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Nurs Res Pract. 2013;2013:605757. doi: 10.1155/2013/605757. Epub 2013 Mar 30.

From intervention to innovation: applying a formal implementation strategy in community primary care.

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1
The University of Iowa College of Nursing, 330 CNB, 50 Newton Road, Iowa City, IA 52242, USA.

Abstract

OBJECTIVE:

To describe a comprehensive strategy for implementing an effective diabetes self-management support intervention incorporating goal-setting and followup support in community health clinics (CHCs) serving vulnerable patients.

METHODS:

The Replicating Effective Programs (REP) framework was applied to develop an intervention strategy. In order to create a strategy consistent with the REP framework, four CHCs engaged in an iterative process involving key-informant interviews with clinic staff, ongoing involvement of clinic staff facilitating translational efforts, feedback from national experts, and an instructional designer.

RESULTS:

Moving through the REP process resulted in an implementation strategy that aims to facilitate commitment, communication, and change at the clinic level, as well as means of providing interactive, time-limited education about patient behavior change and support to health care providers.

CONCLUSION:

The REP offered a useful framework for providing guidance toward the development of a strategy to implement a diabetes self-management intervention in CHCs serving medically underserved and underrepresented patient populations.

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