Study Design

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.