Identifying, developing, and testing implementation strategies are important goals of science. However, these efforts have been complicated by the use inconsistent language inadequate descriptions in literature. The Expert Recommendations for Implementing Change (ERIC) study aimed to refine a published compilation strategy terms definitions systematically gathering input from wide range stakeholders with expertise science clinical practice.Purposive sampling was used recruit panel experts...

Poor terminological consistency for core concepts in implementation science has been widely noted as an obstacle to effective meta-analyses. This inconsistency is also a barrier those seeking guidance from the research literature when developing and planning initiatives. The Expert Recommendations Implementing Change (ERIC) study aims address one area of inconsistency: discrete strategies involving process or action used support practice change. present report on second stage ERIC project...

Researchers could benefit from methodological advancements to advance uptake of new treatments while also reducing healthcare disparities. A comprehensive determinants framework for disparity implementation challenges is essential accurately understand an problem and select strategies.We integrated modified two conceptual frameworks-one science one disparities research develop the Health Equity Implementation Framework. We applied Framework a historical challenge-hepatitis C virus (HCV) its...

Identifying feasible and effective implementation strategies that are contextually appropriate is a challenge for researchers implementers, exacerbated by the lack of conceptual clarity surrounding terms definitions strategies, as well literature provides imperfect guidance regarding how one might select given healthcare quality improvement effort. In this study, we will engage an Expert Panel comprising scientists mental health clinical managers to: establish consensus on common...

Background: Suicide is a significant public health problem worldwide that requires evidence-based prevention efforts. One approach to gatekeeper training. Gatekeeper training programs for community members have demonstrated positive changes in knowledge and attitudes about suicide. Changes skills not been well established. Aims: To assess predict the impact of brief, on members’ observed skills. Methods: Participants were employees at US universities. 50 participants randomly selected...

In this pilot study we report on proximate outcomes of a 1‐hour community gatekeeper training in‐service for 76 nonclinical employees in university hospital workplace setting. Pre‐post analyses resulted positive changes participants' knowledge about suicide and attitudes (self‐efficacy) intervening with suicidal individuals. A subset participants engaged role play practice skills following rated the experience positively. Fifty‐five observations were using an observational measure developed...

Clinical providers and "front line" nonclinical staff who work with veterans, families, communities are natural gatekeepers to identify refer veterans at risk for suicide. A national cohort (n = 602) of community based counseling center from the U.S. Department Veterans Affairs (VA) participated in an evaluation a brief standardized gatekeeper training program scripted behavioral rehearsal practice session. significant difference knowledge self efficacy was observed pre post (p < .0001)...

This conceptual article describes transactional theory (R. S. Lazarus, 1999; R. Lazarus and Folkman, 1984), a framework that integrates stress, appraisal, coping theories as they relate to how individuals react psychologically stressful situations and/or environments. In clinical practice, this theoretical can be effectively utilized in the assessment, intervention, evaluation of an individual's psychological stress responses. paper also discusses role play facilitating clinicians'...

A variety of research questions can be addressed using expert panels to synthesize existing knowledge and issue recommendations. This panel's presentations describe the use innovative methods for engaging comprised implementation scientists clinical managers in complex recommendation processes match strategies with evidence based practices real world service settings as part Veterans Health Administration (VA) funded 'Expert Recommendations Implementing Change' (ERIC) project (QLP 55-025).

To assess the impact of antecedent trauma on risk antenatal and postpartum depression in a prospective, longitudinal cohort pregnant women.374 participants (pregnant women aged 20-34 years) were recruited from hospital-based obstetrics practice serving predominantly low-income, inner-city population between May 2007 2012. Clinical diagnostic interviews psychosocial questionnaires administered at 18 32 weeks gestation 6 months postpartum. Lifetime exposure to details traumatic events...

Suicide is a critical public health problem around the globe. Asian populations are characterized by elevated suicide rates and tendency to seek social support from family friends over mental professionals. Gatekeeper training programs have been developed train frontline individuals in behaviors that assist at-risk obtaining treatment. The purpose of this study assess efficacy brief, multi-component gatekeeper intervention promoting prevention high-risk community United States. We adapted an...

The aim of this study was to explore posttraumatic stress disorder (PTSD) symptom prevalence and health characteristics among jail correctional officers, a generally understudied population public safety workers.A Conservation Resources (COR)-inspired framework explored relationships PTSD symptoms officers (N = 320) employed in Midwest US jails.More than half (53.4%) screened positively for PTSD. Hierarchical regression analysis indicates that burnout significant predictor (B 0.25, P <...

Prenatal maternal mood may inform the adverse obstetric outcomes seen in disadvantaged populations. The contribution of having a trauma history is not well studied. We examined impact exposure and symptoms on 358 women. Women with antecedent were more likely to have depression, odds ratio = 2.83, 95% confidence interval [1.81, 4.42], younger at their first pregnancy, 18.86 years versus 20.10 years, had higher number previous pregnancies, 2.01 1.54, compared those no exposure. prenatal...

Correctional officers (COs) experience elevated rates of mental and physical ill-health as compared with other general industry public safety occupations. The purpose this study was to investigate demographic, health, job tenure, work-family characteristics their prospective association burnout within between jail during one year new employment.In 2016, newly hired (N = 144) completed self-reported surveys across four time points in a one-year at Midwestern United States urban jail. Linear...

National implementation of evidence-based psychotherapies (EBPs) in the Veterans Health Administration (VHA) provides important lessons on barriers and facilitators to a large healthcare system. Little is known about complex EBP for emotional behavioral dysregulation—dialectical therapy (DBT). The purpose this study was understand VHA clinicians' experiences with barriers, facilitators, benefits from implementing DBT into routine care. This national program evaluation survey measured site...

The Samaritans of New York public education suicide awareness and prevention programme is designed to train lay professional staff on effective practices how 'befriend' a person in crisis. However, little known about the individual-level characteristics who attend these trainings. Community- school-based (N = 365) completed pre- post-training measures self-efficacy regarding their knowledge ability intervene with individuals at risk for suicide. Results indicate increased after training (M...

This study identifies training outcomes and educational preferences of employees who work within the Veterans Health Administration (VHA). Using a longitudinal pre- postsurvey design, 71 from one geographic region VHA healthcare facilities participated in an evaluation brief standardized gatekeeper program needs assessment on for suicide prevention. Results indicate significant differences knowledge self-efficacy pre to post (p < 0.001), although only remained at 1 year follow-up, (M = 3.01;...

Intimate partner violence (IPV) is a public health concern, affecting one-third of US women. Prior research suggests an association between exposure to IPV and poor maternal perinatal health, but the underlying biological correlates are not well understood. This study examined relationship proinflammatory cytokine levels, candidate mechanism accounting for psychiatric obstetric outcomes, across period.Data were obtained from prospective, longitudinal cohort 171 women receiving obstetrical...

ABSTRACT Introduction This evaluation examined the role of safety plans, one a host clinical suicide prevention interventions available for veterans through United States Department Veterans Affairs’ national network health care facilities managed by Health Administration (VHA). Materials and Methods Interviews were conducted with who had experienced suicidal ideation or attempt since enrolling in Affairs system (N = 29). Topics included negative life experiences, triggers attempt, ability...

Operation Enduring Freedom (OEF) and Iraqi (OIF) combat Veterans are at risk for developing post-traumatic stress disorder (PTSD). Many seeking treatment from the Health Administration; yet, it is an ongoing challenge to engage some in sustained mental health services, especially group therapy PTSD. This pilot study assessed OEF/OIF Veterans' prior use of perceived barriers interest PTSD using a survey distributed one outpatient specialty clinic Midwest. The 110 reported experience with...