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Adapting an Evidence-Based Intervention for Homeless Women: Engaging the Community in Shared Decision-making

Year: 2014

Type: article

Abstract: As interest grows in the diffusion of evidence-based interventions (EBIs), there is increasing concern about how to mitigate implementation challenges; this paper concerns adapting an EBI for homeless women. Complementing earlier focus groups with homeless women, homeless service providers (n = 32) were engaged in focus groups to assess capacity, needs, and barriers with implementation of EBIs. Deductive analyses of data led to the selection of four EBIs. Six consensus groups were then undertaken; three each with homeless women (n = 24) and homeless service providers (n = 21). The selected EBI was adapted and pretested with homeless women (n = 9) and service providers (n = 6). The structured consensus group process provided great utility and affirmed the expertise of homeless women and service providers as experts in their domain. Engaging providers in the selection process reduced the structural barriers within agencies as obstacles to diffusion.

Source: Journal of Health Care for the Poor and Underserved

DOI: 10.1353/hpu.2014.0188

Authors: Julie A. Cederbaum, Ahyoung Song, Hsun-Ta Hsu, Joan S. Tucker, Suzanne L. Wenzel

Institutions: University of Southern California, RAND Corporation

Language: English

Topic: Health Policy Implementation Science

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences