A case study of the development of a valid and pragmatic implementation science measure: the Barriers and Facilitators in Implementation of Task-Sharing Mental Health interventions (BeFITS-MH) measure

dc.article.number1352
dc.catalogadorpva
dc.contributor.authorYang, Lawrence H.
dc.contributor.authorBass, Judy K.
dc.contributor.authorLe, PhuongThao D.
dc.contributor.authorSingh, Ritika
dc.contributor.authorGurung, Dristy
dc.contributor.authorVelasco Grandón, Paola Renée
dc.contributor.authorGrivel, Margaux M.
dc.contributor.authorSusser, Ezra
dc.contributor.authorCleland, Charles M.
dc.contributor.authorAlvarado, Rubén
dc.contributor.authorKohrt, Brandon A.
dc.contributor.authorBhana, Arvin
dc.date.accessioned2024-11-11T20:15:24Z
dc.date.available2024-11-11T20:15:24Z
dc.date.issued2024
dc.date.updated2024-11-10T01:03:16Z
dc.description.abstractBackground Few implementation science (IS) measures have been evaluated for validity, reliability and utility – the latter referring to whether a measure captures meaningful aspects of implementation contexts. We present a real-world case study of rigorous measure development in IS that assesses Barriers and Facilitators in Implementation of Task-Sharing in Mental Health services (BeFITS-MH), with the objective of offering lessons-learned and a framework to enhance measurement utility. Methods We summarize conceptual and empirical work that informed the development of the BeFITS-MH measure, including a description of the Delphi process, detailed translation and local adaptation procedures, and concurrent pilot testing. As validity and reliability are key aspects of measure development, we also report on our process of assessing the measure’s construct validity and utility for the implementation outcomes of acceptability, appropriateness, and feasibility. Results Continuous stakeholder involvement and concurrent pilot testing resulted in several adaptations of the BeFITS-MH measure’s structure, scaling, and format to enhance contextual relevance and utility. Adaptations of broad terms such as “program,” “provider type,” and “type of service” were necessary due to the heterogeneous nature of interventions, type of task-sharing providers employed, and clients served across the three global sites. Item selection benefited from the iterative process, enabling identification of relevance of key aspects of identified barriers and facilitators, and what aspects were common across sites. Program implementers’ conceptions of utility regarding the measure’s acceptability, appropriateness, and feasibility clustered across several common categories. Conclusions This case study provides a rigorous, multi-step process for developing a pragmatic IS measure. The process and lessons learned will aid in the teaching, practice and research of IS measurement development. The importance of including experiences and knowledge from different types of stakeholders in different global settings was reinforced and resulted in a more globally useful measure while allowing for locally-relevant adaptation. To increase the relevance of the measure it is important to target actionable domains that predict markers of utility (e.g., successful uptake) per program implementers’ preferences. With this case study, we provide a detailed roadmap for others seeking to develop and validate IS measures that maximize local utility and impact.
dc.fechaingreso.objetodigital2024-11-10
dc.format.extent17 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationBMC Health Services Research. 2024 Nov 06;24(1):1352
dc.identifier.doi10.1186/s12913-024-11783-6
dc.identifier.urihttps://doi.org/10.1186/s12913-024-11783-6
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88517
dc.information.autorucEscuela de Medicina; Velasco Grandón, Paola Renée; S/I; 1086272
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaBMC Health Services Research
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.rights.licenseCC BY 4.0 Attribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectTask-sharing
dc.subjectMental Health Services
dc.subjectImplementation science
dc.subjectMeasure development
dc.subjectMeasure adaptation
dc.subjectMeasure validation
dc.subjectCase study
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA case study of the development of a valid and pragmatic implementation science measure: the Barriers and Facilitators in Implementation of Task-Sharing Mental Health interventions (BeFITS-MH) measure
dc.typeartículo
dc.volumen24
sipa.codpersvinculados1086272
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