Readable research linked to original sources
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Browse normalized, publication-ready research with direct links to its evidence and source.
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Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
Loading articles data…
Readable research linked to original sources
Browse normalized, publication-ready research with direct links to its evidence and source.
20 articles
Newest firstBackgroundTwo-thirds of Dutch cardiovascular risk management (CVRM) for patients at risk of cardiovascular disease is delivered in primary care practices. While individual risk scores are increasingly used during consultation, a population-level structure for risk-based patient outreach is not currently available. We therefore developed the PROSPERA programme, a multilevel intervention comprising population-level…
Open article record in new tab ↗BackgroundHigh blood pressure (BP) is an often treatable cause of cardiovascular disease. We developed an intervention, featuring a cardiovascular expert team and a toolbox, to support healthcare professionals (HCPs) in hypertension management and enhance patient self-management. AimThis study evaluates the adoption and feasibility of this intervention. Design and SettingA mixed-methods study in general practices…
Open article record in new tab ↗Background Healthcare professionals are motivated to improve their cannabis knowledge-yet few training opportunities exist. The unique legal status of cannabis, lack of rigorous research, and rapid expansion of consumer demand present challenges to the development and implementation of cannabis education for healthcare professionals and trainees. As a result, an alarming gap in quality of care is developing: healt…
ObjectivesTo determine whether neurorehabilitation can be enhanced through regional implementation of group-based telerehabilitation, we implemented the NeuroRehabilitation OnLine (NROL) innovation regionally and evaluated scale-up from a systems perspective. DesignObservational, exploratory evaluation using a mixed methods convergent parallel design. SettingStroke and neurological rehabilitation services from fou…
BackgroundNew adult tuberculosis (TB) vaccines are in clinical trials and may be licensed as soon as 2028. However, vaccine rollout requires addressing multiple contextual factors beyond clinical trial findings. This study explored stakeholders perspectives on the introduction a new TB vaccine in Indonesia. MethodsWe used a mixed-methods approach combining a stakeholder consultation in Jakarta (13/03/2025) among 2…
Open article record in new tab ↗BackgroundSleep disturbances are common in people living with dementia and negatively affect them and their family carers. Non-pharmacological interventions like DREAMS:START (Dementia Related Manual for Sleep: Strategies for Relatives) offer potential benefits but are not yet implemented widely in NHS practice. AimsTo explore the barriers and facilitators to implementing DREAMS:START in UK NHS dementia services,…
Open article record in new tab ↗BackgroundArtificial intelligence (AI) applied to routine electrocardiograms (ECGs) offers promise for screening of structural heart disease (SHD), yet broad clinical integration remains limited by high false positive rates and the lack of tailored deployment strategies. MethodsWe developed TARGET-AI, a multimodal AI-enabled pipeline that integrates longitudinal electronic health record (EHR) data with ECG images…
BackgroundLearning Health Systems (LHSs) enhance the integration of research and health service delivery by generating timely, contextually relevant evidence to guide decision-making and continuous improvement. Although various LHS frameworks exist, practical guidance for operationalising LHSs to support the implementation of health interventions remains limited. This systematic review aimed to consolidate existin…
ObjectiveHealthcare workers (HCWs) are at high risk of HBV exposure due to contact with blood and bodily fluids. In Kenya, HCWs are rarely fully vaccinated against HBV. During 2024, Kilifi County Referral Hospital (KCRH) on the Kenyan coast implemented HBV testing and vaccination for KCRH HCWs. MethodsA technical working group was formed at KCRH to implement and assess a new HBV HCW vaccination programme. Sensitis…
Open article record in new tab ↗BackgroundSeveral tuberculosis (TB) vaccines intended for adults and adolescents are in late-stage clinical trials, but there is limited research into how a new TB vaccine would be introduced. South Africa is at the forefront of TB vaccine research, with involvement in the clinical trials of leading candidates, in this study; we sought to understand what the interest, priorities and roll out approach of a potentia…
Open article record in new tab ↗Despite the potential of Virtual Reality (VR) in mental healthcare, its implementation in practice remains limited. One contributing factor is the lack of research into effective implementation strategies for VR. This longitudinal study examines therapists experiences with a VR training program designed as an implementation strategy for VR and explores key factors influencing VR implementation over time. This long…
BackgroundDigital mental health interventions are often described in terms of their contribution to cost-effectiveness or innovation. Instead, many clients and professionals in mental healthcare seem to value the human connection highly. To implement technology in ways that align with values held by clients and professionals, a value-based framework for technology use in mental healthcare could be promising. The c…
Open article record in new tab ↗Background Alcohol and cannabis use constitutes the major public health problems in Greenland. Thus, it is important to assess if Allorfik, a new national outpatient addiction treatment service introduced in 2016, was implemented successfully and how it is perceived. Allorfik introduced local treatment centers offering a treatment methodology (motivational interviewing and cognitive therapy) new to addiction treat…
Open article record in new tab ↗BackgroundThe measurement of cause-specific mortality is critical for health system planning but remains a challenge in many low-resource settings due to societal, legal, and logistical barriers. We present a co-development process with community members for the design and implementation of an autopsy program to improve cause of death data in a historically underserved population. MethodsWe sought to develop an au…
Open article record in new tab ↗Three months of isoniazid-rifapentine (3HP) is being scaled up for tuberculosis (TB) preventive treatment (TPT) among people living with HIV (PLHIV) in high-burden settings. More evidence is needed to identify factors influencing successful 3HP delivery. We conducted a qualitative assessment of 3HP delivery nested within the 3HP Options Trial, which compared three optimized strategies for delivering 3HP: facilitat…
IntroductionUptake of voluntary medical male circumcision (VMMC) remains a challenge in many settings. Innovative implementation strategies are required to scale-up VMMC uptake. MethodologyRITe was a multi-faceted intervention comprising transport reimbursement (R), intensified health education (IHE) and SMS/Telephone tracing (Te), which increased the uptake of VMMC among uncircumcised men with sexually transmitte…
BackgroundScreening for substance use in rural primary care clinics faces unique challenges due to limited resources, high patient volumes, and multiple demands on providers. To explore the potential for electronic health record (EHR)-integrated screening in this context, we conducted an implementation feasibility study with a rural federally-qualified health center (FQHC) in Maine. This was an ancillary study to…
BackgroundPhysical activity (PA) is important for the long-term health and weight management of patients who undergo metabolic and bariatric surgery (MBS). However, the roles of exercise professionals in MBS settings have not been systematically determined. ObjectivesTo investigate: (1) who are the professionals implementing PA programming in MBS clinical settings; and (2) what patient-centric tasks do they perfor…
In 2018, the U.S. Department of Housing and Urban Development required public housing authorities to implement a smoke-free housing (SFH) policy that included individual apartments. We analyzed the policy implementation process in the New York City Public Housing Authority (NYCHA). From June-November 2019, we conducted 9 focus groups with 64 NYCHA residents (smokers and nonsmokers), 8 key informant interviews with…
Open article record in new tab ↗BackgroundEffective implementation of Tuberculosis infection control (TB IC) measures in health facilities delivering TB care services is very critical in controlling nosocomial transmission of TB infections among health workers, patients and their attendants. The aim of the study was to assess and document the implementation of TB IC practices in TB diagnostic and treatment health facilities in Kampala District,…
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