Mixed-methods evaluation of the initial implementation of advanced home visits in Chile

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dc.catalogadorgjm
dc.contributor.authorGarcía-Huidobro Munita, Diego Nicolás
dc.contributor.authorVergés, Álvaro
dc.contributor.authorBasualto, Patricia
dc.contributor.authorCalvo Miranda, Carlos
dc.contributor.authorBoetto Puebla, Carolina
dc.contributor.authorSoto, Mauricio
dc.contributor.authorKopplin Ibáñez, Erika Blanca
dc.contributor.authorMartínez Pérez, Mayra Alicia
dc.contributor.authorAracena Álvarez, Marcela
dc.date.accessioned2023-09-26T14:42:07Z
dc.date.available2023-09-26T14:42:07Z
dc.date.issued2022
dc.description.abstractHome visiting programs are evidence-based interventions that have a myriad outcomes for mothers and newborns. Chile offers these services as part of the Chile Crece Contigo, a nationwide program. However, implementing home visiting programs in community settings is difficult. In this study, we report clinic, provider, and participant engagement with the implementation of advanced home visits (ViDAs) in Chilean primary care clinics. ViDAs include a high number of visits, external supervision, and the use of technology. In this study, qualitative and quantitative data were collected to assess the initial implementation of the home visiting strategy. Qualitative data consisted of individual interviews and focus groups with directors of city health departments, clinic managers, and providers conducting home visits. Quantitative data included clinic, provider, and participant recruitment. City health departments were approached to authorize the participation of primary care clinics in the ViDAs program. Then, clinic directors were invited to approve the implementation of the home visiting program at their health centers. In total, 16 clinics, 42 practitioners, and 185 participants were recruited. A large amount of resources was needed to recruit clinics, providers, and participants. The intervention had low acceptability, low adoption, and a high implementation cost. Initial program implementation experienced several challenges. Identified facilitators and barriers both highlighted the need for community engagement at all levels for the successful implementation of an innovation in Chilean primary care clinics. In addition, this article provides recommendations for practitioners and researchers regarding the conduct of research in community-based settings.
dc.description.funderNational Fund for the Promotion of Scientific and Technological Development
dc.description.funderNational Commission for Scientific and Technological Research
dc.description.funderFONDECYT
dc.description.funderFONDEF
dc.fechaingreso.objetodigital2023-09-26
dc.fuente.origenScopus
dc.identifier.doi10.1177/1524839920982674
dc.identifier.eissn1552-6372
dc.identifier.issn1524-8399
dc.identifier.scopusidSCOPUS_ID:85098858904
dc.identifier.scopusidSCOPUS_ID:2-s2.0-85098858904
dc.identifier.urihttps://journals.sagepub.com/doi/10.1177/1524839920982674#con2
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74683
dc.identifier.wosidWOS:000621899600001
dc.information.autorucEscuela de Medicina; García-Huidobro Munita, Diego Nicolás; 0000-0003-1964-7640; 16671
dc.information.autorucEscuela de Psicología; Vergés, Álvaro; 0000-0002-5138-1312; 165712
dc.information.autorucEscuela de Psicología; Basualto, Patricia; 0000-0002-0500-7258; 224731
dc.information.autorucEscuela de Química; Calvo Miranda, Carlos; S/I; 132307
dc.information.autorucEscuela de Psicología; Boetto Puebla, Carolina; S/I; 11750
dc.information.autorucEscuela de Psicología; Kopplin Ibáñez, Erika Blanca; S/I; 52336
dc.information.autorucEscuela de Psicología; Martínez Pérez, Mayra Alicia; S/I; 146627
dc.information.autorucEscuela de Psicología; Aracena Álvarez, Marcela; S/I; 54857
dc.issue.numero3
dc.language.isoen
dc.nota.accesoContenido parcial
dc.revistaHealth Promotion Practice
dc.rightsacceso restringido
dc.subjectCommunity-engaged research
dc.subjectHome visits
dc.subjectImplementation science
dc.subjectMixed-methods
dc.subjectPrimary care
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleMixed-methods evaluation of the initial implementation of advanced home visits in Chile
dc.typeartículo
dc.volumen23
sipa.codpersvinculados16671
sipa.codpersvinculados165712
sipa.codpersvinculados224731
sipa.codpersvinculados132307
sipa.codpersvinculados11750
sipa.codpersvinculados52336
sipa.codpersvinculados146627
sipa.codpersvinculados54857
sipa.indexWOS
sipa.indexScopus
sipa.indexPubmed
sipa.trazabilidadScopus;12-10-2021
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