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Updated: Feb 18, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
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Using a multi-state Learning Community as an implementation strategy for immediate postpartum long-acting reversible

Carla L DeSisto1, Cameron Estrich2, Charlan D Kroelinger3

  • 1Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, 1603 Taylor St. (m/c 923), Chicago, IL, 60612, USA. cdesis2@uic.edu.

Implementation Science : IS
|November 23, 2017
PubMed
Summary
This summary is machine-generated.

A multi-state Learning Community effectively supported the implementation of immediate postpartum long-acting reversible contraception (LARC) access. This collaborative approach integrated multiple strategies, proving effective for complex public health practice adoption.

Keywords:
Implementation scienceImplementation strategiesLearning collaborativeLong-acting reversible contraceptionPostpartum contraception

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Area of Science:

  • Public Health
  • Implementation Science
  • Health Services Research

Background:

  • Effective implementation strategies are crucial for adopting evidence-based public health practices.
  • Learning collaboratives, like the multi-state Learning Community convened by the Association of State and Territorial Health Officials, support cross-state collaboration and technical assistance.
  • The Learning Community focused on increasing access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice to reduce unintended pregnancies.

Purpose of the Study:

  • To understand the successes, challenges, and strategies employed by 13 US states in increasing access to immediate postpartum LARC.
  • To evaluate the effectiveness of a multi-state Learning Community in facilitating the implementation of complex public health practices.

Main Methods:

  • Conducted semi-structured telephone interviews with multi-disciplinary, multi-agency teams from 13 states participating in the Learning Community.
  • Coded transcribed interviews for facilitators, barriers, and implementation strategies, utilizing a compilation of expert-defined implementation strategies.

Main Results:

  • Learning Community activities facilitated policy implementation through structure and accountability, validity, and preparation for challenges.
  • The Learning Community integrated six implementation strategies: organizing clinician meetings, conducting educational meetings, facilitation, promoting network weaving, providing ongoing consultation, and distributing educational materials.

Conclusions:

  • Convening multi-state learning collaboratives is a promising strategy for implementing evidence-based practices, especially those facing systems challenges.
  • Learning collaboratives can act as meta-strategies by integrating multiple implementation strategies to support practice adoption.