Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Research

Identifying and developing strategies for implementation of a guided internet- and mobile-based infant sleep intervention in well-baby and community mental health clinics using group concept mapping

Authors: Filip Drozd, Hege Pettersen Sandtrø, Turid Skjerve Leksbø, Silje Marie Haga, Heidi Jacobsen, Hege Therese Størksen

Published in: BMC Health Services Research | Issue 1/2024

Login to get access

Abstract

Background

This study aimed to identify strategies for the implementation of a guided internet- and mobile-based intervention (IMI) for infant sleep problems (“Sleep Well, Little Sweetheart”) in well-baby and community mental health clinics.

Study design

We used group concept mapping, a two-phased mixed methods approach, conducted as a two-day workshop in each clinic. We recruited 20 participants from four clinics and collected sorting and rating data for implementation strategies based on the Expert Recommendations for Implementing Change taxonomy and brainstorming sessions. Data were analyzed using descriptive statistics, multidimensional scaling, and hierarchical cluster analysis to create cluster maps, laddergrams, and Go-Zone graphs. Participants were presented with the results and discussed and interpreted the findings at each of the clinics in spring 2022.

Results

Participants identified 10 clusters of strategies, of which Training, Embedding and Coherence, User Involvement and Participation, and Clinician Support and Implementation Counseling were rated as most important and feasible. Economy and Funding and Interactive and Interdisciplinary Collaboration were rated significantly lower on importance and feasibility compared to many of the clusters (all ps < 0.05). There was a correlation between the importance and feasibility ratings (r =.62, p =.004).

Conclusions

The use of group concept mapping made it possible to efficiently examine well-baby and community clinics’ perspectives on complex issues, and to acquire specific knowledge to allow for the planning and prioritization of strategies for implementation. These results suggest areas of priority for the implementation of IMIs related to infant sleep problems.

Trial registration

The study was pre-registered at Open Science Framework (www.​osf.​io/​emct8).
Appendix
Available only for authorised users
Literature
1.
Honaker SM, Meltzer LJ. Sleep in pediatric primary care: a review of the literature. Sleep Med Rev. 2016;25:31–9.PubMedCrossRef
2.
Kang EK, Kim SS. Behavioral insomnia in infants and young children. Clin Exp Pediatr. 2021;64:111–6.PubMedCrossRef
3.
Magee L, Goldsmith LP, Chaudhry UAR, Donin AS, Wahlich C, Stovold E, Nightingale CM, Rudnicka AR, Owen CG. (2022) Nonpharmacological interventions to lengthen sleep duration in healthy children: a systematic review and meta-analysis. JAMA Pediatr e1–e14.
4.
Drozd F, Leksbø TS, Størksen HT, Weyde CE, Slinning K. An overview of reviews for preventing and treating sleep problems in infants. Acta Paediatr. 2022;111:2071–6.PubMedCrossRef
5.
Meltzer LJ, Wainer A, Engstrom E, Pepa L, Mindell JA. Seeing the whole elephant: a scoping review of behavioral treatments for pediatric insomnia. Sleep Med Rev. 2021;56:101410.PubMedCrossRef
6.
Zhou ES, Mazzenga M, Gordillo ML, Meltzer LJ, Long KA. Sleep education and training among practicing clinical psychologists in the United States and Canada. Behav Sleep Med. 2021;19:744–53.PubMedCrossRef
7.
Jaks R, Baumann I, Juvalta S, Dratva J. Parental digital health information seeking behavior in Switzerland: a cross-sectional study. BMC Public Health. 2019;19:225.PubMedPubMedCentralCrossRef
8.
Thorndike FP. Commentary: interest in internet interventions - an infant sleep program as illustration. J Pediatr Psychol. 2009;34:470–3.PubMedCrossRef
9.
Størksen HT, Haga SM, Slinning K, Drozd F. Health personnel’s perceived usefulness of internet-based interventions for parents of children younger than 5 years: cross-sectional web-based survey study. JMIR Ment Health. 2020;7:e15149.PubMedPubMedCentralCrossRef
10.
Mindell JA, du Mond CE, Sadeh A, Telofski LS, Kulkarni N, Gunn E. Efficacy of an internet-based intervention for infant and toddler sleep disturbances. Sleep. 2011;34:451–8.PubMedPubMedCentralCrossRef
11.
Mindell JA, du Mond CE, Sadeh A, Telofski LS, Kulkarni N, Gunn E. Long-term efficacy of an internet-based intervention for infant and toddler sleep disturbances: one year follow-up. J Clin Sleep Med. 2011;7:507–11.PubMedPubMedCentralCrossRef
12.
Leichman ES, Gould RA, Williamson AA, Walters RM, Mindell JA. Effectiveness of an mHealth intervention for infant sleep disturbances. Behav Ther. 2020;51:548–58.PubMedPubMedCentralCrossRef
13.
Simon SL, Kaar JL, Talker I, Reich J. Evidence-based behavioral strategies in smartphone apps for children’s sleep: content analysis. JMIR Pediatr Parent. 2022;5:e32129.PubMedPubMedCentralCrossRef
14.
Yoshizaki A, Mohri I, Yamamoto T, et al. An interactive smartphone app, Nenne Navi, to improve children’s sleep: a pilot study. JMIR Pediatr Parent. 2020;3:e22102.PubMedPubMedCentralCrossRef
15.
Speth TA, Coulombe JA, Markovich AN, et al. Barriers, facilitators, and usability of an internet intervention for children aged 1 to 10 years with insomnia. Transl Issues Psychol Sci. 2015;1:16–31.CrossRef
16.
Howlett MD, Jemcov A, Adams A, Corkum Pv. ABCs of SLEEPING tool: improving access to care for pediatric insomnia. Clin Pract Pediatr Psychol. 2020;8:1–12.
17.
Mindell JA, Leichman ES, Walters RM, Bhullar B. Development and dissemination of a consumer health information website on infant and toddler sleep. Transl Behav Med. 2021;11:1699–707.PubMedCrossRef
18.
Titov N, Dear BF, Nielssen OB, et al. ICBT in routine care: a descriptive analysis of successful clinics in five countries. Internet Interv. 2018;13:108–15.PubMedPubMedCentralCrossRef
19.
Ganapathy A, Clough BA, Casey LM. Organizational and policy barriers to the use of digital mental health by mental health professionals. Telemedicine and e-Health. 2021;27:1332–43.PubMedCrossRef
20.
Granja C, Janssen W, Johansen MA. Factors determining the success and failure of ehealth interventions: systematic review of the literature. J Med Internet Res. 2018;20:e10235.PubMedPubMedCentralCrossRef
21.
Ross J, Stevenson F, Lau R, Murray E. Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update). Implement Sci. 2016;11:146.PubMedPubMedCentralCrossRef
22.
Newby J, Mason E, Kladnistki N, Murphy M, Millard M, Haskelberg H, Allen A, Mahoney A. Integrating internet CBT into clinical practice: a practical guide for clinicians. Clin Psychol. 2021;25:164–78.CrossRef
23.
Titov N, Hadjistavropoulos HD, Nielssen OB, Mohr DC, Andersson G, Dear BF. From research to practice: ten lessons in delivering digital mental health services. J Clin Med. 2019;8:1239.PubMedPubMedCentralCrossRef
24.
Lyon AR, Koerner K. (2016) User-centered design for psychosocial intervention development and implementation. Clinical Psychology: Science and Practice 23:180–200.
25.
26.
Nilsen P, Bernhardsson S. Context matters in implementation science: a scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Serv Res. 2019;19:189.PubMedPubMedCentralCrossRef
27.
28.
Davies P, Walker AE, Grimshaw JM. A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. Implement Sci. 2010;5:14.PubMedPubMedCentralCrossRef
29.
Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, Proctor EK, Kirchner JE. A refined compilation of implementation strategies: results from the Expert recommendations for Implementing Change (ERIC) project. Implement Sci. 2015;10:21.PubMedPubMedCentralCrossRef
30.
Michie S, Richardson M, Johnston M, Abraham C, Francis JJ, Hardeman W, Eccles MP, Cane J, Wood CE. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46:81–95.PubMedCrossRef
31.
Flottorp SA, Oxman AD, Krause J, Musila NR, Wensing M, Godycki-Cwirko M, Baker R, Eccles MP. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013;8:35.PubMedPubMedCentralCrossRef
32.
Powell BJ, Beidas RS, Lewis CC, Aarons GA, McMillen JC, Proctor EK, Mandell DS. Methods to improve the selection and tailoring of implementation strategies. J Behav Health Serv Res. 2017;44:177–94.PubMedPubMedCentralCrossRef
33.
Kane M, Trochim WM. Concept mapping for planning and evaluation. Thousand Oaks, CA: Sage; 2007.CrossRef
34.
Trochim WMK, Kane M. Concept mapping: an introduction to structured conceptualization in health care. Int J Qual Health Care. 2005;17:187–91.PubMedCrossRef
35.
Mindell JA, Owens JA. A clinical guide to pediatric sleep: diagnosis and management of sleep problems. 3rd ed. Philadelphia, PA: Wolters Kluwer; 2015.
36.
Meltzer LJ, Crabtree VM. Pediatric sleep problems: a clinician’s guide to behavioral interventions. Washington, DC: American Psychological Association; 2015.CrossRef
37.
Mindell JA, Leichman ES, Lee CI, Williamson AA, Walters RM. Implementation of a nightly bedtime routine: how quickly do things improve? Infant Behav Dev. 2017;49:220–7.PubMedPubMedCentralCrossRef
38.
Chóliz M, Fernández-Abascal EG, Martínez-Sánchez F. Infant crying: pattern of weeping, recognition of emotion and affective reactions in observers. Span J Psychol. 2012;15:978–88.PubMedCrossRef
39.
Fjorback LO, Arendt M, Ornbøl E, Fink P, Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatr Scand. 2011;124:102–19.PubMedCrossRef
40.
Morgenthaler TI, Owens JA, Alessi C, et al. Practice parameters for behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep. 2006;29:1277–81.PubMed
41.
Honaker SM, Meltzer LJ. Bedtime problems and night wakings in young children: an update of the evidence. Paediatr Respir Rev. 2014;15:333–9.PubMed
42.
Størksen HT, Leksbø TS, Drozd F, Sandtrø HP, Slinning K. Søvnvansker hos barn: Ny Metode Kan hjelpe [Sleep problems in children: a new method can help]. Sykepl Fag. 2022;110:e–88549.CrossRef
43.
Rosas SR, Kane M. Quality and rigor of the concept mapping methodology: a pooled study analysis. Eval Program Plann. 2012;35:236–45.PubMedCrossRef
44.
R Core Team. (2022) R: A language and environment for statistical computing.
45.
Bar H, Mentch L. R-CMap—An open-source software for concept mapping. Eval Program Plann. 2017;60:284–92.PubMedCrossRef
46.
Sturrock K, Rocha J. A multidimensional scaling stress evaluation table. Field Methods. 2000;12:49–60.CrossRef
47.
Jackson KM, Trochim WMK. Concept mapping as an alternative approach for the analysis of open-ended survey responses. Organ Res Methods. 2002;5:307–36.CrossRef
48.
Waltz TJ, Powell BJ, Matthieu MM, Damschroder LJ, Chinman MJ, Smith JL, Proctor EK, Kirchner JE. Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert recommendations for Implementing Change (ERIC) study. Implement Sci. 2015;10:109.PubMedPubMedCentralCrossRef
49.
May CR, Finch TL. Implementing, embedding, and integrating practices: an outline of normalization process theory. Sociology. 2009;43:535–54.CrossRef
50.
O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare teams. Int J Qual Health Care. 2020;32:240–50.PubMedCrossRef
51.
52.
Humphrey L, Willgoss T, Trigg A, Meysner S, Kane M, Dickinson S, Kitchen H. A comparison of three methods to generate a conceptual understanding of a disease based on the patients’ perspective. J Patient Rep Outcomes. 2017;1:9.PubMedPubMedCentralCrossRef
Metadata
Title
Identifying and developing strategies for implementation of a guided internet- and mobile-based infant sleep intervention in well-baby and community mental health clinics using group concept mapping
Authors
Filip Drozd
Hege Pettersen Sandtrø
Turid Skjerve Leksbø
Silje Marie Haga
Heidi Jacobsen
Hege Therese Størksen
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10632-w

Other articles of this Issue 1/2024

BMC Health Services Research 1/2024 Go to the issue

Research

Are recent health, welfare and care graduates part of a rural and remote workforce solution? Evidence from Tasmania, Australia

Research

Impact of medical insurance access negotiation on the utilization of innovative anticancer drugs in China: an interrupted time series analysis

Research

Mid-level managers’ perspectives on implementing isoniazid preventive therapy for people living with HIV in Ugandan health districts: a qualitative study

Research

The health service perspective on determinants of success in allied health student research project collaborations: a qualitative study guided by the Consolidated Framework for Implementation Research

Research

Driving innovation in health care: exploring the impact of ambidextrous leadership on creative performance among frontline health professionals in Norway

Research

Evaluating the cross-cultural competence instrument for healthcare professionals (CCCHP) among nurses in Okinawa, Japan