University of Massachusetts Medical School Faculty Publications

Title

Feasibility of Implementation Mapping for Integrative Medical Group Visits

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Integrated Primary Care

Publication Date

2021-03-31

Document Type

Article

Disciplines

Alternative and Complementary Medicine | Health Services Administration | Health Services Research | Integrative Medicine | Pain Management

Abstract

Objectives: Implementation science is key to translating complementary and integrative health intervention research into practice as it can increase accessibility and affordability while maximizing patient health outcomes. The authors describe using implementation mapping to (1) identify barriers and facilitators impacting the implementation of an Integrative Medical Group Visit (IMGV) intervention in an outpatient setting with a high burden of patients with chronic pain and (2) select and develop implementation strategies utilizing theory and stakeholder input to address those barriers and facilitators.

Design: The authors selected a packaged, evidence-based, integrative pain management intervention, the IMGV, to implement in an outpatient clinic with a high burden of patients with chronic pain. The authors used implementation mapping to identify implementation strategies for IMGV, considering theory and stakeholder input. Stakeholder interviews with clinic staff, faculty, and administrators (n = 15) were guided by the Consolidated Framework for Implementation Research.

Results: Based on interview data, the authors identified administrators, physicians, nursing staff, and scheduling staff as key stakeholders involved in implementation. Barriers and facilitators focused on knowledge, buy-in, and operational procedures needed to successfully implement IMGV. The implementation team identified three cognitive influences on behavior that would impact performance: knowledge, outcome expectations, and self-efficacy; and three theoretical change methods: cue to participate, communication, and mobilization. Implementation strategies identified included identifying and preparing champions, participation in ongoing training, developing and distributing educational materials, and organizing clinician implementation team meetings.

Conclusions: This study provides an example of the application of implementation mapping to identify theory-driven implementation strategies for IMGV. Implementation mapping is a feasible method that may be useful in providing a guiding structure for implementation teams as they employ implementation frameworks and select implementation strategies for integrative health interventions.

Keywords

Implementation Mapping, Integrative Medical Group Visits, implementation science, implementation strategies, integrative pain management

DOI of Published Version

10.1089/acm.2020.0393

Source

Roth IJ, Tiedt MK, Barnhill JL, Karvelas KR, Faurot KR, Gaylord S, Gardiner P, Miller VE, Leeman J. Feasibility of Implementation Mapping for Integrative Medical Group Visits. J Altern Complement Med. 2021 Mar;27(S1):S71-S80. doi: 10.1089/acm.2020.0393. PMID: 33788606; PMCID: PMC8035918. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Journal of alternative and complementary medicine (New York, N.Y.)

PubMed ID

33788606

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