A5050611937- Colorectal Cancer Screening and Detection
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Evaluation and Performance Assessment
- Economic and Financial Impacts of Cancer
- Pharmaceutical Practices and Patient Outcomes
- Global Cancer Incidence and Screening
- Gastric Cancer Management and Outcomes
- Medication Adherence and Compliance
- HIV/AIDS Research and Interventions
- Health and Medical Research Impacts
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Health Sciences Research and Education
- Public Health Policies and Education
- Telemedicine and Telehealth Implementation
- Microscopic Colitis
- Community Health and Development
- Mental Health and Patient Involvement
- Pancreatic and Hepatic Oncology Research
- Pharmaceutical Economics and Policy
- Interdisciplinary Research and Collaboration
- Pharmaceutical industry and healthcare
- Adolescent Sexual and Reproductive Health
University of North Carolina at Chapel Hill
2015-2024
University of North Carolina Health Care
2017-2023
University of California, Los Angeles
2017
Case Western Reserve University
2017
National Cancer Institute
2017
The University of Texas Health Science Center at Houston
2017
Baylor College of Medicine
2017
University of Washington
2017
Public Health Department
2016-2017
Black & Veatch (United Kingdom)
2015
Theories provide a synthesizing architecture for implementation science. The underuse, superficial use, and misuse of theories pose substantial scientific challenge science may relate to challenges in selecting from the many field. Implementation scientists benefit guidance theory specific study or project. Understanding how select will help inform efforts develop such guidance. Our objective was identify which they use theories, criteria used theories. We identified initial lists uses based...
Theories, models, and frameworks (TMF) are foundational for generalizing implementation efforts research findings. However, TMF the criteria used to select them not often described in published articles, perhaps due part challenge of selecting from among many that exist field. The objective this international study was develop a user-friendly tool help scientists practitioners appropriate guide their projects.Implementation across USA, UK, Canada identified rated conceptually distinct...
In several recent articles, authors have called for aligning the fields of implementation and improvement science. this paper, we call science to also align with practice. Multiple scholars highlighted importance designing strategies fit existing culture, infrastructure, practice a healthcare system. Worldwide, systems are adopting models as their primary approach improving delivery outcomes. The prevalence raises question how scientists might best efforts systems' infrastructure practice.We...
Participating in community-engaged dissemination and implementation (CEDI) research is challenging for a variety of reasons. Currently, there not specific guidance or tool available researchers to assess their readiness conduct CEDI research. We propose conceptual framework that identifies detailed competencies participating maps these domains. The necessary step toward developing survey measures researcher's attitudes, willingness, self-reported ability acquiring the knowledge performing...
Abstract Introduction: The US National Institutes of Health (NIH) established the Clinical and Translational Science Award (CTSA) program in response to challenges translating biomedical behavioral interventions from discovery real-world use. To address challenge evidence-based (EBIs) into practice, field implementation science has emerged as a distinct discipline. With distinction between EBI effectiveness research comes differences study design methodology, shifting focus clinical outcomes...
Abstract The efficient and effective movement of research into practice is acknowledged as crucial to improving population health assuring return on investment in healthcare research. National Center for Advancing Translational Science which sponsors Clinical Awards (CTSA) recognizes that dissemination implementation (D&I) sciences have matured over the last 15 years are central its goals shift academic institutions better align with this reality. In 2016, CTSA Collaboration Engagement...
Abstract Reflecting their commitment to advancing health equity, the Cancer Prevention and Control Research Network (CPCRN) established a Health Equity Workgroup identify distill guiding principles rooted in community-engaged participatory research (CBPR), social determinants of health, racial equity frameworks guide its collective work. The utilized multi-phase, consensus-building approach to: (1) recurrent themes frameworks; (2) capture perspectives on experiences with among CPCRN members...
Abstract Purpose We assessed fecal immunochemical test (FIT) uptake following a mailed FIT intervention among 45–49-year-olds newly eligible for colorectal cancer (CRC) screening based on 2021 United States Preventive Services Task Force recommendations. also tested the effect of an enhanced versus plain mailing envelope uptake. Methods In February 2022 we FITs to at one Federally Qualified Health Center (FQHC) clinic. determined proportion who completed within 60 days. conducted nested...
Abstract Background Implementation science emerged from the recognized need to speed translation of effective interventions into practice. In US, has evolved place an ever-increasing focus on implementation strategies. The long list strategies, terminology used name and time required tailor strategies all may contribute delays in translating evidence-based (EBIs) To EBI translation, we propose a streamlined approach classifying tailoring Main text A multidisciplinary team eight scholars...
Practice facilitation involves trained individuals working with practice staff to conduct quality improvement activities and support delivery of evidence-based clinical services. We examined the feasibility using assist federally qualified health centers (FQHCs) increase colorectal cancer screening rates in North Carolina.The intervention consisted 12 months 3 FQHCs. conducted chart audits obtain data on changes documented recommendation for completed screening. Key informant interviews...
Patient-centered health risk assessments (HRAs) that screen for unhealthy behaviors, prioritize concerns, and provide feedback may improve counseling, goal setting, health. To evaluate the effectiveness of routinely administering a patient-centered HRA, My Own Health Report, diet, exercise, smoking, alcohol, drug use, stress, depression, anxiety, sleep, 18 primary care practices were randomized to ask patients complete Report (MOHR) before an office visit (intervention) or continue usual...
Quality improvement collaboratives (QICs) have long been used to facilitate group learning and implementation of evidence-based interventions (EBIs) in healthcare. However, few studies systematically describe strategies linked QIC success. To address this gap, we evaluated a on colorectal cancer (CRC) screening Federally Qualified Health Centers (FQHCs) by aligning standardized with collaborative activities measuring effectiveness outcomes. In 2018, the American Cancer Society North Carolina...
Addressing financial toxicity among cancer patients is a complex process that requires multifaceted approach, particularly for rural who may face additional cost-related barriers to care. In this study, we examined interventions being implemented by navigation staff at various centers help address experienced oncology patients.We conducted semistructured interviews with convenience sample of across 29 in both and urban areas 7 states. Interviews were audio-recorded transcribed. Descriptive...
Abstract Purpose To assess preferences for design of a pharmacy-based colorectal cancer (CRC) screening program (PharmFIT™) among screening-eligible adults in the United States (US) and explore impact rurality on pharmacy use patterns (e.g., type, prescription pick-up preference, service quality rating). Methods We conducted national online survey non-institutionalized US through panels managed by Qualtrics, research company. A total 1,045 (response rate 62%) completed between March April...
Background Telehealth (telemedicine and telepharmacy) services increase access to patient ensure continuity of care. However, few studies have assessed factors that influence patients’ willingness use telehealth services, we sought investigate this. Objective This study aims examine respondents’ (aged between 45 75 years) (telepharmacy telemedicine) the correlates services. Methods We administered a cross-sectional national survey 1045 noninstitutionalized US adults aged years in March April...
Abstract Purpose The Centers for Disease Control and Prevention’s National Comprehensive Cancer Program (NCCCP) requires that states develop comprehensive cancer control (CCC) plans recommends disparities related to rural residence are addressed in these plans. objective of this study was explore partner engagement describe effective strategies incorporating a focus CCC Methods States were selected inclusion using stratified sampling based on state rurality region. State leaders interviewed...
Primary testing for high-risk human papillomavirus (HPV) by self-collection could result in higher rates of cervical cancer screening. Federally qualified health centers (FQHCs) the US serve a large proportion women who have low income and no insurance are medically underserved - risk factors being insufficiently screened cancer. Although implementation HPV is not yet widespread, care entities need to prepare its eventual approval Food Drug Administration. We conducted focus groups...
Abstract Colorectal cancer (CRC) screening is highly effective at reducing cancer-related morbidity and mortality, yet rates remain suboptimal. Evidence-based interventions can increase rates, particularly when they target multiple levels (e.g., patients, providers, health care systems). However, underutilized. Thus, there a pressing need to build capacity select implement multilevel CRC interventions. We report on formative research aimed understanding how Federally Qualified Health Center...
Abstract Background Although colorectal cancer (CRC) screening is effective in reducing CRC mortality, rates vulnerable populations served by community health centers (CHCs) remain below national targets. CHCs North Carolina are challenged to reach targets as they tend be under-resourced, have limited capacity implement and sustain population interventions, typically operate independently from one another regional colonoscopy providers. The Scaling Colorectal Cancer Screening Through...
Distributing CRC screening through pharmacies, a highly accessible health service, may create opportunities for more equitable access to screening. However, providing in new context introduces substantial implementation challenge.