TABLE 1.
DECIPHeR Alliance implementation research center projects
| University of California Los Angeles | University of Colorado | Tulane University | Northwestern University | University of Illinois at Chicago | New York University Grossman School of Medicine | Johns Hopkins University School of Medicine and University of Michigan | |
|---|---|---|---|---|---|---|---|
| Study | Multi‐ethnic multi‐level strategies and behavioral economics to eliminate hypertension disparities in LA County | Reducing asthma attacks in disadvantaged school children with asthma | Community health worker‐led church‐based intervention for eliminating cardiovascular health disparities in African Americans | Community intervention to reduce cardiovascular disease in Chicago (CIRCL‐Chicago) | Mi QUIT CARE (Mile Square QUIT Community‐Access‐Referral‐Expansion), | Actions to decrease disparities in risk and engage in shared support for blood pressure control (ADRESS‐BP) in Blacks | Achieving cardiovascular health equity in community mental health: optimizing implementation strategies |
| Population | Latino, Black, Korean, Chinese, and Filipino‐American adults | Children living in disadvantaged and under‐resourced communities (rural, mid‐size urban) | Inner city and rural Blacks and African American adults | Black and African American adults | Low‐income racial/ethnic minority adults in clinics | Blacks and African Americans with uncontrolled Hypertension | Adults with serious mental illness |
| Setting | County health services including community agencies and non‐profit organizations | Schools | African American Churches | Faith‐based organizations and Federally Qualified Health Care Centers (FQHCs) | FQHCs | Primary care practices | Outpatient community mental health programs, behavioral health homes |
| City/state | Los Angeles, CA | Colorado | New Orleans, LA | South Side Chicago, IL | Chicago, IL | New York City | Maryland and Michigan |
| Health outcomes | Hypertension management | Asthma in children | Cardiovascular health | Hypertension control | Smoking cessation | Hypertension control | Cardiovascular disease risk |
| Currently proposed study design | Stepped‐wedge cluster randomized design | Stepped‐wedge design | Effectiveness‐implementation hybrid type 2 design—Cluster randomized trial | Effectiveness‐implementation hybrid type 2 design | Effectiveness‐implementation hybrid type 1 design | Stepped‐wedge cluster RCT | Non‐restricted SMART with 2×2 factorial |
| Evidence‐based intervention |
(1) Medication therapy management (2) Home blood pressure monitoring (3) Cultural adaptation of lifestyle modification with support from community health workers |
(1) Colorado School‐Based Asthma Program (Col‐SBAP) (2) Comprehensive Assessment and Case Management of SDOH |
Community‐health workers led church based multifaceted implementation strategy | Adaptation of the Kaiser Hypertension Control Bundle |
(1) An electronically delivered brief smoking cessation intervention (Ask, Advise, Refer, AAR), (2) proactive linkage of smokers to the Illinois Tobacco Quit Line (ITQL) (3) patient navigation to reduce barriers to care. |
(1) Nurse case management (NCM); (2) home blood pressure monitoring (HBPM) (3) community health workers (CHWs) led health education and coaching |
(1) IDEAL: CVD risk factor counseling and education as well as care coordination /management (2) Life goals: self‐management focused intervention for coping with psychiatric symptoms and improving overall health behavior change around CVD risk factors |
| Implementation process and determinants framework(s) | EPIS | EPIS and PRISM | EPIS | EPIS | PRISM | CBPR and CFIR | REP |
| Implementation evaluation framework | RE‐AIM | RE‐AIM | RE‐AIM | RE‐AIM | RE‐AIM | Proctor | Proctor |