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How power is conceptualized and operationalized in evidence-based intervention implementation: a scoping review
Shoba Ramanadhan1, Jennifer L Cruz2, Nadia Safaeinili3
1Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA. sramanadhan@hsph.harvard.edu.
Implementation science studies rarely examine power dynamics, limiting their ability to address health inequities. Integrating power theories can reshape evidence-based interventions and improve health outcomes.
Area of Science:
- Health Services Research
- Implementation Science
- Public Health
Background:
- Implementation science (IS) has limited potential to address health inequities due to insufficient focus on power dynamics.
- Understanding how to examine and intervene on power relations in evidence-based intervention (EBI) implementation is unclear.
- Existing IS research often overlooks the role of power in implementation processes and outcomes.
Conclusions:
- Researchers should integrate power theories and frameworks into IS conceptual models to reshape IS efforts.
- This integration can foster critical, systems-focused perspectives on how power influences implementation and outcomes.
- Explicitly addressing power can enhance the evidence base, implementation systems, strategies, and ultimately, health and system outcomes.
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