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Open Access 01-12-2017 | Study protocol

Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER): a protocol for a program of research

Authors: Alison B. Hamilton, Melissa M. Farmer, Tannaz Moin, Erin P. Finley, Ariel J. Lang, Sabine M. Oishi, Alexis K. Huynh, Jessica Zuchowski, Sally G. Haskell, Bevanne Bean-Mayberry

Published in: Implementation Science | Issue 1/2017

Abstract

Background

The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women’s Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women’s Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation. EMPOWER includes three projects designed to improve women Veterans’ engagement and retention in evidence-based care for high-priority health conditions, i.e., prediabetes, cardiovascular, and mental health.

Methods/Design

The three proposed projects will be conducted in VA primary care clinics that serve women Veterans including general primary care and women’s health clinics. The first project is a 1-year quality improvement project targeting diabetes prevention. Two multi-site research implementation studies will focus on cardiovascular risk prevention and collaborative care to address women Veterans’ mental health treatment needs respectively. All projects will use the evidence-based Replicating Effective Programs (REP) implementation strategy, enhanced with multi-stakeholder engagement and complexity theory. Mixed methods implementation evaluations will focus on investigating primary implementation outcomes of adoption, acceptability, feasibility, and reach. Program-wide organizational-, provider-, and patient-level measures and tools will be utilized to enhance synergy, productivity, and impact. Both implementation research studies will use a non-randomized stepped wedge design.

Discussion

EMPOWER represents a coherent program of women’s health implementation research and quality improvement that utilizes cross-project implementation strategies and evaluation methodology. The EMPOWER Quality Enhancement Research Initiative (QUERI) will constitute a major milestone for realizing women Veterans’ engagement and empowerment in the VA system. EMPOWER QUERI will be conducted in close partnership with key VA operations partners, such as the VA Office of Women’s Health, to disseminate and spread the programs nationally.

Trial registration

The two implementation research studies described in this protocol have been registered as required:

Facilitating Cardiovascular Risk Screening and Risk Reduction in Women Veterans: Trial registration NCT02991534, registered 9 December 2016.

Implementation of Tailored Collaborative Care for Women Veterans: Trial registration NCT02950961, registered 21 October 2016.

Available only for authorised users

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Title: Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER): a protocol for a program of research
Authors: Alison B. Hamilton
Melissa M. Farmer
Tannaz Moin
Erin P. Finley
Ariel J. Lang
Sabine M. Oishi
Alexis K. Huynh
Jessica Zuchowski
Sally G. Haskell
Bevanne Bean-Mayberry
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Implementation Science / Issue 1/2017
Electronic ISSN: 1748-5908
DOI: https://doi.org/10.1186/s13012-017-0658-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER): a protocol for a program of research

Abstract

Background

Methods/Design

Discussion

Trial registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods/Design

Discussion

Trial registration

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