Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER): a protocol for a program of research

Autor: Melissa M. Farmer, Sabine M. Oishi, Alison B. Hamilton, Tannaz Moin, Ariel J. Lang, Erin P. Finley, Alexis K. Huynh, Jessica L. Zuchowski, Sally G. Haskell, Bevanne Bean-Mayberry
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Replicating effective programs
Health Status
Patient engagement
Collaborative Care
Health informatics
Medical and Health Sciences
Health administration
Study Protocol
0302 clinical medicine
Health care
Medicine
030212 general & internal medicine
lcsh:R5-920
030503 health policy & services
Health Policy
Health services research
General Medicine
Health Services
Quality Improvement
United States Department of Veterans Affairs
Mental Health
Cardiovascular Diseases
Health Policy & Services
Implementation science
Female
lcsh:Medicine (General)
0305 other medical science
Clinical Trials and Supportive Activities
Health Informatics
Health Promotion
Women veterans
03 medical and health sciences
Nursing
Clinical Research
Information and Computing Sciences
Diabetes Mellitus
Humans
Diabetes prevention
Health policy
Primary Health Care
business.industry
Prevention
Public Health
Environmental and Occupational Health
Stepped wedge
United States
Good Health and Well Being
Health promotion
Collaborative care
Power
Psychological
Women's Health
Implementation research
Power
Psychological
business
Cardiovascular risk reduction
Zdroj: Implementation Science : IS
Implementation science : IS, vol 12, iss 1
Implementation Science, Vol 12, Iss 1, Pp 1-12 (2017)
ISSN: 1748-5908
Popis: Background The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women’s Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women’s Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation. EMPOWER includes three projects designed to improve women Veterans’ engagement and retention in evidence-based care for high-priority health conditions, i.e., prediabetes, cardiovascular, and mental health. Methods/Design The three proposed projects will be conducted in VA primary care clinics that serve women Veterans including general primary care and women’s health clinics. The first project is a 1-year quality improvement project targeting diabetes prevention. Two multi-site research implementation studies will focus on cardiovascular risk prevention and collaborative care to address women Veterans’ mental health treatment needs respectively. All projects will use the evidence-based Replicating Effective Programs (REP) implementation strategy, enhanced with multi-stakeholder engagement and complexity theory. Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption, acceptability, feasibility, and reach. Program-wide organizational-, provider-, and patient-level measures and tools will be utilized to enhance synergy, productivity, and impact. Both implementation research studies will use a non-randomized stepped wedge design. Discussion EMPOWER represents a coherent program of women’s health implementation research and quality improvement that utilizes cross-project implementation strategies and evaluation methodology. The EMPOWER Quality Enhancement Research Initiative (QUERI) will constitute a major milestone for realizing women Veterans’ engagement and empowerment in the VA system. EMPOWER QUERI will be conducted in close partnership with key VA operations partners, such as the VA Office of Women’s Health, to disseminate and spread the programs nationally. Trial registration The two implementation research studies described in this protocol have been registered as required: Facilitating Cardiovascular Risk Screening and Risk Reduction in Women Veterans: Trial registration NCT02991534, registered 9 December 2016. Implementation of Tailored Collaborative Care for Women Veterans: Trial registration NCT02950961, registered 21 October 2016. Electronic supplementary material The online version of this article (10.1186/s13012-017-0658-9) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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