Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities

Nápoles, Anna María; Stewart, Anita L.

doi:10.1186/s12913-018-3521-z

Cited by 85 publications

(118 citation statements)

References 60 publications

(105 reference statements)

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“…They argue that, for example, frameworks such as the Consolidated Framework for Intervention Research may be useful in developing the focus of studies of the mechanisms of disparities because they focus on systemic factors beyond the patient, their families/caregivers and provider. A new framework proposed by Nápoles and Stewart describes a ‘transcreational’ framework to design and deliver interventions to reduce disparities within communities, which engages community partners from the beginning of the programme [ 78 ].…”

Section: Discussionmentioning

confidence: 99%

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

Lakhanpaul

Culley

Robertson

et al. 2020

BMC Med Res Methodol

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Background To describe how using a combined approach of community-based participatory research and intervention mapping principles could inform the development of a tailored complex intervention to improve management of asthma for South Asian (SA) children; Management and Interventions for Asthma (MIA) study. Methods A qualitative study using interviews, focus groups, workshops, and modified intervention mapping procedures to develop an intervention planning framework in an urban community setting in Leicester, UK. The modified form of intervention mapping (IM) included: systematic evidence synthesis; community study; families and healthcare professionals study; and development of potential collaborative intervention strategies. Participants in the community study were 63 SA community members and 12 key informants; in-depth semi-structured interviews involved 30 SA families, 14 White British (WB) families and 37 Healthcare Professionals (HCPs) treating SA children living with asthma; prioritisation workshops involved 145 SA, 6 WB and 37 HCP participants; 30 participants in finalisation workshops. Results Two key principles were utilised throughout the development of the intervention; community-based participatory research (CBPR) principles and intervention mapping (IM) procedures. The CBPR approach allowed close engagement with stakeholders and generated valuable knowledge to inform intervention development. It accounted for diverse perceptions and experiences with regard to asthma and recognised the priorities of patients and their families/caregivers for service improvement. The ‘ACT on Asthma’ programme was devised, comprising four arms of an intervention strategy: education and training, clinical support, advice centre and raising awareness, to be co-ordinated by a central team. Conclusions The modified IM principles utilised in this study were systematic and informed by theory. The combined IM and participatory approach could be considered when tailoring interventions for other clinical problems within diverse communities. The IM approach to intervention development was however resource intensive. Working in meaningful collaboration with minority communities requires specific resources and a culturally competent methodology.

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Section: Discussionmentioning

confidence: 99%

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

Lakhanpaul

Culley

Robertson

et al. 2020

BMC Med Res Methodol

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“…[57] One may also use the Health Equity Implementation Framework in its entirety as an implementation determinants framework, or use the three health equity domains as additions to another implementation determinants framework. For an implementation process framework that incorporates an equity lens, see frameworks proposed by Nápoles and Stewart [12] and Eslava-Schmalbach and colleagues. [60] For an implementation evaluation framework that incorporates an equity lens, see preliminary equity-focused implementation outcomes [60] and the proposed extension of RE-AIM framework.…”

Section: Discussionmentioning

confidence: 99%

A Practical Guide to Incorporating Health Equity Domains in Implementation Frameworks

Woodward

Singh

Ndebele-Ngwenya

et al. 2020

Preprint

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Background: Due to limited systematic integration of health equity and implementation science, it is imperative to provide researchers and practitioners tools to guide implementation in settings where there is inequitable implementation of an intervention. Our prior work documented and piloted the first published adaptation of an existing implementation science framework with health equity determinants to create the Health Equity Implementation Framework. We suggested how others’ might adapt their preferred implementation science frameworks with three health equity domains: 1) cultural factors of recipients, 2) clinical encounter, or patient-provider interaction, and 3) societal influences (including but not limited to social determinants of health). This manuscript is a practical guide to utilize three health equity domains in implementation research and practice.Methods: We describe in greater depth than in our previous publication domains typical in implementation determinants frameworks and three adaptations: domains known to affect health equity. For each domain, we compiled definitions with supporting literature, defined relevant subdomains, showcased an illustrative example, and suggested sample measures, both quantitative and qualitative.Results: We describe how to incorporate the three health equity domains in one’s preferred implementation science framework, or how to use the Health Equity Implementation Framework specifically. Practical guidelines follow ten published recommendations on how to use frameworks in implementation research and practice. We describe a new case study in which the framework guided evaluation.Conclusions: Incorporating health equity domains within implementation frameworks may optimize the scientific yield and equity of implementation efforts by assessing and ideally, addressing, implementation and equity barriers simultaneously. The practical guidance and tools provided can assist implementation scientists and practitioners to concretely address inequity in implementation across populations to capture and analyze information used to assess health outcomes.Contributions to the LiteratureSpecific definitions of implementation and three health equity domains with examples of how they have been applied in published literature and sample measures.Practical tools, including a qualitative interview guide and codebookCase study of how the Health Equity Implementation Framework guided analysis in an implementation study

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“…findings following reflection and evaluation processes, we assert that engagement of stakeholders is a key ingredient in all phases of this iterative, bi-directional process [4,37].…”

mentioning

confidence: 88%

“…For example, both recognize the multi-level and embedded nature of context and the need for adaptation to the unique needs and characteristics of key populations, settings, and stakeholders. Additionally, both approaches value stakeholder engagement, and have long-lasting ties with community-based participatory research (CBPR) [20,21], as reflected in the Transcreation Framework [4].…”

Section: Eq-di Framework: Interaction Between Health Equity and Dandimentioning

confidence: 99%

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Advancing health equity through CTSA programs: Opportunities for interaction between health equity, dissemination and implementation, and translational science

Yousefi‐Nooraie

Kwan

Cohn

et al. 2020

J. Clin. Trans. Sci.

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AbstractDissemination and implementation (D&I) science is dedicated to studying how to effectively translate and apply research in real-world contexts. There has been increasing interest in health equity within the D&I field to ensure the equitable implementation of evidence-based programs/practices across a range of diverse populations and settings. At the same time, health equity researchers recognize the potential of D&I science to promote the more widespread dissemination, implementation, and sustainment of evidence-based interventions to address health inequities. The National Center for Accelerating Clinical and Translational Science Clinical and Translational Science Award (CTSA) Program has been a champion for community engagement and translational scholarship in its mission to improve individual and population health. The overall CTSA infrastructure and resources within and among CTSA hubs are well-equipped to facilitate a health equity focus to D&I across the phases of translational research. This paper proposes a framework that demonstrates the interaction and opportunities between health equity and D&I science and highlights how CTSAs can support and facilitate wider efforts in translational research with a focus on equitable D&I.

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Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities

Cited by 85 publications

References 60 publications

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

A Practical Guide to Incorporating Health Equity Domains in Implementation Frameworks

Advancing health equity through CTSA programs: Opportunities for interaction between health equity, dissemination and implementation, and translational science

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