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Journal article
Drivers and restrainers to adoption and spread of evidence-based health service delivery interventions: The case of CAPABLE
Geriatric nursing (New York), v 44, pp 192-198
Mar 2022
PMID: 35219173
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•We used Force Field analysis to understand CAPABLE's drivers and restrainers.•Key insights were scant attention to function and social determinants of health.•The work is mapped to NIA Stages of research.
Very few programs improve physical function among older adults and those that do should achieve farther reach.
We used Force Field Analysis to examine drivers and restrainers for the CAPABLE program to impact the function of older adults throughout the United States.
We found 19 distinct drivers for CAPABLE. These include robust research findings demonstrating clinical and economic utility, expansion from an evidence-based program, grounding in theory, high value to older adults themselves, and common sense approach. A major policy environment shifting towards value-based payment and payer flexibility to experiment with social determinants significantly changed the perception of the program's value by key stakeholders. We found 8 distinct restrainers.
Factors which drive and restrain CAPABLE provide lessons for other programs to move from research to sustainability. Policymakers, payers, and communities should look to proven programs as solutions to improve function for older adults and society.
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Details
- Title
- Drivers and restrainers to adoption and spread of evidence-based health service delivery interventions: The case of CAPABLE
- Creators
- Sarah L. Szanton - BloombergAlice Bonner - Institute for Healthcare ImprovementDeborah Paone - Johns Hopkins UniversityMark Atalla - Drexel University College of Nursing and Health ProfessionsErika Hornstein - Johns Hopkins UniversityDawn Alley - Drexel University College of Nursing and Health ProfessionsBruce Leff - BloombergLaura N. Gitlin - Johns Hopkins University
- Publication Details
- Geriatric nursing (New York), v 44, pp 192-198
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000820123600019
- Scopus ID
- 2-s2.0-85125115962
- Other Identifier
- 991019168557204721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Nursing
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