Year: 2017
Type: conference-abstract
Abstract: Derived from rigorous study in well-designed clinical trials, evidence-based interventions (EBI) often are incorporated into health care practices, yet little is known about how they are adapted to local contexts. In this symposium, we will describe a mixed methods study of adaptations of the Transitional Care Model (TCM) funded by the Robert Wood Johnson Foundation. First, we will describe the TCM, a rigorously tested EBI proven to improve care, enhance outcomes and reduce costs among vulnerable chronically ill older adults. Then, we will discuss the rationale for the use of Stirman’s “System of Classifying Modifications to Evidence-Based Programs” to explore the potential adaptations of EBIs, including those classified as contextual (e.g., external or internal system factors) or content (e.g., EBI components, frequency and mode of delivery) related. Using data from a national survey of expert practitioners based in diverse health and community-based organizations, we will then describe 344 programs who reported use of the TCM. The presentation will highlight common content adaptations and perceived contextual barriers and facilitators in implementation of EB transitional care interventions. Next, we will summarize findings from our qualitative analysis of interviews with expert practitioners based in 26 unique organizations that reported implementation of the TCM and describe both the nature of content and contextual adaptations of the TCM and the rationale for these adaptations. Practice, policy and research implications of findings related to adaptations of the TCM and other EBIs will be examined.
Source: Innovation in Aging
Authors: M.D. Naylor, M. Pauly
Institution: University of Pennsylvania
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,977
OpenAlex ID: W2732097390