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Published in: Translational Behavioral Medicine 2/2017

01-06-2017 | Original Research

Implementation evaluation of the Telephone Lifestyle Coaching (TLC) program: organizational factors associated with successful implementation

Authors: Laura J. Damschroder, Caitlin M. Reardon, Nina Sperber, Claire H. Robinson, Jacqueline J. Fickel, Eugene Z. Oddone

Published in: Translational Behavioral Medicine | Issue 2/2017

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Abstract

The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation. Context assessments were conducted using interview transcripts. The Consolidated Framework for Implementation Research (CFIR) was used to guide qualitative data collection and analysis. Factors most strongly correlated with referral rates included having a skilled implementation leader who used effective multi-component strategies to engage primary care clinicians as well as general clinic structures that supported implementation. Evaluation findings pointed to recommendations for local and national leaders to help anticipate and mitigate potential barriers to successful implementation.
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Metadata
Title
Implementation evaluation of the Telephone Lifestyle Coaching (TLC) program: organizational factors associated with successful implementation
Authors
Laura J. Damschroder
Caitlin M. Reardon
Nina Sperber
Claire H. Robinson
Jacqueline J. Fickel
Eugene Z. Oddone
Publication date
01-06-2017
Publisher
Springer US
Published in
Translational Behavioral Medicine / Issue 2/2017
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-016-0424-6

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