Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER): a protocol for a program of research.

Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER): a protocol for a program of research.
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DOI:
10.1186/s13012-017-0658-9
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发表时间:
2017-11-07
期刊:
Implementation science : IS
影响因子:
--
通讯作者:
Bean-Mayberry B
Bean-Mayberry B
中科院分区:
其他
文献类型:
--
作者:
Hamilton AB;Farmer MM;Moin T;Finley EP;Lang AJ;Oishi SM;Huynh AK;Zuchowski J;Haskell SG;Bean-Mayberry B

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通过参与和保留或增强妇女的身心健康计划代表了与美国退伍军人健康管理局(VA)卫生服务研究和发展调查员和VA妇女健康办公室,国家疾病预防和健康促进中心,初级保健心理健康整合计划办公室,妇女心理健康服务,以及以病人为中心的护理和文化转型办公室。增强妇女权能方案包括三个项目,旨在改善妇女退伍军人参与和保留对高度优先健康状况的循证护理,即,糖尿病前期、心血管和心理健康。这三个拟议的项目将在为退伍军人服务的退伍军人事务部初级保健诊所进行,包括普通初级保健和妇女健康诊所。第一个项目是以预防糖尿病为目标的为期一年的质量改进项目。两项多地点研究实施研究将分别侧重于心血管风险预防和协作护理,以满足女性退伍军人的心理健康治疗需求。所有项目都将采用基于证据的复制有效方案(REP)实施战略,并通过多利益攸关方参与和复杂性理论得到加强。混合方法实施评价将侧重于调查采用、可接受性、可行性和覆盖面等主要实施成果。将利用整个项目的组织、提供者和患者层面的措施和工具来增强协同作用、生产力和影响。两项实施研究均将使用非随机阶梯式楔形设计。增强妇女权能方案是一个利用跨项目执行战略和评价方法的妇女保健执行研究和质量改进的连贯方案。增强权能质量提高研究倡议(QUERI)将成为实现退伍军人管理局系统中退伍军人参与和赋权的一个重要里程碑。授权QUERI将与VA的主要业务合作伙伴密切合作,如VA妇女健康办公室,在全国范围内传播和推广这些方案。本方案中描述的两项实施研究已按要求注册:促进女性退伍军人心血管风险筛查和风险降低:试验注册NCT 02991534,注册日期2016年12月9日。为女性退伍军人实施量身定制的协作护理:试验注册NCT 02950961,2016年10月21日注册。本文的在线版本(10.1186/s13012-017-0658-9)包含补充材料,可供授权用户使用。
The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women’s Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women’s Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation. EMPOWER includes three projects designed to improve women Veterans’ engagement and retention in evidence-based care for high-priority health conditions, i.e., prediabetes, cardiovascular, and mental health. The three proposed projects will be conducted in VA primary care clinics that serve women Veterans including general primary care and women’s health clinics. The first project is a 1-year quality improvement project targeting diabetes prevention. Two multi-site research implementation studies will focus on cardiovascular risk prevention and collaborative care to address women Veterans’ mental health treatment needs respectively. All projects will use the evidence-based Replicating Effective Programs (REP) implementation strategy, enhanced with multi-stakeholder engagement and complexity theory. Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption, acceptability, feasibility, and reach. Program-wide organizational-, provider-, and patient-level measures and tools will be utilized to enhance synergy, productivity, and impact. Both implementation research studies will use a non-randomized stepped wedge design. EMPOWER represents a coherent program of women’s health implementation research and quality improvement that utilizes cross-project implementation strategies and evaluation methodology. The EMPOWER Quality Enhancement Research Initiative (QUERI) will constitute a major milestone for realizing women Veterans’ engagement and empowerment in the VA system. EMPOWER QUERI will be conducted in close partnership with key VA operations partners, such as the VA Office of Women’s Health, to disseminate and spread the programs nationally. The two implementation research studies described in this protocol have been registered as required: Facilitating Cardiovascular Risk Screening and Risk Reduction in Women Veterans: Trial registration NCT02991534, registered 9 December 2016. Implementation of Tailored Collaborative Care for Women Veterans: Trial registration NCT02950961, registered 21 October 2016. The online version of this article (10.1186/s13012-017-0658-9) contains supplementary material, which is available to authorized users.
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