Implementation science: Implications for intervention research in hospice and palliative care

George Demiris, Debra Parker Oliver, Daniel Capurro, Elaine Wittenberg-Lyles

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations

Abstract

This article provides a general introduction to implementation science-the discipline that studies the implementation process of research evidence-in the context of hospice and palliative care. By discussing how implementation science principles and frameworks can inform the design and implementation of intervention research, we aim to highlight how this approach can maximize the likelihood for translation and long-term adoption in clinical practice settings. We present 2 ongoing clinical trials in hospice that incorporate considerations for translation in their design and implementation as case studies for the implications of implementation science. This domain helps us better understand why established programs may lose their effectiveness over time or when transferred to other settings, why well-tested programs may exhibit unintended effects when introduced in new settings, or how an intervention can maximize cost-effectiveness with strategies for effective adoption. All these challenges are of significance to hospice and palliative care, where we seek to provide effective and efficient tools to improve care services. The emergence of this discipline calls for researchers and practitioners to carefully examine how to refine current and design new and innovative strategies to improve quality of care.

Original languageEnglish
Pages (from-to)163-171
Number of pages9
JournalGerontologist
Volume54
Issue number2
DOIs
StatePublished - Apr 1 2014

Keywords

  • End of life
  • Hospice
  • Implementation science
  • Palliative care
  • Translational research

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