventions.MethodsThe review process was iterative due to our goal to inductively develop the identified constructs. Data collection occurred in four primary stages: (1) an initial set of key literature across disciplines was identified and used to inform (2) journal and (3) author searches that, in turn, informed the design of the final (4) database search. Additionally, (5) we conducted citation searches of relevant literature reviews identified in each stage. We carried out an inductive thematic content analysis with the goal of developing homogenous, well-defined, and mutually exclusive categories.ResultsWe identified eight external context constructs: (1) professional influences, (2) political support, (3) social climate, (4) local infrastructure, (5) policy and legal climate, (6) relational climate, (7) target population, and (8) funding and economic climate.ConclusionsThis is the first study to our knowledge to use a systematic review process to identify empirically observed external context factors documented to impact implementation. Comparison with four widely-utilized implementation frameworks supports the exhaustiveness of our review process. Future work should focus on the development of more stringent operationalization and measurement of these external constructs.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3046-5) contains supplementary material, which is available to authorized users.

show abstract

Addressing Tobacco Through Organizational Change in a Hospital-Based Mental Health Center in China: The Intervention and Lessons Learned in a Pilot Implementation Project

Cited by 9 publications

References 38 publications

Acceptability and Applicability of an American Health Videogame with Story for Childhood Obesity Prevention Among Hong Kong Chinese Children

Acceptability and Applicability of an American Health Videogame with Story for Childhood Obesity Prevention Among Hong Kong Chinese Children

How can hospitals change practice to better implement smoking cessation interventions? A systematic review

Defining the external implementation context: an integrative systematic literature review

Contact Info

Product

Resources

About