TY - JOUR
T1 - Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER)
T2 - A protocol for a program of research
AU - Hamilton, Alison B.
AU - Farmer, Melissa M.
AU - Moin, Tannaz
AU - Finley, Erin P.
AU - Lang, Ariel J.
AU - Oishi, Sabine M.
AU - Huynh, Alexis K.
AU - Zuchowski, Jessica
AU - Haskell, Sally G.
AU - Bean-Mayberry, Bevanne
N1 - Funding Information:
This proposal was funded through VA’s Quality Enhancement Research Initiative (QUERI), which uses operational funds to support program improvement. QUERI projects are often conducted as quality improvement, and the DPP project described above and in Additional file 1 falls under that category. The CV Toolkit and CCWV projects described above are considered research and are undergoing review by the Central VA Institutional Review Board and local site Research and Development Boards.
Funding Information:
EMPOWER was funded by the VA Quality Enhancement Research Initiative (QUERI; grant number 15-272).
PY - 2017/11/7
Y1 - 2017/11/7
N2 - Background: The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women's Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women's Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation. EMPOWER includes three projects designed to improve women Veterans' engagement and retention in evidence-based care for high-priority health conditions, i.e., prediabetes, cardiovascular, and mental health. Methods/Design: The three proposed projects will be conducted in VA primary care clinics that serve women Veterans including general primary care and women's health clinics. The first project is a 1-year quality improvement project targeting diabetes prevention. Two multi-site research implementation studies will focus on cardiovascular risk prevention and collaborative care to address women Veterans' mental health treatment needs respectively. All projects will use the evidence-based Replicating Effective Programs (REP) implementation strategy, enhanced with multi-stakeholder engagement and complexity theory. Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption, acceptability, feasibility, and reach. Program-wide organizational-, provider-, and patient-level measures and tools will be utilized to enhance synergy, productivity, and impact. Both implementation research studies will use a non-randomized stepped wedge design. Discussion: EMPOWER represents a coherent program of women's health implementation research and quality improvement that utilizes cross-project implementation strategies and evaluation methodology. The EMPOWER Quality Enhancement Research Initiative (QUERI) will constitute a major milestone for realizing women Veterans' engagement and empowerment in the VA system. EMPOWER QUERI will be conducted in close partnership with key VA operations partners, such as the VA Office of Women's Health, to disseminate and spread the programs nationally.
AB - Background: The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women's Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women's Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation. EMPOWER includes three projects designed to improve women Veterans' engagement and retention in evidence-based care for high-priority health conditions, i.e., prediabetes, cardiovascular, and mental health. Methods/Design: The three proposed projects will be conducted in VA primary care clinics that serve women Veterans including general primary care and women's health clinics. The first project is a 1-year quality improvement project targeting diabetes prevention. Two multi-site research implementation studies will focus on cardiovascular risk prevention and collaborative care to address women Veterans' mental health treatment needs respectively. All projects will use the evidence-based Replicating Effective Programs (REP) implementation strategy, enhanced with multi-stakeholder engagement and complexity theory. Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption, acceptability, feasibility, and reach. Program-wide organizational-, provider-, and patient-level measures and tools will be utilized to enhance synergy, productivity, and impact. Both implementation research studies will use a non-randomized stepped wedge design. Discussion: EMPOWER represents a coherent program of women's health implementation research and quality improvement that utilizes cross-project implementation strategies and evaluation methodology. The EMPOWER Quality Enhancement Research Initiative (QUERI) will constitute a major milestone for realizing women Veterans' engagement and empowerment in the VA system. EMPOWER QUERI will be conducted in close partnership with key VA operations partners, such as the VA Office of Women's Health, to disseminate and spread the programs nationally.
KW - Cardiovascular risk reduction
KW - Collaborative care
KW - Diabetes prevention
KW - Implementation science
KW - Patient engagement
KW - Replicating effective programs
KW - Stepped wedge
KW - Women veterans
UR - http://www.scopus.com/inward/record.url?scp=85033363247&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85033363247&partnerID=8YFLogxK
U2 - 10.1186/s13012-017-0658-9
DO - 10.1186/s13012-017-0658-9
M3 - Article
C2 - 29116022
AN - SCOPUS:85033363247
VL - 12
JO - Implementation Science
JF - Implementation Science
SN - 1748-5908
IS - 1
M1 - 127
ER -