ASPO Abstracts
Salud en Mis Manos-Dissemination and Implementation Assistance (SEMM-DIA): Developing on-line implementation strategy using the systematic Implementation Mapping approach.
Category: Cancer Health Disparities
Conference Year: 2023
Abstract Body:
Purpose: Salud en Mis Manos (SEMM) is an underutilized community health worker (CHW)-delivered intervention proven to effectively increase breast and cervical cancer screening among medically underserved Latinas. To support clinic implementation and dissemination of SEMM, we used the systematic Implementation Mapping planning approach to design and produce the SEMM-Dissemination and Implementation Assistance (SEMM-DIA) implementation strategy. The first 3 planning tasks included 1) conduct a needs and assets assessment and identify intervention adopters and implementers, 2) state implementation and maintenance outcomes, performance objectives, and identify determinants to create matrices of change objectives, and 3) choose theoretical methods and create implementation strategies. Here we describe task 4: design and production of SEMM-DIA. Method: To create the SEMM-DIA design documentation, the team 1) conceptualized the SEMM implementation flow, 2) categorized and adapted existing SEMM implementation resources (e.g., CHW training, CHW delivery guides) and prepared new protocols, tools, and documentation to support clinic stakeholders' implementation planning, delivery, and process monitoring (e.g., a clinic readiness assessment, Champion training, clinic preparation planning, and field implementation inventory). Result: The SEMM-DIA design document included specifications for a multifaceted website, as well as external components, including the ECHO tele-mentoring platform and clinic training. To guide clinic managers and CHWs through a 5 step process titled '5 steps to SEMM', the website comprises: 1) Exploration (Prioritizing SEMM), 2) Preparation (Assessing clinic readiness), 3) Preparation for implementation of SEMM, 4) Implementation, and 5) Maintenance. SEMM-DIA comprises resource assets, such as video guides, inventory checklists, the SEMM CHW training curriculum, and intervention guides. The design document guided SEMM-DIA programming. Conclusion: Implementation Mapping provides a model for developing a multi-component, multi-level user-friendly implementation support strategy to promote feasibility, fidelity and effectiveness of SEMM in clinic settings. Implementation Mapping task 5 will evaluate SEMM-DIA's effect on SEMM's implementation outcomes.
Keywords: Implementation Mapping, Implementation Strategy, Community Health Workers, Cancer Prevention