Influence of organizational and social contexts on the implementation of culturally adapted hypertension control programs in Asian American-serving grocery stores, restaurants, and faith-based community sites: a qualitative study

Gore, Radhika; Patel, Shilpa; Choy, Catherine Ceniza; Taher,; Garcia-Dia, Mary Joy; Singh, Hardayal; Kim, Sara; Mohaimin, Sadia; Dhar, Ritu; Naeem, Areeg; Kwon, Simona C.; Islam, Nadia

doi:10.1093/tbm/ibz106

Cited by 6 publications

(5 citation statements)

References 50 publications

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“…Turnover of trained program staff resulted in program discontinuation ( Bargmann & Brundrett, 2020 ; Bonham et al., 2014 ; Buller et al, 2015 ; Gore et al, 2019 ; Herlitz et al, 2020 ; Hunter et al, 2017 ; Kenny & Goodman, 2010 ; Morgan et al, 2019 ). Turnover also resulted in changing workloads, leaving remaining staff to cover additional responsibilities or unfamiliar EBP participants, decreasing the quality and timeliness of EBP delivery ( August et al, 2006 ; King et al, 2018 ; Lyons, 2010 ; McKay et al, 2017 , 2018 ; Nelson et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

Exploring the impact of workforce turnover on the sustainability of evidence-based programs: A scoping review

Pascoe

Petrescu-Prahova

Steinman

et al. 2021

Implementation Research and Practice

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Background Evidence-based programs (EBPs) are used across disciplines to integrate research into practice and improve outcomes at the individual and/or community level. Despite widespread development and implementation of EBPs, many programs are not sustained beyond the initial implementation period due to many factors, including workforce turnover. This scoping review summarizes research on the impact of workforce turnover on the sustainability of EBPs and recommendations for mitigating these impacts. Methods We searched 10 databases for articles that focused on an EBP and described an association between workforce turnover and the sustainment or sustainability of the program. We created a data abstraction tool to extract relevant information from each article and applied the data abstraction tool to all included articles to create the dataset. Data were mapped and analyzed using the program sustainability framework (PSF). Results and Discussion A total of 30 articles were included in this scoping review and mapped to the PSF. Twenty-nine articles described impacts of workforce turnover and 18 articles proposed recommendations to address the impacts. The most frequent impacts of workforce turnover included increased need for training, loss of organizational knowledge, lack of EBP fidelity, and financial stress. Recommendations to address the impact of workforce turnover included affordable and alternative training modalities, the use of champions or volunteers, increasing program alignment with organizational goals, and generating diverse funding portfolios. Conclusion The sustainment of EBPs is critical to ensure and maintain the short- and long-term benefits of the EBP for all participants and communities. Understanding the impacts of workforce turnover, a determinant of sustainability, can create awareness among EBP-implementing organizations and allow for proactive planning to increase the likelihood of program sustainability.

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Section: Resultsmentioning

confidence: 99%

Exploring the impact of workforce turnover on the sustainability of evidence-based programs: A scoping review

Pascoe

Petrescu-Prahova

Steinman

et al. 2021

Implementation Research and Practice

View full text Add to dashboard Cite

show abstract

“…Researchers have suggested additional constructs like coercive, mimetic, normative pressure, uncertainty in the task environment, transaction costs [ 28 ], and community characteristics [ 33 ]. Others highlight the importance of cultural adaptation of innovations and community networks [ 34 ], and the association between implementation funding and per capita income, political party in power and health system [ 27 ]. Noting that the outer setting can include everything from community-level to national-level contextual factors, the scoping review by Nilsen and Bernhardsson [ 31 ] categorized contextual factors into micro, meso, and macro levels.…”

Section: Introductionmentioning

confidence: 99%

Identifying and understanding the contextual factors that shaped mid-implementation outcomes during the COVID-19 pandemic in organizations implementing mental health recovery innovations into services

Piat

Wainwright

Cherkas

et al. 2021

Implement Sci Commun

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Background Seven housing and health services organizations were guided through a process of translating Chapter Six of the Canadian Guidelines for Recovery-Oriented Practice into a recovery-oriented innovation and plan for its implementation. At the time of the COVID-19 outbreak and lockdown measures, six of the seven organizations had begun implementing their chosen innovation (peer workers, wellness recovery action planning facilitator training, staff training and a family support group). This mid-implementation study used the Consolidated Framework for Implementation Research (CFIR) to identify contextual factors that influenced organizations to continue or postpone implementation of recovery-oriented innovations in the early months of the COVID-19 pandemic. Methods Twenty-seven semi-structured 45-min interviews were conducted between May and June 2020 (21 implementation team members and six providers of the innovation (trainers, facilitators, peer workers). Interview guides and analysis were based on the CFIR. Content analysis combined deductive and inductive approaches. Summaries of coded data were given ratings based on strength and valence of the construct’s impact on implementation. Ratings were visualized by mid-implementation outcome and recovery innovation to identify constructs which appear to distinguish between sites with a more or less favorable mid-implementation outcomes. Results Four mid-implementation outcomes were observed at this snapshot in time (from most to least positive): continued implementation with adaptation (one site), postponement with adaptation and estimated relaunch date (four sites), indefinite postponement with no decision on relaunch date (one site), and no implementation of innovation yet (one site). Two constructs had either a negative influence (external policies and incentives—renamed COVID-19-related external policy for this study) or a positive influence (leadership engagement), regardless of implementation outcome. Four factors appeared to distinguish between more or less positive mid-implementation outcome: adaptability, implementation climate and relative priority, available resources, and formally appointed internal implementation leaders (renamed “engaging implementation teams during the COVID-19 pandemic” for this study). Conclusions The COVID-19 pandemic is an unprecedented outer setting factor. Studies that use the CFIR at the mid-implementation stage are rare, as are studies focusing on the outer setting. Through robust qualitative analysis, we identify the key factors that shaped the course of implementation of recovery innovations over this turbulent time.

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“…consuming uncooked vegetables for Chinese communities) or culturally stigmatised foods (e.g. brown rice in East Asian communities) (52)(53)(54) .…”

Section: Discussionmentioning

confidence: 99%

Characterising urban immigrants’ interactions with the food retail environment

Russo

Liu

et al. 2020

Public Health Nutr.

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Objective: The food retail environment is an important determinant of food access and the ability to achieve a healthy diet. However, immigrant communities may procure their food in different ways than the mainstream population owing to preferences for specific cultural products or limited English language proficiency. The objective of this analysis was to describe the grocery shopping patterns and behaviours of one of the largest immigrant groups in New York City, Chinese Americans – a group experiencing high poverty and cardio-metabolic disparities. Design: Cross-sectional survey data. Setting: Community-based sample. Participants: Self-identified Chinese Americans in the New York metropolitan area (n 239). Results: Three shopping patterns were identified: type 1: shopped weekly at an ethnic grocery store – and nowhere else; type 2: shopped weekly at a non-ethnic grocery store, with occasional shopping at an ethnic store and type 3: did not perform weekly shopping. Type 1 v. type 2 shoppers tended to have lower education levels (37·5 v. 78·0 % with college degree); to be on public insurance (57·6 v. 22·8 %); speak English less well (18·4 v. 41·4 %); be food insecure (47·2 v. 24·2 %; P < 0·01 for all) and to travel nearly two miles further to shop at their primary grocery store (β = −1·55; 95 % CI −2·81, −0·30). Discussion: There are distinct grocery shopping patterns amongst urban-dwelling Chinese Americans corresponding to demographic and sociocultural factors that may help inform health interventions in this understudied group. Similar patterns may exist among other immigrant groups, lending preliminary support for an alternative conceptualisation of how immigrant communities interact with the food retail environment.

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Influence of organizational and social contexts on the implementation of culturally adapted hypertension control programs in Asian American-serving grocery stores, restaurants, and faith-based community sites: a qualitative study

Cited by 6 publications

References 50 publications

Exploring the impact of workforce turnover on the sustainability of evidence-based programs: A scoping review

Exploring the impact of workforce turnover on the sustainability of evidence-based programs: A scoping review

Identifying and understanding the contextual factors that shaped mid-implementation outcomes during the COVID-19 pandemic in organizations implementing mental health recovery innovations into services

Characterising urban immigrants’ interactions with the food retail environment

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