TOD Implementation Resources and Tools

10.1596/31121 ◽  
2018 ◽  
Author(s):  
◽  
Keyword(s):  
Implementation Resources

scholarly journals Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana

2021 ◽  
Vol 18 (10) ◽  
pp. 5317
Author(s):  
Anne Galaurchi ◽  
Samuel T. Chatio ◽  
Paula Beeri ◽  
Abraham R. Oduro ◽  
Winfred Ofosu ◽  
...  
Keyword(s):  
Well Being ◽  
Nutrition Policy ◽  
Civil Society Organizations ◽  
Barriers And Facilitators ◽  
Policy Framework ◽  
Economic Productivity ◽  
Stakeholder Perspectives ◽  
Nutrition Policies ◽  
Policies And Programs ◽  
Implementation Resources

Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana’s recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitators to the implementation of nutrition policies and programs relating to the first 1000 days plus. Data analyzed included in-depth interviews and focus group discussions conducted in Ghana between March and April 2019. Participants were composed of experts from government agencies, civil society organizations, community-based organizations and international partners at national and subnational levels. Seven critical areas were identified: planning policy implementation, resources, leadership and stakeholders’ engagement, implementation guidance and ongoing communication, organizational culture, accountability and governance and coverage. The study showed that, to eradicate malnutrition in Ghana, priorities of individual stakeholders have to be merged and aligned into a single 1000 days plus nutrition policy framework. Furthermore, this study may support stakeholders in implementing successfully the 1000 days plus nutrition policy activities in Ghana.

scholarly journals Designing provider-focused implementation trials with purpose and intent: introducing the PRECIS-2-PS tool

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Wynne E. Norton ◽  
Kirsty Loudon ◽  
David A. Chambers ◽  
Merrick Zwarenstein
Keyword(s):  
Trial Design ◽  
Primary Outcome ◽  
Controlled Trials ◽  
Primary Analysis ◽  
Research And Practice ◽  
Main Text ◽  
Randomized Controlled ◽  
Intervention Trials ◽  
Implementation Resources ◽  
The Continuum

Abstract Background First articulated by Schwartz and Lellouch (1967), randomized controlled trials (RCTs) can be conceptualized along a continuum from more explanatory to more pragmatic. The purpose and intent of the former is to test interventions under ideal contexts, and the purpose and intent of the latter is to test interventions in real-world contexts. The PRagmatic Explanatory Continuum Indicator Summary-2 (PRECIS-2) is a validated tool that helps researchers make decisions about the elements of the trial to match the overall purpose and intent of the trial along the continuum. The PRECIS-2 tool has guided the design of hundreds of RCTs. However, a few aspects of the tool would benefit from greater clarity, including its application to provider-focused implementation trials rather than patient-focused intervention trials. Main text We describe the newly developed PRECIS-2-Provider Strategies (PRECIS-2-PS) tool, an extension of the PRECIS-2 tool, which has been adapted for trials testing provider-focused strategies. We elaborate on nine domains that can make a provider-focused trial more explanatory or more pragmatic, including eligibility, recruitment, setting, implementation resources, flexibility of provider strategies, flexibility of intervention, data collection, primary outcome, and primary analysis. We detail the complementary roles that researchers and stakeholders play in the trial design phase, with implications for generalizability of trial results to the contexts in which they are intended to be applied. Conclusions The PRECIS-2-PS tool is designed to help research and practice teams plan for provider-focused trials that reflect the overall intent and purpose of the trial. The tool has potential to help advance the science of provider-focused strategies across a range of trials, with the ultimate goal of facilitating the adoption, integration, and sustainability of provider-focused strategies outside the context of trials.

Gaps in Nutrition Policy Implementation in Childcare Centres in The Edmonton Metropolitan Region: A Cross-Sectional Survey

2021 ◽  
pp. 1-8
Author(s):  
Marjorie Rafaela Lima Do Vale ◽  
Anna Farmer ◽  
Rebecca Gokiert ◽  
Geoff Ball ◽  
Katerina Maximova
Keyword(s):  
Policy Implementation ◽  
Policy Development ◽  
Statistical Tests ◽  
Nutrition Policy ◽  
Metropolitan Region ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Writing Evaluation ◽  
Additional Support ◽  
Implementation Resources

Purpose: To describe (i) nutrition policies in childcare centres, (ii) the resources and processes used to enable policy implementation, and (iii) the association between policy implementation and childcare centres’ or administrators’ characteristics. Methods: Between October 2018 and June 2019 a web-based survey that addressed nutrition policy, policy implementation, and sociodemographic characteristics was sent to eligible childcare programs (centre-based and provided meals) in the Edmonton (Alberta) metropolitan region. The survey was pretested and pilot tested. Statistical tests examined the relationship between policy implementation with centres’ and administrators’ characteristics. Results: Of 312 childcare centres that received the survey invitation, 43 completed it. The majority of centres had a nutrition policy in place (94%). On average, centres had about 9 of the 17 implementation resources and processes assessed. Most often administrators reported actively encouraging the implementation of the nutrition policy (n = 35; 87%) and least often writing evaluation reports of the implementation of the nutrition policy (n = 9; 22%). Administrator’s education level was associated with implementation total score (p = 0.009; Kruskal-Wallis). Conclusion: Most childcare centres had a nutrition policy in place, but many lacked resources and processes to enable policy implementation. Additional support is required to improve nutrition policy development and implementation.

The New Middle Management: Intermediary Organizations in Education Policy Implementation

2004 ◽  
Vol 26 (1) ◽  
pp. 65-87 ◽  
Author(s):  
Meredith I. Honig
Keyword(s):  
Education Policy ◽  
Policy Implementation ◽  
Middle Management ◽  
Comparative Case Study ◽  
Five Dimensions ◽  
Intermediary Organizations ◽  
Practice Gap ◽  
Education Policy Implementation ◽  
Implementation Resources

Intermediary organizations have become increasingly prominent participants in education policy implementation despite limited knowledge about their distinctive functions and the conditions that constrain and enable those functions. This article addresses that research-practice gap by drawing on theories of organizational ecology and findings from a comparative case study of four intermediary organizations that helped with collaborative policy implementation in Oakland, California. I define intermediaries as organizations that operate between policymakers and implementers to affect changes in roles and practices for both parties and show that such organizations typically vary along at least five dimensions. Oakland’s intermediary organizations all provided new implementation resources—knowledge, political/social ties, and an administrative infrastructure—but faced different constraining and enabling conditions. Using insights from this strategic case study, this article begins to build theory about intermediary organizations as important participants in contemporary policy implementation.

scholarly journals Building a Sustainable National Infrastructure to Expand Research Mentor Training

2018 ◽  
Vol 17 (3) ◽  
pp. ar48 ◽  
Author(s):  
Kimberly C. Spencer ◽  
Melissa McDaniels ◽  
Emily Utzerath ◽  
Jenna Griebel Rogers ◽  
Christine A. Sorkness ◽  
...  
Keyword(s):  
Junior Faculty ◽  
Career Stages ◽  
Dissemination And Implementation ◽  
Implementation Barriers ◽  
Senior Faculty ◽  
Mentor Training ◽  
Train The Trainer ◽  
Multiple Audiences ◽  
Research Mentor ◽  
Implementation Resources

An evidence-based research mentor training (RMT) curricular series has been shown to improve the knowledge and skills of research mentors across disciplines and career stages. A train-the-trainer model was used in the context of several targeted approaches aimed at sustainability to support national dissemination of RMT and expand the network of facilitators prepared to implement the curricula. These infrastructure elements included 1) an expansion initiative to increase the number of trained facilitators able to deliver train-the-trainer workshops nationwide; 2) adaptation of RMT curricula for multiple audiences and career stages to increase accessibility; 3) implementation resources to support facilitators and help them overcome implementation barriers; and 4) standardized evaluation of training. This approach to dissemination and implementation has resulted in the preparation of nearly 600 trained facilitators, a large percentage of whom have implemented mentor training for more than 4000 graduate student, junior faculty, and senior faculty mentors. Implications for and challenges to building and sustaining the national dissemination of RMT are discussed.

Evaluation of the Veterans Affairs Pharmacogenomic Testing for Veterans (PHASER) clinical program at initial test sites

2021 ◽  
Author(s):  
Olivia M Dong ◽  
Megan C Roberts ◽  
R Ryanne Wu ◽  
Corrine I Voils ◽  
Nina Sperber ◽  
...  
Keyword(s):  
Implementation Research ◽  
Health Informatics ◽  
Veterans Affairs ◽  
Change Strategies ◽  
Implementation Barriers ◽  
Expert Recommendation ◽  
Implementing Change ◽  
Clinical Program ◽  
Implementation Resources ◽  
Survey Responses

Aim: The first Plan-Do-Study-Act cycle for the Veterans Affairs Pharmacogenomic Testing for Veterans pharmacogenomic clinical testing program is described. Materials & methods: Surveys evaluating implementation resources and processes were distributed to implementation teams, providers, laboratory and health informatics staff. Survey responses were mapped to the Consolidated Framework for Implementation Research constructs to identify implementation barriers. The Expert Recommendation for Implementing Change strategies were used to address implementation barriers. Results: Survey response rate was 23–73% across personnel groups at six Veterans Affairs sites. Nine Consolidated Framework for Implementation Research constructs were most salient implementation barriers. Program revisions addressed these barriers using the Expert Recommendation for Implementing Change strategies related to three domains. Conclusion: Beyond providing free pharmacogenomic testing, additional implementation barriers need to be addressed for improved program uptake.

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