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Implications of translating research into practice: a medication management intervention
Gretchen E Alkema1, Dennee Frey
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Home Health Care Services Quarterly
|June 29, 2006
Summary
Implementing evidence-based medication management in community care improves client health and professional skills. This translational research highlights challenges and the need for significant facilitation in healthcare settings.
Area of Science:
- Gerontology
- Health Services Research
- Translational Science
Background:
- Older adults living in the community face challenges with medication management.
- Evidence-based interventions require adaptation for new practice settings.
- Translational research aims to bridge the gap between research efficacy and real-world implementation.
Purpose of the Study:
- To implement and evaluate the Community-Based Medications Management (CBM) Intervention in a California Medicaid waiver care management program.
- To assess the impact of client, intervention, and organizational factors on medication problem resolution.
- To explore the process of translating an evidence-based practice from home healthcare to care management settings.
Main Methods:
- Utilized the Promoting Action on Research Implementation in Health Services (PARIHS) framework.
- Implemented a medication management screening and intervention protocol.
- Conducted a collaborative translational research study within community-based waiver care management programs.
Main Results:
- The CBM Intervention demonstrated potential positive impacts on client care, professional skills, and organizational effectiveness.
- Translating research into practice within community care settings is complex and demanding.
- Significant facilitation is crucial for achieving successful implementation outcomes.
Conclusions:
- Translational research, like the CBM Intervention, is vital for improving medication management in frail, community-dwelling older adults.
- Successful implementation of evidence-based practices requires addressing client, intervention, and organizational factors.
- Facilitation strategies are essential to overcome the challenges of integrating research into community-based care management programs.
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