Cargando…
Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool
BACKGROUND: One Key Question(®) (OKQ) is a tool that embeds a patient-centered screening into routine visits with the goal of making pregnancy intention screening universal, but widespread implementation has not yet been adopted. We aimed to explore the barriers and facilitators of OKQ implementatio...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc., publishers
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994428/ https://www.ncbi.nlm.nih.gov/pubmed/35415707 http://dx.doi.org/10.1089/whr.2021.0100 |
_version_ | 1784684106923114496 |
---|---|
author | Ferketa, Meron Schueler, Kellie Song, Bonnie Carlock, Francesca Stulberg, Debra B. White VanGompel, Emily |
author_facet | Ferketa, Meron Schueler, Kellie Song, Bonnie Carlock, Francesca Stulberg, Debra B. White VanGompel, Emily |
author_sort | Ferketa, Meron |
collection | PubMed |
description | BACKGROUND: One Key Question(®) (OKQ) is a tool that embeds a patient-centered screening into routine visits with the goal of making pregnancy intention screening universal, but widespread implementation has not yet been adopted. We aimed to explore the barriers and facilitators of OKQ implementation to better understand how to best implement the tool across different settings. METHODS: We invited staff and clinicians from one obstetrics and gynecology clinic and one family medicine clinic, which previously implemented OKQ, to complete surveys and qualitative interviews about their experiences with the tool. The interview guide and thematic analysis of the interview transcripts were informed by the Consolidated Framework for Implementation Research (CFIR). MAIN FINDINGS: Major facilitators of OKQ implementation are the simplicity of the tool, engagement of clinic leadership, and compatibility between the perceived goals of the tool and those of practice staff and clinicians. Although participants indicated that OKQ had a minimal impact on clinic workflow during its implementation, preimplementation time concerns were a major barrier to implementation in both clinics. Barriers seen in the family medicine practice included OKQ distracting from the visit agenda, and concerns about the OKQ gold standard protocol of screening each patient at every visit. Participants even suggested asking OKQ only during annual check-up appointments. CONCLUSIONS: The perceived alignment between the tool's goals and those of clinic stakeholders was an important facilitator of OKQ implementation success. However, characteristics of the clinic setting, such as competing medical priorities and time constraints, influenced initial attitudes toward the feasibility of the intervention. Clinical Trial Registration Number: NCT03947788 |
format | Online Article Text |
id | pubmed-8994428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Mary Ann Liebert, Inc., publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-89944282022-04-11 Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool Ferketa, Meron Schueler, Kellie Song, Bonnie Carlock, Francesca Stulberg, Debra B. White VanGompel, Emily Womens Health Rep (New Rochelle) Original Article BACKGROUND: One Key Question(®) (OKQ) is a tool that embeds a patient-centered screening into routine visits with the goal of making pregnancy intention screening universal, but widespread implementation has not yet been adopted. We aimed to explore the barriers and facilitators of OKQ implementation to better understand how to best implement the tool across different settings. METHODS: We invited staff and clinicians from one obstetrics and gynecology clinic and one family medicine clinic, which previously implemented OKQ, to complete surveys and qualitative interviews about their experiences with the tool. The interview guide and thematic analysis of the interview transcripts were informed by the Consolidated Framework for Implementation Research (CFIR). MAIN FINDINGS: Major facilitators of OKQ implementation are the simplicity of the tool, engagement of clinic leadership, and compatibility between the perceived goals of the tool and those of practice staff and clinicians. Although participants indicated that OKQ had a minimal impact on clinic workflow during its implementation, preimplementation time concerns were a major barrier to implementation in both clinics. Barriers seen in the family medicine practice included OKQ distracting from the visit agenda, and concerns about the OKQ gold standard protocol of screening each patient at every visit. Participants even suggested asking OKQ only during annual check-up appointments. CONCLUSIONS: The perceived alignment between the tool's goals and those of clinic stakeholders was an important facilitator of OKQ implementation success. However, characteristics of the clinic setting, such as competing medical priorities and time constraints, influenced initial attitudes toward the feasibility of the intervention. Clinical Trial Registration Number: NCT03947788 Mary Ann Liebert, Inc., publishers 2022-03-08 /pmc/articles/PMC8994428/ /pubmed/35415707 http://dx.doi.org/10.1089/whr.2021.0100 Text en © Meron Ferketa et al., 2022; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ferketa, Meron Schueler, Kellie Song, Bonnie Carlock, Francesca Stulberg, Debra B. White VanGompel, Emily Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool |
title | Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool |
title_full | Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool |
title_fullStr | Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool |
title_full_unstemmed | Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool |
title_short | Facilitators of and Barriers to Successful Implementation of the One Key Question(®) Pregnancy Intention Screening Tool |
title_sort | facilitators of and barriers to successful implementation of the one key question(®) pregnancy intention screening tool |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994428/ https://www.ncbi.nlm.nih.gov/pubmed/35415707 http://dx.doi.org/10.1089/whr.2021.0100 |
work_keys_str_mv | AT ferketameron facilitatorsofandbarrierstosuccessfulimplementationoftheonekeyquestionpregnancyintentionscreeningtool AT schuelerkellie facilitatorsofandbarrierstosuccessfulimplementationoftheonekeyquestionpregnancyintentionscreeningtool AT songbonnie facilitatorsofandbarrierstosuccessfulimplementationoftheonekeyquestionpregnancyintentionscreeningtool AT carlockfrancesca facilitatorsofandbarrierstosuccessfulimplementationoftheonekeyquestionpregnancyintentionscreeningtool AT stulbergdebrab facilitatorsofandbarrierstosuccessfulimplementationoftheonekeyquestionpregnancyintentionscreeningtool AT whitevangompelemily facilitatorsofandbarrierstosuccessfulimplementationoftheonekeyquestionpregnancyintentionscreeningtool |