Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment
Abstract Background Diabetes care remains suboptimal in First Nations populations. Innovative and culturally relevant approaches are needed to promote systematic and proactive organization of diabetes care for people living with diabetes on-reserve in Canada. The RADAR model is one strategy to impro...
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ftdoajarticles:oai:doaj.org/article:40bce0381da1423eaf1cdc4f649b17d8 2023-05-15T16:15:08+02:00 Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment Lisa A. Wozniak Allison L. Soprovich Jeffrey A. Johnson Dean T. Eurich 2021-05-01T00:00:00Z https://doi.org/10.1186/s12913-021-06424-1 https://doaj.org/article/40bce0381da1423eaf1cdc4f649b17d8 EN eng BMC https://doi.org/10.1186/s12913-021-06424-1 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-021-06424-1 1472-6963 https://doaj.org/article/40bce0381da1423eaf1cdc4f649b17d8 BMC Health Services Research, Vol 21, Iss 1, Pp 1-10 (2021) First Nations Type 2 diabetes Health services delivery Qualitative assessment Adoption Implementation Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1186/s12913-021-06424-1 2022-12-31T15:27:39Z Abstract Background Diabetes care remains suboptimal in First Nations populations. Innovative and culturally relevant approaches are needed to promote systematic and proactive organization of diabetes care for people living with diabetes on-reserve in Canada. The RADAR model is one strategy to improve care: an integrated disease registry paired with an electronic health record for local community healthcare providers with remote care coordination. We qualitatively assessed adoption and implementation of RADAR in First Nations communities in Alberta to inform its potential spread in the province. Methods We used the RE-AIM framework to evaluate adoption and implementation of RADAR in 6 First Nations communities. Using purposeful sampling, we recruited local healthcare providers and remote care coordinators involved in delivering RADAR to participate in telephone or in-person interviews at 6- and 24-months post-implementation. Interviews were digitally recorded, transcribed, and verified for accuracy. Data was analyzed using content analysis and managed using ATLAS.ti 8. Results In total, we conducted 21 semi-structured interviews (6 at 6-months; 15 at 24-months) with 11 participants. Participants included 3 care coordinators and 8 local healthcare providers, including registered nurses, licensed practical nurses, and registered dietitians. We found that adoption of RADAR was influenced by leadership as well as appropriateness, acceptability, and perceived value of the model. In addition, we found that implementation of RADAR was variable across communities regardless of implementation supports and appropriate community-specific adaptations. Conclusions The variable adoption and implementation of RADAR has implications for how likely it will achieve its anticipated outcomes. RADAR is well positioned for spread through continued appropriate community-based adaptations and by expanding the existing implementation supports, including dedicated human resources to support the delivery of RADAR and the provision of ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada BMC Health Services Research 21 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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First Nations Type 2 diabetes Health services delivery Qualitative assessment Adoption Implementation Public aspects of medicine RA1-1270 |
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First Nations Type 2 diabetes Health services delivery Qualitative assessment Adoption Implementation Public aspects of medicine RA1-1270 Lisa A. Wozniak Allison L. Soprovich Jeffrey A. Johnson Dean T. Eurich Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment |
topic_facet |
First Nations Type 2 diabetes Health services delivery Qualitative assessment Adoption Implementation Public aspects of medicine RA1-1270 |
description |
Abstract Background Diabetes care remains suboptimal in First Nations populations. Innovative and culturally relevant approaches are needed to promote systematic and proactive organization of diabetes care for people living with diabetes on-reserve in Canada. The RADAR model is one strategy to improve care: an integrated disease registry paired with an electronic health record for local community healthcare providers with remote care coordination. We qualitatively assessed adoption and implementation of RADAR in First Nations communities in Alberta to inform its potential spread in the province. Methods We used the RE-AIM framework to evaluate adoption and implementation of RADAR in 6 First Nations communities. Using purposeful sampling, we recruited local healthcare providers and remote care coordinators involved in delivering RADAR to participate in telephone or in-person interviews at 6- and 24-months post-implementation. Interviews were digitally recorded, transcribed, and verified for accuracy. Data was analyzed using content analysis and managed using ATLAS.ti 8. Results In total, we conducted 21 semi-structured interviews (6 at 6-months; 15 at 24-months) with 11 participants. Participants included 3 care coordinators and 8 local healthcare providers, including registered nurses, licensed practical nurses, and registered dietitians. We found that adoption of RADAR was influenced by leadership as well as appropriateness, acceptability, and perceived value of the model. In addition, we found that implementation of RADAR was variable across communities regardless of implementation supports and appropriate community-specific adaptations. Conclusions The variable adoption and implementation of RADAR has implications for how likely it will achieve its anticipated outcomes. RADAR is well positioned for spread through continued appropriate community-based adaptations and by expanding the existing implementation supports, including dedicated human resources to support the delivery of RADAR and the provision of ... |
format |
Article in Journal/Newspaper |
author |
Lisa A. Wozniak Allison L. Soprovich Jeffrey A. Johnson Dean T. Eurich |
author_facet |
Lisa A. Wozniak Allison L. Soprovich Jeffrey A. Johnson Dean T. Eurich |
author_sort |
Lisa A. Wozniak |
title |
Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment |
title_short |
Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment |
title_full |
Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment |
title_fullStr |
Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment |
title_full_unstemmed |
Adopting and implementing an innovative model to organize diabetes care within First Nations communities: A qualitative assessment |
title_sort |
adopting and implementing an innovative model to organize diabetes care within first nations communities: a qualitative assessment |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12913-021-06424-1 https://doaj.org/article/40bce0381da1423eaf1cdc4f649b17d8 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Health Services Research, Vol 21, Iss 1, Pp 1-10 (2021) |
op_relation |
https://doi.org/10.1186/s12913-021-06424-1 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-021-06424-1 1472-6963 https://doaj.org/article/40bce0381da1423eaf1cdc4f649b17d8 |
op_doi |
https://doi.org/10.1186/s12913-021-06424-1 |
container_title |
BMC Health Services Research |
container_volume |
21 |
container_issue |
1 |
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1766000863934939136 |