Finding meaning: a realist-informed perspective on social risk screening and relationships as mechanisms of change.

ABSTRACT:

Background

Social risk screening rates in many US primary care settings remain low. This realist-informed evaluation explored the mechanisms through which a tailored coaching and technical training intervention impacted social risk screening uptake in 26 community clinics across the United States.

Methods

Evaluation data sources included the documented content of interactions between the clinics and implementation support team and electronic health record (EHR) data. Following the realist approach, analysis was composed of iterative cycles of developing, testing and refining program theories about how the intervention did-or didn't-work, for whom, under what circumstances. Normalization Process Theory was applied to the realist program theories to enhance the explanatory pow

SUBMITTER: Bunce AE 

PROVIDER: S-EPMC10626542 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature