期刊论文详细信息
BMC Health Services Research
Assessing the use of constructs from the consolidated framework for implementation research in U.S. rural cancer screening promotion programs: a systematic search and scoping review
Research
Kelsey C. Stoltzfus1  Madyson L. Popalis1  William A. Calo1  Jennifer L. Kraschnewski1  Jennifer L. Moss2 
[1] Penn State College of Medicine, Hershey, PA, USA;Penn State College of Medicine, Hershey, PA, USA;Department of Family and Community Medicine, Department of Public Health Sciences, Penn State College of Medicine, The Pennsylvania State University, P.O. Box 855, 90 Hope Drive, #2120E, MC A172, 17033, Hershey, PA, USA;
关键词: Consolidated Framework for Implementation Research (CFIR);    Cancer screening;    Rural;    Non-metropolitan;    Program planning;    Implementation science;   
DOI  :  10.1186/s12913-022-08976-2
 received in 2022-08-11, accepted in 2022-12-16,  发布年份 2022
来源: Springer
PDF
【 摘 要 】

BackgroundCancer screening is suboptimal in rural areas, and interventions are needed to improve uptake. The Consolidated Framework for Implementation Research (CFIR) is a widely-used implementation science framework to optimize planning and delivery of evidence-based interventions, which may be particularly useful for screening promotion in rural areas. We examined the discussion of CFIR-defined domains and constructs in programs to improve cancer screening in rural areas.MethodsWe conducted a systematic search of research databases (e.g., Medline, CINAHL) to identify studies (published through November 2022) of cancer screening promotion programs delivered in rural areas in the United States. We identified 166 records, and 15 studies were included. Next, two reviewers used a standardized abstraction tool to conduct a critical scoping review of CFIR constructs in rural cancer screening promotion programs.ResultsEach study reported at least some CFIR domains and constructs, but studies varied in how they were reported. Broadly, constructs from the domains of Process, Intervention, and Outer setting were commonly reported, but constructs from the domains of Inner setting and Individuals were less commonly reported. The most common constructs were planning (100% of studies reporting), followed by adaptability, cosmopolitanism, and reflecting and evaluating (86.7% for each). No studies reported tension for change, self-efficacy, or opinion leader.ConclusionsLeveraging CFIR in the planning and delivery of cancer screening promotion programs in rural areas can improve program implementation. Additional studies are needed to evaluate the impact of underutilized CFIR domains, i.e., Inner setting and Individuals, on cancer screening programs.

【 授权许可】

CC BY   
© The Author(s) 2023

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