RT Journal Article
SR Electronic
T1 Factors Related to Implementation and Reach of a Pragmatic Multisite Trial: The My Own Health Report (MOHR) Study
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 337
OP 349
DO 10.3122/jabfm.2017.03.160151
VO 30
IS 3
A1 Bijal A. Balasubramanian
A1 Suzanne Heurtin-Roberts
A1 Sarah Krasny
A1 Catherine L. Rohweder
A1 Kayla Fair
A1 Tanya T. Olmos-Ochoa
A1 Kurt C. Stange
A1 Sherri Sheinfeld Gorin
YR 2017
UL http://www.jabfm.org/content/30/3/337.abstract
AB Background: Contextual factors relevant to translating healthcare improvement interventions to different settings are rarely collected systematically. This study articulates a prospective method for assessing and describing contextual factors related to implementation and patient reach of a pragmatic trial in primary care.Methods: In a qualitative case-series, contextual factors were assessed from the My Own Health Report (MOHR) study, focused on systematic health risk assessments and goal setting for unhealthy behaviors and behavioral health in nine primary care practices. Practice staff interviews and observations, guided by a context template were conducted prospectively at three time points. Patient reach was calculated as percentage of patients completing MOHR of those who were offered MOHR and themes describing contextual factors were summarized through an iterative, data immersion process.These included practice members' motivations towards MOHR, practice staff capacity for implementation, practice information system capacity, external resources to support quality improvement, community linkages, and implementation strategy fit with patient populations.Conclusions: Systematically assessing contextual factors prospectively throughout implementation of quality improvement initiatives helps translation to other health care settings. Knowledge of contextual factors is essential for scaling up of effective interventions.