Sustained use of a tool for lifestyle intervention implemented in primary health care: a 2-year follow-up

Journal of Evaluation in Clinical Practice
S CarlfjordA Andersson

Abstract

Sustainability of new methods implemented in health care is one of the most central issues in addressing the gap between research and practice, but is seldom assessed in implementation studies. The aim of this study was to evaluate the implementation of a new tool for lifestyle intervention in primary health care (PHC) 2 years after the introduction, and assess if the implementation strategy used influenced sustainability. A computer-based lifestyle intervention tool (CLT) was introduced at six PHC units in Sweden in 2008, using two implementation strategies: explicit and implicit. The main difference between the strategies was a 4-week test period followed by a decision session, included in the explicit strategy. Evaluations were performed after 6, 9 and 24 months. After 24 months, the RE-AIM framework was applied to assess and compare outcome according to strategy. A more positive outcome regarding reach, effectiveness, adoption and implementation in the explicit group could be almost completely attributed to one of the units. Maintenance was low and after 24 months, differences according to strategy were negligible. After 24 months, the most positive outcomes regarding all RE-AIM dimensions were found in one of the units whe...Continue Reading

References

May 2, 2000·The Journal of Laryngology and Otology·C W Cremers
Jul 28, 2004·American Journal of Preventive Medicine·Russell E GlasgowJohn F Steiner
Mar 25, 2005·Journal of Advanced Nursing·Denis Walsh, Soo Downe
May 17, 2005·Social Science & Medicine·Trisha GreenhalghRichard Peacock
May 13, 2006·Medical Care Research and Review : MCRR·Stephen R Grossbart
Aug 16, 2006·Annals of Internal Medicine·Laura A PetersenSupicha Sookanan
Feb 1, 2008·The American Journal of Bioethics : AJOB·Ruth L Fischbach, Gerald D Fischbach
Dec 17, 2008·International Journal of Health Services : Planning, Administration, Evaluation·Russell Mannion
Nov 26, 2009·Professional Case Management·Monique M ParrishEric A Coleman
Apr 28, 2010·Implementation Science : IS·Kerstin Nilsson KajermoLars Wallin
Oct 12, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Ashley L WentworthRenée Cadzow

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Citations

May 18, 2013·Current Diabetes Reports·Aaron I VinikHenri Parson
Apr 16, 2019·Frontiers in Public Health·Russell E GlasgowPaul A Estabrooks
Feb 25, 2021·AIDS and Behavior·Erik D StorholmRulin Hechter

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