Examining readiness for implementing practice changes in federally qualified health centers: A rapid qualitative study

Details

• Alternative Title:
  J Community Psychol
• Personal Author:
  Dias, Emanuelle M. ; Walker, Timothy J. ; Craig, Derek W. ; Gibson, Robert ; Szeszulski, Jacob ; Brandt, Heather ; Johnson, Hiluv ; Lamont, Andrea ; Wandersman, Abraham ; Fernandez, Maria E.
• Description:
  Aims:
  
  Implementing evidence-based interventions remains slow in federally qualified health centers (FQHCs). The purpose of this study is to qualitatively examine the R=MC2 (Readiness= motivation × innovation specific capacity × general capacity) heuristic subcomponents in the context of implementing general and colorectal cancer screening (CRCS)-related practice changes in FQHCs.
  
  Methods:
  
  We conducted 17 interviews with FQHC employees to examine (1) experiences with successful or unsuccessful practice change efforts, (2) using approaches to promote CRCS, and (3) opinions about R=MC2 subcomponents. We conducted a rapid qualitative analysis to examine the frequency, depth, and spontaneity of subcomponents.
  
  Results:
  
  Priority, compatibility, and observability (motivation), intra- and inter-organizational relationships (innovation-specific capacity), and organizational structure and resource utilization (general capacity) emerged as highly relevant. For example, organizational structure was described as related to an organization’s open communication during meetings to help with scheduling procedures.
  
  Conclusion:
  
  The results contribute to understanding organizational readiness in the FQHC setting and can be helpful when identifying and prioritizing barriers and facilitators that affect implementation.
  
  
• Subjects:
  Communication Humans Qualitative Research
• Keywords:
  Colorectal Cancer Screening Federally Qualified Health Centers Implementation Innovation Organizational Readiness R=MC2 Rapid Qualitative Analysis
• Source:
  J Community Psychol. 51(7):2724-2740
• Pubmed ID:
  37021464
• Pubmed Central ID:
  PMC10523852
• Document Type:
  Journal Article
• Funding:
  R01 CA228527/CA/NCI NIH HHSUnited States/ ; T32 CA057712/CA/NCI NIH HHSUnited States/ ; U48 DP006408/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR003167/TR/NCATS NIH HHSUnited States/
• Volume:
  51
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2e6a3153310e06443f0c2180a86798e0e4cf06ae669cc8140dc03a2c3f92668c19fbff5a11c648107fd78a65c5b28beac414a579011f6add19b62366939a4f29
• Download URL:
  https://stacks.cdc.gov/view/cdc/133477/cdc_133477_DS1.pdf
• File Type:
  [PDF - 379.82 KB ]