Ford-Gilboe Marilyn, Scott-Storey Kelly, Browne Annette J, Varcoe Colleen, Burd Caitlin, Campbell Karen, Garinger Christine, Jack Susan, Lynch Kelsey, Malcolm Jeannie, Mantler Tara, O'Donnell Sue, Perrin Nancy, Potvin Jacqueline, Safar Christina, Smye Victoria, Taylor Petrea, Wathen C Nadine
Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada.
Faculty of Nursing, University of New Brunswick, Fredericton, New Brunswick, Canada.
PLoS One. 2025 Sep 16;20(9):e0330285. doi: 10.1371/journal.pone.0330285. eCollection 2025.
This participatory, mixed methods study will explore how iHEAL, a woman-led, nurse-delivered health promotion intervention for women who have experienced intimate partner violence (IPV), can be implemented in real-world, community-based health care settings located in 3 Canadian provinces. Grounded in the Active Implementation Frameworks, the study's primary aim is to identify the processes, resources and supports necessary to implement and sustain this novel program with fidelity while maintaining its benefits for women.
METHODS/DESIGN: Over 2.5 years, each organization will plan for and deliver the iHEAL program, supported by an iHEAL Consultant. To explore implementation processes and fidelity, successes and challenges, and any value-added of iHEAL to organizations and/or communities, qualitative interviews will be conducted with 3 groups of participants: 1) organizational leaders; 2) implementation/delivery team members (nurses and supervisors); and 3) external stakeholders or agencies supporting iHEAL through referrals or other collaboration. High level notes capturing key issues and decisions at planning meetings will supplement these data. Administrative program data will be collected to assess program reach, participant engagement, and aspects of fidelity. Women participating in iHEAL will also be invited to complete pre/post intervention surveys to assess changes in key outcomes, with a subsample of 60 women to be interviewed about their experiences of iHEAL and suggestions for strengthening the program. Qualitative data will be analyzed using Rapid Team Based Qualitative Analysis and Reflective Thematic Analysis. Quantitative data will be summarized using descriptive statistics; pre-post intervention changes in outcomes collected in women's surveys will be analyzed using paired t-tests. Ethical approval has been obtained, and all participants will provide informed consent.
The findings of this research are expected to yield insights about organizational factors that shape the delivery of iHEAL and support the development of guidance materials for future iHEAL implementation and scale up.
这项参与性混合方法研究将探索“iHEAL”（一项由女性主导、护士提供的针对遭受亲密伴侣暴力（IPV）女性的健康促进干预措施）如何在加拿大3个省份的现实社区医疗环境中实施。基于积极实施框架，该研究的主要目的是确定在忠实实施并维持这一新颖项目的同时保持其对女性益处所需的流程、资源和支持。
方法/设计：在2年半的时间里，每个组织将在一名iHEAL顾问的支持下规划并实施iHEAL项目。为了探索实施过程、忠实度、成功与挑战以及iHEAL对组织和/或社区的任何附加值，将对三组参与者进行定性访谈：1）组织领导者；2）实施/交付团队成员（护士和主管）；3）通过转介或其他合作支持iHEAL的外部利益相关者或机构。记录规划会议关键问题和决策的高级别笔记将补充这些数据。将收集项目管理数据以评估项目覆盖范围、参与者参与度和忠实度方面的情况。参与iHEAL的女性也将被邀请完成干预前/后调查，以评估关键结果的变化，将抽取60名女性作为子样本，就她们参与iHEAL的经历以及加强该项目的建议进行访谈。定性数据将使用基于团队的快速定性分析和反思性主题分析进行分析。定量数据将使用描述性统计进行汇总；女性调查中收集的干预前/后结果变化将使用配对t检验进行分析。已获得伦理批准，所有参与者都将提供知情同意。
本研究结果预计将深入了解影响iHEAL实施的组织因素，并为未来iHEAL的实施和推广提供指导材料。
