Integrative Systems Praxis for Implementation Research (INSPIRE): An Implementation Methodology to Facilitate the Global Elimination of Cervical Cancer
AuthorGravitt, Patti E
Rositch, Anne F
Tracy, J Kathleen
Paz-Soldan, Valerie A
JournalCancer Epidemiology, Biomarkers & Prevention
PublisherAmerican Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
MetadataShow full item record
AbstractBackground: The World Health Organization (WHO) has called for a systems thinking approach to health systems strengthening to increase adoption of evidence-based interventions (EBI). The Integrative Systems Praxis for Implementation Research (INSPIRE) methodology operationalizes the WHO systems thinking framework to meet cervical cancer elimination–early detection and treatment (CC-EDT) goals. Methods: Using a systems thinking approach and grounded in the consolidated framework for implementation research, INSPIRE integrates multiple research methodologies and evaluation frameworks into a multilevel implementation strategy. Results: In phase I (creating a shared understanding), soft systems methodology and pathway analysis are used to create a shared visual understanding of the CC-EDT system, incorporating diverse stakeholder perspectives of the “what, how, and why” of system behavior. Phase II (finding leverage) facilitates active stakeholder engagement in knowledge transfer and decision-making using deliberative dialogues and multiple scenario analyses. Phase III (acting strategically) represents stakeholder-engaged implementation planning, using well-defined implementation strategies of education, training, and infrastructure development. In phase IV (learning and adapting), evaluation of key performance indicators via a reach, effectiveness, adoption, implementation, and maintenance framework is reviewed by stakeholder teams, who continuously adapt implementation plans to improve system effectiveness. Conclusions: The INSPIRE methodology is a generalizable approach to context-adapted implementation of EBIs. Impact: Replacing static dissemination of implementation “roadmaps” with learning health systems through the integration of systems thinking and participatory action research, INSPIRE facilitates the development of scalable and sustainable implementation strategies adapted to local contexts.
Rights/Terms©2020 American Association for Cancer Research.
KeywordIntegrated Systems Praxis for Implementation Research (INSPIRE)
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/14664
- Using Theories of Change to inform implementation of health systems research and innovation: experiences of Future Health Systems consortium partners in Bangladesh, India and Uganda.
- Authors: Paina L, Wilkinson A, Tetui M, Ekirapa-Kiracho E, Barman D, Ahmed T, Mahmood SS, Bloom G, Knezovich J, George A, Bennett S
- Issue date: 2017 Dec 28
- Making Implementation Science More Rapid: Use of the RE-AIM Framework for Mid-Course Adaptations Across Five Health Services Research Projects in the Veterans Health Administration.
- Authors: Glasgow RE, Battaglia C, McCreight M, Ayele RA, Rabin BA
- Issue date: 2020
- Guiding principles for quality, ethical standards and ongoing learning in implementation research: multicountry learnings from participatory action research to strengthen health systems.
- Authors: Ozano K, Dean L, Adekeye O, Bettee AK, Dixon R, Gideon NU, Gwani N, Isiyaku S, Kollie K, Lar L, Oluwole A, Piotrowski H, Siakeh A, Thomson R, Yashiyi J, Zawolo G, Theobald S
- Issue date: 2020 Nov 1
- Authors: Holmes KK, Bertozzi S, Bloom BR, Jha P, Bloom BR, Atun R, Cohen T, Dye C, Fraser H, Gomez GB, Knight G, Murray M, Nardell E, Rubin E, Salomon J, Vassall A, Volchenkov G, White R, Wilson D, Yadav P
- Issue date: 2017 Nov 3
- Preterm birth: the role of knowledge transfer and exchange.
- Authors: Horvath H, Brindis CD, Reyes EM, Yamey G, Franck L, Knowledge Transfer and Exchange (KTE) Working Group
- Issue date: 2017 Sep 6