Stakeholder Engagement in Adoption, Implementation, and Sustainment of an Evidence-Based Intervention to Increase Mammography Adherence Among Low-Income Women
- PMID: 33754327
- PMCID: PMC9550737
- DOI: 10.1007/s13187-021-01988-2
Stakeholder Engagement in Adoption, Implementation, and Sustainment of an Evidence-Based Intervention to Increase Mammography Adherence Among Low-Income Women
Abstract
Multi-level organizational stakeholder engagement plays an important role across the research process in a clinical setting. Stakeholders provide organizational specific adaptions in evidence-based interventions to ensure effective adoption, implementation, and sustainability. Stakeholder engagement strategies involve building mutual trust, providing clear communication, and seeking feedback. Using constructs from the Consolidated Framework for Implementation Research and The International Association for Public Participation spectrum, a conceptual framework was created to guide stakeholder engagement in an evidence-based intervention to increase mammography appointment adherence in underserved and low-income women. A document review was used to explore the alignment of the conceptual framework with intervention activities and stakeholder engagement strategies. The results indicate an alignment with the conceptual framework constructs and a real-world application of stakeholder engagement in a mammography evidence-based intervention. The conceptual framework and stakeholder engagement strategies can be applied across a range of community-based cancer programs and interventions, organizations, and clinical settings.
Keywords: Community-based participatory research; Consolidated Framework for Implementation Research; Evidence-based intervention; Mammography; Stakeholder engagement.
© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
Conflict of interest statement
The authors declare no competing interests.
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References
-
- Concannon TW, Grant S, Welch V, Petkovic J, Selby J, Crowe S, Synnot A, Greer-Smith R, Mayo-Wilson E, Tambor E, Tugwell P, for the Multi Stakeholder Engagement (MuSE) Consortium Practical guidance for involving stakeholders in health research. J Gen Intern Med 34:458–463. 10.1007/s11606-018-4738-6 - PMC - PubMed
-
- Cottrell E, Whitlock E, Kato E, Uhl S, Belinson S, Chang C, Hoomans T, Meltzer D, Noorani H, Robinson K, Schoelles K. Defining the benefits of stakeholder engagement in systematic reviews. 2014. - PubMed
-
- Whitlock EP, Lopez SA, Chang S, Helfand M, Eder M, Floyd N. AHRQ series paper 3: identifying, selecting, and refining topics for comparative effectiveness systematic reviews: AHRQ and the effective health-care program. J Clin Epidemiol. 2010;63(5):491–501. doi: 10.1016/j.jclinepi.2009.03.008. - DOI - PubMed
-
- Akwanalo C, Njuguna B, Mercer T, Patakia SD, Mwangi A, Dick J, Dickhaus J, Andesia J, Bloomfield GS, Valente T. Strategies for effective stakeholder engagement in strengthening referral networks for management of hypertension across health systems in Kenya. Glob Heart. 2019;14(2):173–179. doi: 10.1016/j.gheart.2019.06.003. - DOI - PMC - PubMed
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