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Evaluation ViewAttendees 2

AMASS - Ticketed

Dissemination & Implementation Science

Pragmatic approaches to understanding community needs: an implementation science approach to rapid barrier assessment and prioritization

AMASS 2 - Pragmatic Approaches to Understanding Community Needs: An Implementation Science Approach to Rapid Barrier Assessment and Prioritization

Thursday, November 14, 2024
1:00 PM – 5:00 PM EST
Location: 401/402, Level 4, Downtown Marriott
Earn 4 Credit
Ticketed Session
Keywords: Community-Based, Implementation, Health Care System
Level of Familiarity: Moderate to Advanced
Recommended Readings: The IMPACT Center (2023). Prioritizing Implementation Barriers: Toolkit for Designing an implementation Initiative. https://impscimethods.org/toolkits/prioritizing-implementation-barriers-toolkit,   Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O., & Lowery, J. (2022). The updated Consolidated Framework for Implementation Research based on user feedback. Implementation science, 17(1), 75.,   Lewis, C. C., Scott, K., & Marriott, B. R. (2018). A methodology for generating a tailored implementation blueprint: an exemplar from a youth residential setting. Implementation Science, 13(1), 1-13.,   Kim, B., McCullough, M. B., Simmons, M. M., Bolton, R. E., Hyde, J., Drainoni, M. L., ... & McInnes, D. K. (2019). A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration. Health & Justice, 7(1), 1-11.,   Gale, R. C., Wu, J., Erhardt, T., Bounthavong, M., Reardon, C. M., Damschroder, L. J., & Midboe, A. M. (2019). Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration. Implementation Science, 14(1), 1-12.
Engaging community partners in the process of identifying and prioritizing determinants to implementing evidence-based interventions (EBIs) is critical to promoting equitable implementation processes and improving care in health and mental health settings. Recent advancements in implementation science methods provide guidance on how to engage in these activities and how to ensure that community partners are also active participants. Our expert implementation team represents the Brown Research on Implementation and Dissemination to Guide Evidence Use (BRIDGE) Program and the NIMH-funded IMPACT ALACRITY center, through which we provide training and consultation to researchers across the country on best practices for engaging community practice members in diverse settings. Through this work, we have refined several methods for identifying and prioritizing barriers in ways that honor community partners’ values and expertise.

Conducting community-engaged research has been increasingly acknowledged as a necessary step to advance health equity, but many administrators and researchers are left without concrete steps to understand community members’ perspectives on EBIs. We propose a skills-based workshop that gives participants an experiential view into the process of identifying and prioritizing barriers to implementing EBIs in health and mental health settings. We will begin by highlighting the importance of barriers in implementing EBIs and methods to identify and prioritize barriers. We will focus on interviewing methods, which can play a role in several barrier identification methods (e.g., rapid ethnography, process mapping). We will provide guidance and examples of creating interview guides, and participants will engage in an experiential exercise synthesizing qualitative data related to barriers. We will then work through a group barrier prioritization exercise informed by a toolkit developed by the IMPACT center.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Articulate the importance of identifying and prioritizing barriers when implementing evidence-based interventions.
  2. Identify and use determinant (barrier and facilitator) frameworks to guide implementation activities for identifying and prioritizing determinants in health and mental health settings.
  3. Identify methods for identifying and prioritizing barriers to implementation in health and mental health settings.
  4. Understand how rapid qualitative methods can provide detailed and timely information about community partners’ perspectives.
  5. Articulate criteria by which barriers can be prioritized and create a clear plan for prioritizing barriers with community partners.