Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities
Abstract Background Methods for translating evidence-based behavioral interventions into real-world settings seldom account for the special issues in reaching health disparity populations. Main text The objective of this article is to describe an innovative “transcreational” framework for designing...
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3521-z |
| _version_ | 1818615253412347904 |
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| author | Anna María Nápoles Anita L. Stewart |
| author_facet | Anna María Nápoles Anita L. Stewart |
| author_sort | Anna María Nápoles |
| collection | DOAJ |
| description | Abstract Background Methods for translating evidence-based behavioral interventions into real-world settings seldom account for the special issues in reaching health disparity populations. Main text The objective of this article is to describe an innovative “transcreational” framework for designing and delivering interventions in communities to reduce health disparities. We define transcreation as the process of planning, delivering, and evaluating interventions so that they resonate with the community experiencing health disparities, while achieving intended health outcomes. The Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities comprises seven steps: 1) identify community infrastructure and engage partners; 2) specify theory; 3) identify multiple inputs for new program; 4) design intervention prototype; 5) design study, methods, and measures for community setting; 6) build community capacity for delivery; and 7) deliver transcreated intervention and evaluate implementation processes. Communities are engaged from the start and interventions are delivered by community-based interventionists and tested in community settings. The framework applies rigorous scientific methods for evaluating program effectiveness and implementation processes. It incorporates training and ongoing technical assistance to assure treatment fidelity and build community capacity. Conclusions This framework expands the types of scientific evidence used and balances fidelity to evidence and fit to the community setting. It can guide researchers and communities in developing and testing behavioral interventions to reduce health disparities that are likely to be sustained because infrastructure development is embedded in the research. |
| first_indexed | 2024-12-16T16:30:58Z |
| format | Article |
| id | doaj.art-05c51324add546ffab58a696726461f2 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-16T16:30:58Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-05c51324add546ffab58a696726461f22022-12-21T22:24:35ZengBMCBMC Health Services Research1472-69632018-09-0118111510.1186/s12913-018-3521-zTranscreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparitiesAnna María Nápoles0Anita L. Stewart1National Institute on Minority Health and Health DisparitiesUniversity of California San FranciscoAbstract Background Methods for translating evidence-based behavioral interventions into real-world settings seldom account for the special issues in reaching health disparity populations. Main text The objective of this article is to describe an innovative “transcreational” framework for designing and delivering interventions in communities to reduce health disparities. We define transcreation as the process of planning, delivering, and evaluating interventions so that they resonate with the community experiencing health disparities, while achieving intended health outcomes. The Transcreation Framework for Community-engaged Behavioral Interventions to Reduce Health Disparities comprises seven steps: 1) identify community infrastructure and engage partners; 2) specify theory; 3) identify multiple inputs for new program; 4) design intervention prototype; 5) design study, methods, and measures for community setting; 6) build community capacity for delivery; and 7) deliver transcreated intervention and evaluate implementation processes. Communities are engaged from the start and interventions are delivered by community-based interventionists and tested in community settings. The framework applies rigorous scientific methods for evaluating program effectiveness and implementation processes. It incorporates training and ongoing technical assistance to assure treatment fidelity and build community capacity. Conclusions This framework expands the types of scientific evidence used and balances fidelity to evidence and fit to the community setting. It can guide researchers and communities in developing and testing behavioral interventions to reduce health disparities that are likely to be sustained because infrastructure development is embedded in the research.http://link.springer.com/article/10.1186/s12913-018-3521-zEvidence-based interventionsIntervention adaptationTranslationHealth disparitiesCommunity-engaged researchImplementation science |
| spellingShingle | Anna María Nápoles Anita L. Stewart Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities BMC Health Services Research Evidence-based interventions Intervention adaptation Translation Health disparities Community-engaged research Implementation science |
| title | Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities |
| title_full | Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities |
| title_fullStr | Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities |
| title_full_unstemmed | Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities |
| title_short | Transcreation: an implementation science framework for community-engaged behavioral interventions to reduce health disparities |
| title_sort | transcreation an implementation science framework for community engaged behavioral interventions to reduce health disparities |
| topic | Evidence-based interventions Intervention adaptation Translation Health disparities Community-engaged research Implementation science |
| url | http://link.springer.com/article/10.1186/s12913-018-3521-z |
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