Primary Health Care

Leslie, Laurel K.; Mehus, Christopher J.; Hawkins, J. David; Boat, Thomas F.; McCabe, Mary Ann; Barkin, Shari L.; Perrin, Ellen C.; Metzler, Carol W.; Prado, Guillermo; Tait, V. Fan; Brown, Randall; Beardslee, William R.

doi:10.1016/j.amepre.2016.05.014

Cited by 171 publications

(61 citation statements)

References 55 publications

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“…Although primary care may increase access, most EBFIs have not yet been integrated in a realistic way. Leslie et al (2016) and Rubio-Valera et al (2014) indicate the primary care setting presents unique barriers to implementation, including physical space, referral pathways, and personnel to deliver the intervention. The translation of EBFIs therefore requires consideration of the interplay between system characteristics (e.g., organizational culture, physical structure, economics) and the core components of the intervention (Hoagwood & Kolko, 2009).…”

Section: The Gap: Implementing Evidence-based Family Interventions Inmentioning

confidence: 99%

Using implementation science to guide the integration of evidence-based family interventions into primary care.

Smith¹,

Polaha

2017

Families, Systems, & Health

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In this article, we demonstrate how an implementation science (IS) framework is coupled with the measurement of implementation outcomes to effectively integrate evidence-based family interventions in primary care. The primary care environment presents a number of challenges for successfully integrating such interventions. However, IS methods can improve the prospect of successfully implementing a new intervention while simultaneously and rigorously evaluating the impact on salient outcomes. We use our experiences across two pilot trials where the Family Check-Up, an evidence-based family intervention, was integrated into primary care. In these pilot trials, the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework and the Proctor et al. taxonomy of implementation outcomes were used to guide the implementation and evaluate its success. Grounding our presentation in our pilot work offers an illustration of applying the EPIS framework and outcomes measurement to real-world problems and contexts. When embarking on new efforts to integrate behavioral interventions into healthcare settings, the application of IS frameworks and measurement strategies can create generalizable knowledge that substantively contributes to a sparse literature. Today, those “in the trenches” who are translating evidence-based interventions to their setting can contribute to the corpus of research in integrated care by using IS methods to plan a new program and evaluate its feasibility, adoption, and reach.

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Section: The Gap: Implementing Evidence-based Family Interventions Inmentioning

confidence: 99%

Using implementation science to guide the integration of evidence-based family interventions into primary care.

Smith¹,

Polaha

2017

Families, Systems, & Health

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“…This impressive enrollment rate is in contrast to a previous Familias Unidas trial conducted in the public school system that had an enrollment rate of 50%. Because it has historically been difficult to recruit families into randomized controlled trials (Baker, Arnold, & Meagher, 2011), the enrollment rate from this study provides evidence for the acceptability of family-focused, evidence-based interventions in primary care (Leslie et al, 2016). …”

Section: Discussionmentioning

confidence: 99%

Clinic Personnel, Facilitator, and Parent Perspectives of eHealth Familias Unidas in Primary Care

Molleda¹,

Bahamón²,

George³

et al. 2017

Journal of Pediatric Health Care

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Introduction The purpose of this qualitative study was to understand the feasibility and acceptability of implementing eHealth Familias Unidas, an Internet-based, family-based, preventive intervention for Hispanic adolescents, in primary care. Methods Semistructured individual interviews with clinic personnel and facilitators (i.e., physicians, nurse practitioners, administrators, and mental health workers; n = 9) and one focus group with parents (n = 6) were audiorecorded, transcribed verbatim, and analyzed using a general inductive approach. Results Nine major themes emerged, including recommendations to minimize disruption to clinic flow, improve collaboration and training of clinic personnel and the research team, promote the clinic as a trusted setting for improving children’s behavioral health, and highlight the flexibility and convenience of the eHealth format. Discussion This study provides feasibility and acceptability findings, along with important considerations for researchers and primary care personnel interested in collaborating to implement an eHealth preventive intervention in pediatric primary care.

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“…For example, family-based programs have not yet been successful in reaching their targeted population (Hawkins et al, 2016), and as a result, they have not yet achieved a significant improvement in public health. Some prevention scientists have promoted a service delivery approach that coordinates evidence-based family services with pediatric primary care, which potentially would be better positioned to reach at-risk families, although the results so far have been mixed (Leslie et al, 2016). We argue for additional investment in this area to move toward a more integrated model of physical and behavioral health.…”

Section: Spurring More Rapid Implementationmentioning

confidence: 96%

The socialization of boys and men in the modern era: An evolutionary mismatch

et al. 2019

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AbstractThis paper examines the misalignment between modern human society and certain male phenotypes, a misalignment that has been highlighted and explored in great detail in the work of Tom Dishion. We begin by briefly enumerating the ongoing developmental difficulties of many boys and young men and how these difficulties affect them and those around them. We then suggest that the qualities that have been advantageous for men and their families in our earlier evolution but that are often no longer functional in modern society are a source of these problems. Finally, we provide a brief review of prevention programs that can contribute to preventing this type of problematic development and eliciting more prosocial behavior from at-risk boys and men. We conclude with an overview of research and policy priorities that could contribute to reducing the proportion of boys and young men who experience developmental difficulties in making their way in the world.

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Primary Health Care

Cited by 171 publications

References 55 publications

Using implementation science to guide the integration of evidence-based family interventions into primary care.

Using implementation science to guide the integration of evidence-based family interventions into primary care.

Clinic Personnel, Facilitator, and Parent Perspectives of eHealth Familias Unidas in Primary Care

The socialization of boys and men in the modern era: An evolutionary mismatch

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