Bridging Research to Practice Gap: Centering Pregnancy Program -A hybrid study

Purpose: The purpose of this paper is to propose an effectiveness-implementation hybrid study design to test the feasibility, acceptability, adoption, and fidelity to Centering Pregnancy model of prenatal care and then subsequently test its effects on maternal and infant health outcomes. The study is guided by the Consolidated Framework for Implementation Research that informs how to translate health interventions that have proven to be effective. The model will be implemented in the existing healthcare system at District Hospital, Kupwara district, in the state of Jammu and Kashmir, India, which is a region of high maternal and infant mortality. Research questions Primary: 1. Will Centering Pregnancy Model of Prenatal care be feasible, and acceptable in India? 2. Will it be adopted and implemented with fidelity? Secondary: Will Centering Pregnancy Program improve maternal and infant health outcomes in India? Methods: The implementation outcomes will be evaluated through mixed-methods. Quantitative data will be captured through surveys and qualitative data will be recorded through focus groups and in-depth interviews. The patient outcomes will be evaluated by a pre-post test quasi-experimental design. The Centering Pregnancy Model will be adapted and implemented at the district hospital with support from staff from a local NGO ‘Chinar International’, who will work as the implementation team, under the guidance of Centering Healthcare Institute (CHI). The team will conduct pre-implementation assessments of external and internal barriers and facilitators using surveys and focus groups and devise strategies to create an enabling environment for program adoption. Next, CHI will provide training for obstetricians, nursing staff, and health workers. Training will include (1) onsite organizational preparation to assist with conversion of health systems to accommodate group care (e.g., staffing, scheduling); (2) basic training will include group prenatal care and research overviews, logistics and planning (e.g., recruitment, scheduling), curriculum review, and skills building on facilitative leadership; and (3) review of session content. The pregnant womenwill be enrolled in groups of ten to twelve and partnered with a trained provider, nurse, and health worker. Ongoing data collection and monitoring will provide feedback and enable optimizing processes. Future Steps: Based on the study results, the program will be further adapted and expanded to diverse settings.Master of Public Healt

sj-docx-1-dhj-10.1177_20552076241233148 - Supplemental material for Advancing equity in challenging times: A qualitative study of telehealth expansion and changing patient–provider relationships in primary care settings during the COVID-19 pandemic

Supplemental material, sj-docx-1-dhj-10.1177_20552076241233148 for Advancing equity in challenging times: A qualitative study of telehealth expansion and changing patient–provider relationships in primary care settings during the COVID-19 pandemic by Monisa Aijaz, Valerie A Lewis and Genevra F Murray in DIGITAL HEALTH</p