DESCRIPTION
The use of pragmatic trials and calls for stakeholder engagement during trial implementation have common goals: increase diversity of views and contributions, co-creation during the implementation process, and sustainment of evidence-based practices in real-world clinical and community settings. Early calls for the value of pragmatic trials can be traced back to 1967 with Schwarts and Lelouch’si call for ‘pragmatic attitudes’ during clinical trials. The younger field of implementation science with an emphasis on contexts and faster translation of evidence into routine practices in real-world settings can greatly contribute to the achievement of pragmatic trial goals. I will first provide an overview of the concept of implementation strategies and their role in pragmatic trials, as well as an overview of the state of the literature. Then, I will discuss stakeholder engagement using the 7 P’s Stakeholder Matrix by highlighting the role of context on shaping engagement within and across stakeholder categories. Last, I will advocate for the inclusion of engagement strategies that can foster co-creation, and social justice and inclusion, as promising avenues to increase health equity in the United States. My overall goal is that this discussion will enable a shift, from linear and formulaic approaches to engagement with diverse communities, to a contex-dependent and health equity approach.
LEARNING OBJECTIVES
- Learn the concept of implementation strategies and its role in pragmatic trials
- Identify state of the literature on approaches to stakeholder engagement in
pragmatic trials, limitations, and future research - Analyze stakeholder engagement taxonomies (7 P’S Stakeholder Matrix) as context
dependent - Learn various ways to incorporate stakeholder engagement in grant applications and
scientific publications - Advocate for concrete ways to co-create and incorporate a lens of social justice and
inclusion in stakeholder engagement efforts
PRESENTER(S)
Mónica Pérez Jolles, PhD, MA, is a health service and implementation scientist seeking to close the health gap through team-based science. Her research focuses on bringing together scientists from various backgrounds to support Federally Qualified Health Centers (FQHCs) in their efforts to implement and evaluate complex interventions; particularly patient/family-centered and trauma-informed care. Projects include a PCORI-funded Eugene Engagement Award developing a toolkit to increase the capacity of behavioral health care providers to engage in Patient-Centered Outcomes Research (PCOR). Based on her previous work in NC, she recently completed a multi-site pilot study in Los Angeles County exploring the acceptability and feasibility of the concept of health activation among individuals who experienced homelessness and currently live in permanent supportive housing.