Study Design & Implementation Frameworks
Study Design
By incorporating context and partner engagement more fully, we will be able to better measure and track the delivery of implementation and the intervention and to look more closely at structural factors (e.g., environmental exposures, systemic bias, etc.) that will affect our implementation and clinical outcomes independent of our project and partner efforts.
Previous research has established the evidence base for Mothers and Babies; the challenge is better implementation that fully engages stakeholders and uses a context-responsive strategy.
We have chosen to use a three-variable hybrid implementation-effectiveness-context design, which will help us better understand the role of context in implementation because it impacts both implementation strategies and the intervention itself. By incorporating context and partner engagement more fully, we will be able to better measure and track the delivery of implementation and the intervention and to look more closely at structural factors (e.g., environmental exposures, systemic bias, etc.) that will affect our implementation and clinical outcomes independent of our project and partner efforts. In particular, this study design will allow us to explore the patchwork of contextual determinants (HVPs, funding, training, population, structural, and environmental variables) in which our partners will deliver Mothers and Babies.
Implementation Frameworks
Our multimethod data collection and analysis will be theory-driven by key concepts of the integrated Promoting Action on Research Implementation in Health Services (iPARIHS), the updated Consolidated Framework for Intervention Research (CFIR 2.0), and the implementation outcomes described by Proctor et al.
Overview
Our multimethod data collection and analysis will be theory-driven by key concepts of the integrated Promoting Action on Research Implementation in Health Services (iPARIHS), the updated Consolidated Framework for Intervention Research (CFIR 2.0), and the implementation outcomes described by Proctor et al.
integrated Promoting Action on Research Implementation in Health Services (iPARIHS)
We chose iPARIHS because context is a critical component and facilitation is its main strategy to respond to the specific context and setting of implementation.” Learn More
Consolidated Framework for Intervention Research (CFIR 2.0)
As a determinant framework, CFIR 2.0 will provide the structure for the stakeholder conversations in Aim 1; the updated framework centers recipients and reprioritizes relationships between multilevel stakeholders. Learn More
Proctor et al.’s implementation outcomes
We will use Proctor et al.’s implementation outcomes to frame our work in Aims 2 and 3 so we can disentangle core components of the intervention, how to adapt the implementation strategy, and how context may impact these differently.” Learn more