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. 2022 Jul;54(4):445-452.
doi: 10.1111/jnu.12755. Epub 2021 Dec 14.

Developing a multicomponent implementation strategy for mental health interventions within the Nurse-Family Partnership: An application of the EPIS framework

Linda Beeber  1 , Alasia Ledford  1 , Mariarosa Gasbarro  2 , Paula Zeanah  3 , Michael Knudtson  2 , Sharon Sprinkle  4 , Georgette McMichael  4 , Alison Mosqueda  5 , Jennifer Leeman  1
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Developing a multicomponent implementation strategy for mental health interventions within the Nurse-Family Partnership: An application of the EPIS framework

Linda Beeber et al. J Nurs Scholarsh. 2022 Jul.

Abstract

Purpose: The purpose of this article is to describe the process used to create the Mental Health Innovation (MHI), a multicomponent implementation strategy that integrates evidence-based mental health interventions into the Nurse-Family Partnership (NFP), a national home visiting program delivered by nurses to low-income mothers.

Organizing construct: The Exploration, Preparation, Implementation, Sustainment (EPIS) framework outlines the multistep, stakeholder-engaged process used to develop the MHI.

Conclusion: Engaging stakeholders provided an in-depth understanding of NFP infrastructure and the needs of NFP nurses and their clients. This understanding was key to designing a multicomponent implementation strategy to integrate mental health interventions within national and local NFP infrastructure and existing care processes.

Clinical relevance: Application of implementation frameworks such as EPIS provides a guide to integrating evidence-based interventions in a systematic, intentional, and rigorous manner, which in turn may promote their wide scale use and long-term sustainability.

Keywords: anxiety; depression; home visiting; low-income; maternal; mental health; nurses.

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References

REFERENCES

    1. Aarons, G. A., Hurlburt, M., & Horwitz, S. M. C. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4-23. https://doi.org/10.1007/s10488-010-0327-7
    1. Adirim, T., & Supplee, L. (2013). Overview of the federal home visiting program. Pediatrics, 132. https://doi.org/10.1542/peds.2013-1021C
    1. Beeber, L. S., Holditch-Davis, D., Perreira, K., A. Schwartz, T., Lewis, V., Blanchard, H., Canuso, R., & Goldman, B. D. (2010). Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers. Research in Nursing & Health, 33, 60-76. https://doi.org/10.1002/nur.20363
    1. Beeber, L. S., Perreira, K. M., & Schwartz, T. (2008). Supporting the mental health of mothers raising children in poverty: How do we target them for intervention studies? Annals of the New York Academy of Sciences, 1136, 86-100. https://doi.org/10.1196/annals.1425.008
    1. Beeber, L. S., Schwartz, T. A., Holditch-Davis, D., Canuso, R., Lewis, V., & Hall, H. W. (2013). Parenting enhancement, interpersonal psychotherapy to reduce depression in low-income mothers of infants and toddlers: A randomized trial. Nursing Research, 62(2), 82-90. https://doi.org/10.1097/NNR.0b013e31828324c2

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