Journal article
Implementation research priorities for addressing the maternal health crisis in the USA: results from a modified Delphi study among researchers
Implementation science communications, v 4(1), 83
21 Jul 2023
PMID: 37480135
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Maternal health outcomes in the USA are far worse than in peer nations. Increasing implementation research in maternity care is critical to addressing quality gaps and unwarranted variations in care. Implementation research priorities have not yet been defined or well represented in the plans for maternal health research investments in the USA.
Methods This descriptive study used a modified Delphi method to solicit and rank research priorities at the intersection of implementation science and maternal health through two sequential web-based surveys. A purposeful, yet broad sample of researchers with relevant subject matter knowledge was identified through searches of published articles and grant databases. The surveys addressed five implementation research areas in maternal health: (1) practices to prioritize for broader implementation, (2) practices to prioritize for de-implementation, (3) research questions about implementation determinants, (4) research questions about implementation strategies, and (5) research questions about methods/measures.
Results Of 160 eligible researchers, 82 (51.2%) agreed to participate. Participants were predominantly female (90%) and White (75%). Sixty completed at least one of two surveys. The practices that participants prioritized for broader implementation were improved postpartum care, perinatal and postpartum mood disorder screening and management, and standardized management of hypertensive disorders of pregnancy. For de-implementation, practices believed to be most impactful if removed from or reduced in maternity care were cesarean delivery for low-risk patients and routine discontinuation of all psychiatric medications during pregnancy. The top methodological priorities of participants were improving the extent to which implementation science frameworks and measures address equity and developing approaches for involving patients in implementation research.
Conclusions Through a web-based Delphi exercise, we identified implementation research priorities that researchers consider to have the greatest potential to improve the quality of maternity care in the USA. This study also demonstrates the feasibility of using modified Delphi approaches to engage researchers in setting implementation research priorities within a clinical area.
Metrics
1 Record Views
Details
- Title
- Implementation research priorities for addressing the maternal health crisis in the USA: results from a modified Delphi study among researchers
- Creators
- Rebecca F. Hamm - College Station Medical CenterMichelle H. Moniz - University of MichiganInaya Wahid - Drexel UniversityRachel Blankstein Breman - University of Maryland, BaltimoreJennifer A. Callaghan-Koru - College Station Medical Center
- Publication Details
- Implementation science communications, v 4(1), 83
- Publisher
- Springer Nature
- Number of pages
- 13
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001410340600047
- Scopus ID
- 2-s2.0-85165603865
- Other Identifier
- 991022207172804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
Source: SDGs in the Output
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services