Adapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness.
| dc.contributor.author | Wang, Virginia | |
| dc.contributor.author | D'Adolf, Joshua | |
| dc.contributor.author | Decosimo, Kasey | |
| dc.contributor.author | Robinson, Katina | |
| dc.contributor.author | Choate, Ashley | |
| dc.contributor.author | Bruening, Rebecca | |
| dc.contributor.author | Sperber, Nina | |
| dc.contributor.author | Mahanna, Elizabeth | |
| dc.contributor.author | Van Houtven, Courtney H | |
| dc.contributor.author | Allen, Kelli D | |
| dc.contributor.author | Colón-Emeric, Cathleen | |
| dc.contributor.author | Damush, Teresa M | |
| dc.contributor.author | Hastings, Susan N | |
| dc.date.accessioned | 2022-11-01T13:31:05Z | |
| dc.date.available | 2022-11-01T13:31:05Z | |
| dc.date.issued | 2022-07 | |
| dc.date.updated | 2022-11-01T13:31:03Z | |
| dc.description.abstract | BackgroundClinical interventions often need to be adapted from their original design when they are applied to new settings. There is a growing literature describing frameworks and approaches to deploying and documenting adaptations of evidence-based practices in healthcare. Still, intervention modifications are often limited in detail and justification, which may prevent rigorous evaluation of interventions and intervention adaptation effectiveness in new contexts. We describe our approach in a case study, combining two complementary intervention adaptation frameworks to modify CONNECT for Quality, a provider-facing team building and communication intervention designed to facilitate implementation of a new clinical program.MethodsThis process of intervention adaptation involved the use of the Planned Adaptation Framework and the Framework for Reporting Adaptations and Modifications, for systematically identifying key drivers, core and non-core components of interventions for documenting planned and unplanned changes to intervention design.ResultsThe CONNECT intervention's original context and setting is first described and then compared with its new application. This lays the groundwork for the intentional modifications to intervention design, which are developed before intervention delivery to participating providers. The unpredictable nature of implementation in real-world practice required unplanned adaptations, which were also considered and documented. Attendance and participation rates were examined and qualitative assessment of reported participant experience supported the feasibility and acceptability of adaptations of the original CONNECT intervention in a new clinical context.ConclusionThis approach may serve as a useful guide for intervention implementation efforts applied in diverse clinical contexts and subsequent evaluations of intervention effectiveness.Trial registrationThe study was registered at ClinicalTrials.gov ( NCT03300336 ) on September 28, 2017. | |
| dc.identifier | 10.1186/s12913-022-08270-1 | |
| dc.identifier.issn | 1472-6963 | |
| dc.identifier.issn | 1472-6963 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Springer Science and Business Media LLC | |
| dc.relation.ispartof | BMC health services research | |
| dc.relation.isversionof | 10.1186/s12913-022-08270-1 | |
| dc.subject | Humans | |
| dc.subject | Hospitals | |
| dc.subject | Nursing Homes | |
| dc.subject | Delivery of Health Care | |
| dc.subject | Patient Care Team | |
| dc.subject | Evidence-Based Practice | |
| dc.title | Adapting to CONNECT: modifying a nursing home-based team-building intervention to improve hospital care team interactions, functioning, and implementation readiness. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Wang, Virginia|0000-0002-2344-200X | |
| duke.contributor.orcid | Sperber, Nina|0000-0001-6640-2510 | |
| duke.contributor.orcid | Van Houtven, Courtney H|0000-0002-0783-1611 | |
| duke.contributor.orcid | Hastings, Susan N|0000-0002-5750-8820 | |
| pubs.begin-page | 968 | |
| pubs.issue | 1 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Medicine, Geriatrics | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Duke - Margolis Center for Health Policy | |
| pubs.publication-status | Published | |
| pubs.volume | 22 |
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