Faculty, Staff and Student Publications
Publication Date
9-1-2023
Journal
Journal of Community Psychology
Abstract
Implementing evidence-based interventions remains slow in federally qualified health centers (FQHCs). The purpose of this study is to qualitatively examine the R = MC2 (Readiness = motivation × innovation specific capacity × general capacity) heuristic subcomponents in the context of implementing general and colorectal cancer screening (CRCS)-related practice changes in FQHCs. We conducted 17 interviews with FQHC employees to examine (1) experiences with successful or unsuccessful practice change efforts, (2) using approaches to promote CRCS, and (3) opinions about R = MC2 subcomponents. We conducted a rapid qualitative analysis to examine the frequency, depth, and spontaneity of subcomponents. Priority, compatibility, observability (motivation), intra- and interorganizational relationships (innovation-specific capacity), and organizational structure and resource utilization (general capacity) emerged as highly relevant. For example, organizational structure was described as related to an organization's open communication during meetings to help with scheduling procedures. The results contribute to understanding organizational readiness in the FQHC setting and can be helpful when identifying and prioritizing barriers and facilitators that affect implementation.
Keywords
Humans, Communication, Qualitative Research, implementation, organizational readiness, colorectal cancer screening, federally qualified health centers, R=MC2, rapid qualitative analysis, innovation
DOI
10.1002/jcop.23041
PMID
37021464
PMCID
PMC10523852
PubMedCentral® Posted Date
9-1-2024
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Included in
Mental and Social Health Commons, Psychological Phenomena and Processes Commons, Public Health Commons