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Related Experiment Videos

From randomized trial to community-focused practice.

M L Moore1

  • 1Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1066, USA. mmoore@wfubmc.edu

Image--The Journal of Nursing Scholarship
|January 11, 2000
PubMed
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Implementing telephone interventions in community settings can reduce low-birth-weight and preterm births, especially among African-American women. This research highlights the importance of integrating evidence-based practices into community health nursing.

Area of Science:

  • Community Health Nursing
  • Preventive Healthcare Strategies
  • Maternal and Child Health

Background:

  • Low-birth-weight and preterm births are leading causes of infant mortality in the U.S., disproportionately affecting African-American women.
  • Telephone interventions offer a cost-effective preventive health strategy.
  • This study focuses on adapting a randomized trial's findings to community settings.

Purpose of the Study:

  • To demonstrate the successful implementation of a randomized trial's findings on telephone intervention in four North Carolina community settings.
  • To highlight the critical role of integrating research into community health nursing practice.
  • To showcase the potential of telephone interventions in reducing low-birth-weight and preterm births.

Main Methods:

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  • Utilized a framework of five implementation phases: research, transfer, transition, regeneration, and empowerment.
  • Adapted findings from a 1990-1995 randomized trial to four community programs.
  • Collected data from telephone interviews and health records (1994-1998) to assess program modifications and outcomes.

    • Main Results:

    • Successful adaptation of the original research findings into four distinct community programs.
    • Identified modifications, bonuses, and barriers encountered during program implementation.
    • Demonstrated the feasibility of integrating research into practice through collaborative efforts.

    Conclusions:

    • Research findings from randomized trials are transferable to diverse community settings.
    • Collaboration between researchers and community health nurses is essential for effective integration of evidence into practice.
    • Telephone interventions can be successfully implemented to improve maternal and infant health outcomes.