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Pre-Implementation Strategies to Support Adaptation of Thrive: A Care Transitions Model for Economically
J Margo Brooks Carthon1, Celsea Tibbitt1, Kelvin Eyram Amenyedor2
1Center for Health Outcomes & Policy Research, Leonard Davis Institute of Health Economics, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, USA.
Background:
Economically disadvantaged patients diagnosed with serious mental illness (SMI) experience post-hospitalizations disparities due to fragmented care transitions.
Purpose:
To describe the pre-implementation strategies used to adapt and implement a nurse-led transitional care intervention (Thrive) to meet the needs of economically disadvantaged patients diagnosed with an SMI.
Methods:
Two pre-implementation strategies, Evidence Based Quality Improvement (EBQI) meetings and Formative Evaluation (FE) research, were used to adapt intervention components. FE data included semi-structured interviews analyzed using Rapid Qualitative Analysis.
Findings:
Adaptations were made to core components of Thrive and strategies to support implementation were identified.
Conclusions:
Participatory strategies help to adapt interventions that are person-centered and tailored to the organizational context.
Trial:
NCT06203509.
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