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Beyond efficacy: a qualitative organizational perspective on key implementation science constructs important to physical activity intervention translation to rural community cancer care sites

Beyond efficacy: a qualitative organizational perspective on key implementation science... Purpose To identify constructs relevant to implementation of evidence-based physical activity (PA) behavior change interven- tions for rural women cancer survivors from an organizational perspective. Methods During the development of a PA intervention implementation toolkit, 11 potential interventionists and 19 community and organizational stakeholders completed focus groups stratified by role. Narratives were audio recorded, transcribed, and coded for Consolidated Framework for Implementation Research (CFIR) constructs. Results Multiple CFIR constructs were identified: Implementation Process (i.e., Engaging, Reflecting and Evaluating), Intervention Characteristics (i.e., Design Quality and Packaging, Cost, Evidence Strength and Quality, Adaptability, Complexity), Inner Setting (i.e., Implementation Readiness, Implementation Climate, Structural Characteristics), Outer Setting (i.e., Patient Needs and Resources, Cosmopolitanism), and Characteristics of Individuals (i.e., Knowledge and Beliefs, Stage of Change). Narratives identified rural implementation barriers (e.g., transportation) and facilitators (e.g., community-oriented). Unique needs of the cancer survivor (e.g., coping during cancer treatment and long-term effects on physical abilities) were * Laura Q. Rogers Alex Minter rogersl@uab.edu aminter@russellmedcenter.com Ana A. Baumann Latoya Goncalves abaumannwalker@wustl.edu latoyag@uab.edu Michelle Y. Martin School of Medicine, Division of Preventive Medicine, University of mmart126@uthsc.edu Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294-4410, USA Maria Pisu mpisu@uabmc.edu 2 School of Health Professions, Department of Nutrition http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cancer Survivorship: Research and Practice Springer Journals

Beyond efficacy: a qualitative organizational perspective on key implementation science constructs important to physical activity intervention translation to rural community cancer care sites

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References (40)

Publisher
Springer Journals
Copyright
Copyright © 2019 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Public Health; Oncology; Health Promotion and Disease Prevention; Health Informatics; Quality of Life Research; Primary Care Medicine
ISSN
1932-2259
eISSN
1932-2267
DOI
10.1007/s11764-019-00773-x
Publisher site
See Article on Publisher Site

Abstract

Purpose To identify constructs relevant to implementation of evidence-based physical activity (PA) behavior change interven- tions for rural women cancer survivors from an organizational perspective. Methods During the development of a PA intervention implementation toolkit, 11 potential interventionists and 19 community and organizational stakeholders completed focus groups stratified by role. Narratives were audio recorded, transcribed, and coded for Consolidated Framework for Implementation Research (CFIR) constructs. Results Multiple CFIR constructs were identified: Implementation Process (i.e., Engaging, Reflecting and Evaluating), Intervention Characteristics (i.e., Design Quality and Packaging, Cost, Evidence Strength and Quality, Adaptability, Complexity), Inner Setting (i.e., Implementation Readiness, Implementation Climate, Structural Characteristics), Outer Setting (i.e., Patient Needs and Resources, Cosmopolitanism), and Characteristics of Individuals (i.e., Knowledge and Beliefs, Stage of Change). Narratives identified rural implementation barriers (e.g., transportation) and facilitators (e.g., community-oriented). Unique needs of the cancer survivor (e.g., coping during cancer treatment and long-term effects on physical abilities) were * Laura Q. Rogers Alex Minter rogersl@uab.edu aminter@russellmedcenter.com Ana A. Baumann Latoya Goncalves abaumannwalker@wustl.edu latoyag@uab.edu Michelle Y. Martin School of Medicine, Division of Preventive Medicine, University of mmart126@uthsc.edu Alabama at Birmingham, 1720 2nd Ave S, Birmingham, AL 35294-4410, USA Maria Pisu mpisu@uabmc.edu 2 School of Health Professions, Department of Nutrition

Journal

Journal of Cancer Survivorship: Research and Practice – Springer Journals

Published: Jun 27, 2019

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