Applying Implementation Science Methods to Prospectively Track the Adaptation of an Evidence-Based Deprescribing Intervention for Use in a New Health System and Country.
Cara C Lewis, Kanichi G Nakata, Benjamin H Balderson et al.
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In 30 seconds
This pragmatic clinical trial evaluated the adaptation of the STOP-FALLS deprescribing intervention for older adults within the Kaiser Permanente Washington health system. The study identified 27 modifications to the intervention and implemented 13 discrete strategies to enhance its effectiveness in reducing fall risk associated with medications. The findings highlight the importance of tailoring interventions to specific health system contexts.
Key findings
- Twenty-seven adaptations were made to the STOP-FALLS intervention.
- Thirteen discrete implementation strategies were deployed during the preimplementation phases.
- Modifications included the inclusion of opioid medications based on local guidelines.
Why it matters
Understanding how to effectively adapt evidence-based interventions like STOP-FALLS is crucial for reducing fall risks in older adults. This study provides insights into implementation strategies that can enhance the effectiveness of such interventions in diverse health systems.