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1 Co-Hosted by the National Institutes of Health and AcademyHealth Visualization of the reach of an intervention: Use of geographic information systems in implementation research Lexus L. Ujano-De Motta, B.S. Heather Gilmartin, PhD, NP

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Visualization of the reach of an intervention: Use of geographic information systems in implementation research

Lexus L. Ujano-De Motta, B.S. Heather Gilmartin, PhD, NP Seattle-Denver Center of Innovation - VHA

Co-Hosted by the National Institutes of Health and AcademyHealth @ SeaDenCOIN

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Disclaimer

The contents of this presentation do not represent the views of the U.S. Department

f Veterans Affairs or the United States

Government Conflicts of Interest - None

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Overview

§ VA rural Transitions Nurse Program § Reach in a RE-AIM framework § Geographic information systems § Stakeholder insights

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Implementation Research

The study of methods to promote the adoption and integration of evidence-based practices, interventions and policies into routine health care and public health settings.

National Institutes of Health

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VA Rural Transitions Nurse Program (TNP)

Leonard et al, 2017

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RE-AIM Framework -- REACH

Actual participants Intended participants

Glasgow et al, 1999

X 100

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TNP Reach – One Site

123 participants 1695 eligible

May to September 2017

X 100 = 7%

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How far had TNP Reached…

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Geographical Information System Mapping

Framework for gathering, managing, analyzing data
Rooted in science of geography
Reveals patterns

TNP enrolled 1,679 Veterans at 9 sites

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…this is a great advertisement for our program.”

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… they can visualize that the patient is in the middle of nowhere.. And so we can’t get home health care to them, we can’t get someone to fill their med box… it helps us be aware of distances…

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Acceptability & Appropriateness

Item (n = 13) Mean The GIS meets my approval 4.4 The GIS map is appealing to me 4.3 I like the GIS map 4.3 I welcome the GIS map 4.5 The GIS map seems fitting 4.5 The GIS map seems suitable 4.5 The GIS seems applicable 4.5 The GIS map seems like a good match 4.5

Key: 5 point Likert Scale – (1) Complete disagree to (5) Complete agree Weiner et al., 2017

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Why Use GIS for Reach

Easy data visualization method
Self-explanatory
Communicates beyond numbers

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GIS Resources

Environmental Systems Research Institute
www.esri.com
Mango Mapping
www.mangomap.com

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Acknowledgements

Robert Burke Andrew Coy David Gaskin Anne Hines Lynette Kelley Chelsea Leonard Brandi Lippmann Ashlea Mayberry Marina McCreight Ted Warsavage : Office of Rural Health Office of Nursing Services Transition Nurses Site Champions TNP Veterans

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References

Leonard, C., et al. (2017). Implementation and dissemination of a transition of

care program for rural veterans: A controlled before and after study. Implementation Science, 12(1), 123.

Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health

impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89(9), 1322-1327.

Weiner, B. J., et al. (2017). Psychometric assessment of three newly developed

implementation outcome measures. Implementation Science, 12(1), 108.

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THANK YOU!

Lexus L. Ujano-De Motta, B.S. Seattle-Denver Center of Innovation (COIN) - Department of Veterans Affairs Lexus.Ujano-DeMotta@va.gov

@ SeaDenCOIN @hgrnepi