Barriers and Facilitators to Health Center Implementation of Evidence-Based Clinical Practices in Adolescent Reproductive Health Services

Details

• Journal Article:
  J Adolesc Health
• Personal Author:
  Hallum-Montes, Rachel ; Middleton, Dawn ; Schlanger, Karen ; Romero, Lisa
• Description:
  Purpose ; Despite the substantial evidence supporting the guidelines for the provision of reproductive health services for adolescents, research points to a persistent gap in their translation into health care practice. This study examines barriers and facilitators that health centers experience when implementing evidence-based clinical practices for adolescent reproductive health services and discusses strategies to address identified barriers. ; Methods ; Semistructured interviews were conducted with 85 leaders and staff of 30 health centers in Alabama, Georgia, Massachusetts, North Carolina, South Carolina, Pennsylvania, and Texas. Interview data were analyzed for emergent themes following a grounded theory approach. ; Results ; Data analysis revealed that certain factors at health system and community levels influenced health centers’ efforts to implement evidence-based clinical practices for adolescent reproductive health care. In particular, support from health center leadership, communication between leadership and staff, and staff attitudes and beliefs were reported as factors that facilitated the implementation of new practices. ; Conclusions ; Health center efforts to implement new practice guidelines should include efforts to build the capacity of health center leadership to mobilize staff and resources to ensure that new practices are implemented consistently and with quality.
• Keywords:
  • Reproductive health
  • Implementation science
  • Contraception
  • Long-acting reversible contraception
  • Teen pregnancy
  • Adolescent
  • Adolescent Health Services
  • Attitude of Health Personnel
  • Evidence-Based Practice
  • Female
  More +
• Source:
  J Adolesc Health. 58(3):276-283
• DOI:
  http://dx.doi.org/10.1016/j.jadohealth.2015.11.002
• Pubmed ID:
  26903427
• Pubmed Central ID:
  PMC6644026
• Document Type:
  Text ; Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; 5U58DP002942-02/DP/NCCDPHP CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  58
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/80059/cdc_80059_DS1.pdf
• File Type:
  [PDF - 75.43 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:b57f4a03bc811221e047882f8d5939c4ea5323da9422f57fedbc94666deb05847632c4e65dc829d127165944c8d5d95ed2efb4c4574e312a14f098efb91432d5