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Selecting, adapting, and sustaining programs in health care systems

Practitioners and researchers often design behavioral programs that are effective for a specific population or problem. Despite their success in a controlled setting, relatively few programs are scaled up and implemented in health care systems. Planning for scale-up is a critical, yet often overlook...

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Detalles Bibliográficos
Autores principales: Zullig, Leah L, Bosworth, Hayden B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404962/
https://www.ncbi.nlm.nih.gov/pubmed/25931825
http://dx.doi.org/10.2147/JMDH.S80037
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author Zullig, Leah L
Bosworth, Hayden B
author_facet Zullig, Leah L
Bosworth, Hayden B
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description Practitioners and researchers often design behavioral programs that are effective for a specific population or problem. Despite their success in a controlled setting, relatively few programs are scaled up and implemented in health care systems. Planning for scale-up is a critical, yet often overlooked, element in the process of program design. Equally as important is understanding how to select a program that has already been developed, and adapt and implement the program to meet specific organizational goals. This adaptation and implementation requires attention to organizational goals, available resources, and program cost. We assert that translational behavioral medicine necessitates expanding successful programs beyond a stand-alone research study. This paper describes key factors to consider when selecting, adapting, and sustaining programs for scale-up in large health care systems and applies the Knowledge to Action (KTA) Framework to a case study, illustrating knowledge creation and an action cycle of implementation and evaluation activities.
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spelling pubmed-44049622015-04-30 Selecting, adapting, and sustaining programs in health care systems Zullig, Leah L Bosworth, Hayden B J Multidiscip Healthc Commentary Practitioners and researchers often design behavioral programs that are effective for a specific population or problem. Despite their success in a controlled setting, relatively few programs are scaled up and implemented in health care systems. Planning for scale-up is a critical, yet often overlooked, element in the process of program design. Equally as important is understanding how to select a program that has already been developed, and adapt and implement the program to meet specific organizational goals. This adaptation and implementation requires attention to organizational goals, available resources, and program cost. We assert that translational behavioral medicine necessitates expanding successful programs beyond a stand-alone research study. This paper describes key factors to consider when selecting, adapting, and sustaining programs for scale-up in large health care systems and applies the Knowledge to Action (KTA) Framework to a case study, illustrating knowledge creation and an action cycle of implementation and evaluation activities. Dove Medical Press 2015-04-16 /pmc/articles/PMC4404962/ /pubmed/25931825 http://dx.doi.org/10.2147/JMDH.S80037 Text en © 2015 Zullig and Bosworth. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Commentary
Zullig, Leah L
Bosworth, Hayden B
Selecting, adapting, and sustaining programs in health care systems
title Selecting, adapting, and sustaining programs in health care systems
title_full Selecting, adapting, and sustaining programs in health care systems
title_fullStr Selecting, adapting, and sustaining programs in health care systems
title_full_unstemmed Selecting, adapting, and sustaining programs in health care systems
title_short Selecting, adapting, and sustaining programs in health care systems
title_sort selecting, adapting, and sustaining programs in health care systems
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404962/
https://www.ncbi.nlm.nih.gov/pubmed/25931825
http://dx.doi.org/10.2147/JMDH.S80037
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