Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception
Abstract Background Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and defi...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-11-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13012-017-0674-9 |
| _version_ | 1819264361761341440 |
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| author | Carla L. DeSisto Cameron Estrich Charlan D. Kroelinger David A. Goodman Ellen Pliska Christine N. Mackie Lisa F. Waddell Kristin M. Rankin |
| author_facet | Carla L. DeSisto Cameron Estrich Charlan D. Kroelinger David A. Goodman Ellen Pliska Christine N. Mackie Lisa F. Waddell Kristin M. Rankin |
| author_sort | Carla L. DeSisto |
| collection | DOAJ |
| description | Abstract Background Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes. During 2015–2016, the Learning Community included multi-disciplinary, multi-agency teams of state health officials, payers, clinicians, and health department staff from 13 states. This qualitative study was conducted to better understand the successes, challenges, and strategies that the 13 US states in the Learning Community used for increasing access to immediate postpartum LARC. Methods We conducted telephone interviews with each team in the Learning Community. Interviews were semi-structured and organized by the eight domains of the Learning Community. We coded transcribed interviews for facilitators, barriers, and implementation strategies, using a recent compilation of expert-defined implementation strategies as a foundation for coding the latter. Results Data analysis showed three ways that the activities of the Learning Community helped in policy implementation work: structure and accountability, validity, and preparing for potential challenges and opportunities. Further, the qualitative data demonstrated that the Learning Community integrated six other implementation strategies from the literature: organize clinician implementation team meetings, conduct educational meetings, facilitation, promote network weaving, provide ongoing consultation, and distribute educational materials. Conclusions Convening a multi-state learning collaborative is a promising approach for facilitating the implementation of new reimbursement policies for evidence-based practices complicated by systems challenges. By integrating several implementation strategies, the Learning Community serves as a meta-strategy for supporting implementation. |
| first_indexed | 2024-12-23T20:28:16Z |
| format | Article |
| id | doaj.art-427c41427a8b4bd08e3c638dd18534e1 |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-12-23T20:28:16Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-427c41427a8b4bd08e3c638dd18534e12022-12-21T17:32:19ZengBMCImplementation Science1748-59082017-11-011211910.1186/s13012-017-0674-9Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraceptionCarla L. DeSisto0Cameron Estrich1Charlan D. Kroelinger2David A. Goodman3Ellen Pliska4Christine N. Mackie5Lisa F. Waddell6Kristin M. Rankin7Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at ChicagoDivision of Community Health Sciences, School of Public Health, University of Illinois at ChicagoMaternal and Child Health Epidemiology Program, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and PreventionMaternal and Child Health Epidemiology Program, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and PreventionThe Association of State and Territorial Health OfficialsThe Association of State and Territorial Health OfficialsThe Association of State and Territorial Health OfficialsDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at ChicagoAbstract Background Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes. During 2015–2016, the Learning Community included multi-disciplinary, multi-agency teams of state health officials, payers, clinicians, and health department staff from 13 states. This qualitative study was conducted to better understand the successes, challenges, and strategies that the 13 US states in the Learning Community used for increasing access to immediate postpartum LARC. Methods We conducted telephone interviews with each team in the Learning Community. Interviews were semi-structured and organized by the eight domains of the Learning Community. We coded transcribed interviews for facilitators, barriers, and implementation strategies, using a recent compilation of expert-defined implementation strategies as a foundation for coding the latter. Results Data analysis showed three ways that the activities of the Learning Community helped in policy implementation work: structure and accountability, validity, and preparing for potential challenges and opportunities. Further, the qualitative data demonstrated that the Learning Community integrated six other implementation strategies from the literature: organize clinician implementation team meetings, conduct educational meetings, facilitation, promote network weaving, provide ongoing consultation, and distribute educational materials. Conclusions Convening a multi-state learning collaborative is a promising approach for facilitating the implementation of new reimbursement policies for evidence-based practices complicated by systems challenges. By integrating several implementation strategies, the Learning Community serves as a meta-strategy for supporting implementation.http://link.springer.com/article/10.1186/s13012-017-0674-9Implementation strategiesImplementation scienceLong-acting reversible contraceptionPostpartum contraceptionLearning collaborative |
| spellingShingle | Carla L. DeSisto Cameron Estrich Charlan D. Kroelinger David A. Goodman Ellen Pliska Christine N. Mackie Lisa F. Waddell Kristin M. Rankin Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception Implementation Science Implementation strategies Implementation science Long-acting reversible contraception Postpartum contraception Learning collaborative |
| title | Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception |
| title_full | Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception |
| title_fullStr | Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception |
| title_full_unstemmed | Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception |
| title_short | Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible contraception |
| title_sort | using a multi state learning community as an implementation strategy for immediate postpartum long acting reversible contraception |
| topic | Implementation strategies Implementation science Long-acting reversible contraception Postpartum contraception Learning collaborative |
| url | http://link.springer.com/article/10.1186/s13012-017-0674-9 |
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