Implementation evaluation of the Telephone Lifestyle Coaching (TLC) program: organizational factors associated with successful implementation.
The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation. Context assessments were conducted using interview transcripts. The Consolidated Framework for Implementation Research (CFIR) was used to guide qualitative data collection and analysis. Factors most strongly correlated with referral rates included having a skilled implementation leader who used effective multi-component strategies to engage primary care clinicians as well as general clinic structures that supported implementation. Evaluation findings pointed to recommendations for local and national leaders to help anticipate and mitigate potential barriers to successful implementation.
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48105, USA. Laura.Damschroder@va.gov.
Laura J
LJ
Damschroder
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48105, USA.
Caitlin M
CM
Reardon
VA Center for Health Services Research in Primary Care, VA Durham Healthcare System and Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA.
Nina
N
Sperber
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System (152), 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48105, USA.
Claire H
CH
Robinson
VA Center for Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Jacqueline J
JJ
Fickel
VA Center for Health Services Research in Primary Care, VA Durham Healthcare System and Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA.
Eugene Z
EZ
Oddone
D006293:Health Promotion / Q000379:methods; D007407:Interviews as Topic; D008019:Life Style; D000071252:Mentoring; D058007:Physicians, Primary Care; D015397:Program Evaluation; D036301:Qualitative Research; D013689:Telephone; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans
Implementation; Mixed-methods; Telephone-coaching; Veterans
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