Journal article
Implementing Community-Created Self-Management Support Tools in Primary Care Practices: Multimethod Analysis From the INSTTEPP Study
Journal of patient-centered research and reviews, Vol.5(4), pp.267-275
09/01/2018
DOI: 10.17294/2330-0698.1634
PMCID: PMC6676764
PMID: 31414012
Abstract
Purpose With one-half of Americans projected to be living with at least one chronic condition before 2020, enhancing patient self-management support (SMS) may improve health-related behaviors and clinical outcomes. Routine SMS implementation in primary care settings is difficult. Little is known about the practice conditions required for successful implementation of SMS tools.
Methods Four primary care practice-based research networks (PBRNs) recruited 16 practices to participate in a boot camp translation process to adapt patient-centered SMS tools. Boot camp translation sessions were held over a 2-month period with 2 patients, a clinician, and a care manager from each practice. Qualitative case comparison and qualitative comparative analysis were used to examine practice conditions needed to implement SMS tools. The Consolidated Framework for Implementation Research guided data collection and analysis.
Results Four different practice conditions affected the implementation of new SMS tools: functional practice organization; system that enables innovation and change; presence of a visible, activated champion; and synergy and alignment of SMS changes with other work. Qualitative comparative analysis suggested that it was necessary to have an enabling system, a visible champion, and synergy for a practice to at least minimally implement the SMS tools. Sufficiency testing, however, failed to show robust consistency to satisfactorily explain conditions required to implement new SMS tools.
Conclusions To implement tailored self-management support tools relatively rapidly, the minimum necessary conditions include a system that enables innovation and change, presence of a visible champion, and alignment of SMS changes with other work; yet, these alone are insufficient to ensure successful implementation.
Details
- Title: Subtitle
- Implementing Community-Created Self-Management Support Tools in Primary Care Practices: Multimethod Analysis From the INSTTEPP Study
- Creators
- Douglas H. Fernald - University of Colorado DenverMatthew J. Simpson - University of Colorado DenverDonald E. Nease - University of Colorado DenverDavid L. Hahn - University of Wisconsin–MadisonAmanda E. Hoffmann - University of Wisconsin–MadisonLeann C. Michaels - Oregon Health & Science UniversityLyle J. Fagnan - Oregon Health & Science UniversityJeanette M. Daly - University of IowaBarcey T. Levy - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of patient-centered research and reviews, Vol.5(4), pp.267-275
- Publisher
- Aurora Health Care, Inc
- DOI
- 10.17294/2330-0698.1634
- PMID
- 31414012
- PMCID
- PMC6676764
- ISSN
- 2330-068X
- eISSN
- 2330-0698
- Number of pages
- 9
- Grant note
- 1R18HS022491-01 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Language
- English
- Date published
- 09/01/2018
- Academic Unit
- Epidemiology; Family and Community Medicine
- Record Identifier
- 9984297551902771
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