Publications by authors named "Caitlin B Kappler"
Article Synopsis
- There is a lack of effective contextual measures to predict the adoption of evidence-based programs in clinical settings, which can hinder their implementation.
- This study focused on Veterans Affairs hospitals and analyzed various organizational characteristics, such as resilience and readiness for change, to see how they influenced the adoption of a walking program called STRIDE.
- The results showed that factors like hospital complexity, resource availability, and past implementation experience significantly affected adoption rates, with hospitals demonstrating stronger organizational support being more successful in adopting the program.
Background: There is increasing recognition of the importance of maximizing program-setting fit in scaling and spreading effective programs. However, in the context of hospital-based mobility programs, there is limited information on how settings could consider local context and modify program characteristics or implementation activities to enhance fit. To fill this gap, we examined site-initiated adaptations to STRIDE, a hospital-based mobility program for older Veterans, at eight Veterans Affairs facilities across the United States.
View Article and Find Full Text PDFArticle Synopsis
- The study addresses the challenges of implementing evidence-based healthcare programs in inpatient settings, focusing on the need for strategies to enhance quality improvement.
- It evaluates CONNECT, an intervention based on complexity science, which aims to boost team readiness and improve the implementation of the 'Assisted Early Mobility for Hospitalized Older Veterans' program (STRIDE).
- Results indicate that VAMCs utilizing CONNECT had significantly higher program reach while showing similar fidelity as those that did not use the intervention, along with improvements in team function.
Background: STRIDE is a supervised walking program designed to address the negative consequences of immobility during hospitalization for older adults. In an 8-hospital stepped wedge randomized controlled trial, STRIDE was associated with reduced odds of hospital discharge to skilled nursing facility. STRIDE has the potential to become a system-wide approach to address hospital-associated disability in Veteran's Affairs; however, critical questions remain about how best to scale and sustain the program.
View Article and Find Full Text PDFBackground: In trials, hospital walking programs have been shown to improve functional ability after discharge, but little evidence exists about their effectiveness under routine practice conditions.
Objective: To evaluate the effect of implementation of a supervised walking program known as STRIDE (AssiSTed EaRly MobIlity for HospitalizeD VEterans) on discharge to a skilled-nursing facility (SNF), length of stay (LOS), and inpatient falls.
Design: Stepped-wedge, cluster randomized trial.