Scaling‐up Stage 4 Pediatric Obesity Clinics: Identifying Barriers and Future Directions Using Implementation Science

Obesity ◽  
2021 ◽  
Author(s):  
Faith A. Newsome ◽  
Abhaya Dilip ◽  
Sarah C. Armstrong ◽  
Ramzi G. Salloum ◽  
Michelle I. Cardel
Keyword(s):  
Implementation Science ◽  
Pediatric Obesity ◽  
Scaling Up ◽  
Future Directions ◽  
Stage 4

scholarly journals Developing a conceptual framework for implementation science to evaluate a nutrition intervention scaled-up in a real-world setting

2020 ◽  
pp. 1-16
Author(s):  
Haribondhu Sarma ◽  
Catherine D’Este ◽  
Tahmeed Ahmed ◽  
Thomas J Bossert ◽  
Cathy Banwell
Keyword(s):  
Conceptual Framework ◽  
Implementation Science ◽  
Real World ◽  
Implementation Fidelity ◽  
Scaling Up ◽  
Nutrition Intervention ◽  
Effective Intervention ◽  
Manual Search ◽  
Real World Setting ◽  
Holistic Understanding

Abstract Objective: The aim of this paper is to identify and develop a comprehensive conceptual framework using implementation science that can be applied to assess a nutrition intervention in a real-world setting. Design: We conducted a narrative review using electronic databases and a manual search to identify implementation science frameworks, models and theories published in peer-reviewed journals. We performed a qualitative thematic analysis of these publications to generate a framework that could be applied to nutrition implementation science. Results: Based on this review, we developed a comprehensive framework which we have conceptualised as an implementation science process that describes the transition from the use of scientific evidence through to scaling-up with the aim of making an intervention sustainable. The framework consisted of three domains: Domain i – efficacy to effectiveness trials, Domain ii – scaling-up and Domain iii – sustainability. These three domains encompass five components: identifying an ‘effective’ intervention; scaling-up and implementation fidelity; course corrections during implementation; promoting sustainability of interventions and consideration of a comprehensive methodological paradigm to identify ‘effective’ interventions and to assess the process and outcome indicators of implementation. The framework was successfully applied to a nutrition implementation program in Bangladesh. Conclusions: Our conceptual framework built from an implantation science perspective offers a comprehensive approach supported by a foundational and holistic understanding of its key components. This framework provides guidance for implementation researchers, policy-makers and programme managers to identify and review an effective intervention, to scale it up and to sustain it over time.

scholarly journals Innovative Interventions in Pediatric Obesity: Commentary and Future Directions

2013 ◽  
Vol 38 (9) ◽  
pp. 1030-1036 ◽  
Author(s):  
E. Jelalian ◽  
D. Rancourt ◽  
A. F. Sato
Keyword(s):  
Pediatric Obesity ◽  
Future Directions

scholarly journals Future Directions for Pediatric Obesity Treatment

Obesity ◽  
2010 ◽  
Vol 18 (S1) ◽  
pp. S8-S12 ◽  
Author(s):  
Leonard H. Epstein ◽  
Brian H. Wrotniak
Keyword(s):  
Pediatric Obesity ◽  
Obesity Treatment ◽  
Future Directions ◽  
Pediatric Obesity Treatment

scholarly journals Future Directions for Providing Conceptual Clarity Related to Context in Implementation; Comment on "Stakeholder Perspectives of Attributes and Features of Context Relevant to Knowledge Translation in Health Settings: A Multi-Country Analysis"

2021 ◽  
Author(s):  
Amelia E. Van Pelt ◽  
Rinad S. Beidas
Keyword(s):  
Implementation Science ◽  
Implementation Strategies ◽  
Implementation Process ◽  
Future Directions ◽  
Middle Income ◽  
Evidence Based Practices ◽  
Middle Income Countries ◽  
Stakeholder Perspectives ◽  
Conceptual Clarity ◽  
Country Analysis

In implementation science, contextual inquiry guides the implementation process for successful uptake of evidence-based practices. However, the conceptualization and measurement of context varies across frameworks and stakeholders. To advance implementation science, future efforts to advance the understanding of context should incorporate input from implementation stakeholders through co-creation, elicit stakeholders’ perspectives in low- and middle-income countries to generate a more comprehensive list of determinants, and refine inconsistencies in terminology to promote research synthesis. Greater conceptual clarity and generalizability in contextual inquiry will enable improved communication and collaboration, thus facilitating a shift in focus to development and evaluation of implementation strategies to improve healthcare and health outcomes.

Future Directions in Implementation Science Across the Cancer Continuum

2018 ◽  
Author(s):  
Wynne E. Norton ◽  
Cynthia A. Vinson ◽  
David A. Chambers
Keyword(s):  
Implementation Science ◽  
Cancer Control ◽  
Implementation Strategies ◽  
Considerable Progress ◽  
Constructive Approach ◽  
Additional Consideration ◽  
Future Directions ◽  
The Past ◽  
Control And Prevention ◽  
Minimum Criteria

Implementation science in health has made considerable progress in the past decade, including in cancer control and prevention. As those in the field reflect on accomplishments and advancements, they must also consider emerging challenges and outstanding issues that have yet to be tackled. This chapter provides an overview of three issues in implementation science in health that warrant additional consideration and attention: minimum criteria for implementation, implementation strategies 2.0, and generalizability of implementation science. The goal of this chapter is to increase focus on these areas of inquiry and highlight some challenges that implementation science may encounter. The chapter takes a critical yet constructive approach to these issues and, in doing so, challenges the field to address these topics.

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