A roadmap to build organizational readiness that supports implementation/scale-up of community-based-health promoting interventions

Oral

Abstract Overview

Background: To improve health at the population level, evidence-based interventions (EBIs) must be scaled-up and sustained. Implementation strategies (‘strategies’) facilitate this process. However, the role of strategies in implementing EBIs in community settings (often with insufficient resources and expertise) remains a ‘black box’. Organizational readiness [“tangible and immediate indicators of organizational commitment to its decision to implement an intervention”] may be key to effectively implementing and scaling an EBI. However, there is little evidence that describes how strategies are used to build readiness in community settings and whether they are effective.

Purpose: We describe the roadmap we created to i) select, tailor, and implement strategies to improve readiness in community settings, and ii) evaluate the impact of strategies on the adoption and implementation of an EBI, called Choose to Move (CTM). CTM is an effective community-based health promotion program for older adults that we scaled-up across 9 years (> 5500 older adults).

Methods: We used implementation mapping to i) identify, name and define CTM strategies; ii) operationalize strategies; and iii) outline proposed mechanisms of action.

Results: Our roadmap identified 43 strategies that supported implementation and scale-up of CTM since 2015. We specified actors, action targets, outcomes, determinants and mechanisms of action of each strategy to develop a readiness building intervention (RBI). The RBI distributes 16 strategies across five stages of implementation: Engage, Assess, Feedback and Prioritize, Prepare for Delivery, and Support Delivery. Finally, we developed an evaluation plan to track and evaluate the use of strategies and their effectiveness.

Conclusions: Our roadmap provides a practical approach to select and tailor readiness-building strategies and evaluate the impact of these strategies on implementation outcomes in community settings.

Practical implications: Our roadmap opens the ‘black-box’ and supports community-based researchers to assess readiness to implement/scale-up EBIs.

Funding: Canadian Institutes of Health Research

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Information

Study Type: Method development
Subtheme: Implementation science
Population Group: Older Adults
Setting: Community

Submitting Author

Thea Franke
Research Associate
University of British Columbia
Canada

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