Related Experiment Video
Updated: Aug 15, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Formative Work to Guide Implementation of an Evidence-Based Breast and Cervical Cancer Prevention and Early Detection
Marlyn A Allicock1, Crystal Costa1, Ashley Hedrick McKenzie2
1The University of Texas Health Science Center at Houston, 2777 N Stemmons Fwy, Dallas, TX, 75207, United States, 1 972-546-2932, 1 214-648-1081.
Background:
Salud en Mis Manos (SEMM) is a community health worker-delivered evidence-based intervention shown to increase breast and cervical cancer screening in medically underserved Latinas. Despite SEMM's success in community-based settings, clinic-based implementation is limited.
Objective:
This study aimed to identify factors influencing the implementation of SEMM in clinic settings using the Consolidated Framework for Implementation Research (CFIR) to inform and refine implementation strategy development.
Methods:
We developed theory-informed (eg, CFIR, Social Cognitive Theory, and Readiness) interview guides to elicit barriers and facilitators of SEMM clinic implementation. We conducted 12 semistructured interviews with clinic leaders, outreach coordinators, and community health workers from 4 Texas health centers serving low-income Latinas. Transcribed interviews were coded and analyzed using qualitative thematic analysis and CFIR.
Results:
Barriers and facilitators fell within 17 constructs of the 5 CFIR domains. Across all interview participants, key facilitators fell within intervention characteristics (eg, SEMM addresses community needs), inner setting (eg, clinic staff buy-in can facilitate SEMM implementation), and outer setting (eg, established partnerships may leverage SEMM uptake) domains. Barriers were inner setting (eg, limited time and clinic staff capacity may limit SEMM implementation) and intervention characteristics (eg, challenges with SEMM training duration and content).
Conclusions:
CFIR, a theory-based systematic approach, enabled key stakeholder-identified barriers and facilitators to SEMM clinic implementation. These factors help identify implementation support strategies distinct from prior community-based implementation efforts. Findings (part of the initial steps of the Implementation Mapping protocol for strategy development) refined the design of a multifaceted implementation strategy to support SEMM clinic uptake.
Related Concept Videos
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Preventive Healthcare Services
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Role of Communication in the Nursing Process II: Planning and Implementation
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...