Development Of Educational Materials Research Articles

Healthcare professionals' perspectives on use of PCSK9 inhibitors in cardiovascular disease: an in-depth qualitative study.

Injectable medicines such as PCSK-9 inhibitors are increasingly used to manage risk factors for cardiovascular events with little information around the perceptions of healthcare professionals (HCPs) on the administrative and clinical practicalities. The aim was to identify the facilitators and barriers on the use of injectable therapies with CV benefits through interviews with HCPs. Qualitative interviews were conducted in the United Kingdom (London and Leeds) and Italy (Rome and Milan) in 2021. Coding was undertaken using NVivo and thematic analysis performed. A total of 38 HCPs were interviewed, 19 in each country composing of physicians (n = 18), pharmacists (n = 10), nurses (n = 9) and pharmacy technician (n = 1). Four themes emerged: (i) Clinicians' previous experiences with injectable therapies (ii) Challenges with patients' behaviours and beliefs (iii) Clinicians' knowledge of injectable therapies and therapeutic inertia and (iv) Organisational and governance issues. The behaviour and beliefs from healthcare professionals focused on facilitating behaviour change as well as the poor interdisciplinary working and collaboration. Therapeutic inertia was raised where physicians either lacked awareness of injectable therapies or were unwilling to prescribe them. The importance of facilitating patient education on injection techniques was highlighted while organisational and governance issues identified the lack of guidance to inform practice. Clear pathways are required to identify those who were eligible for injectable therapies as well as on how injectables should be prescribed. If medicine optimisation is to be achieved, there needs to be structured processes in place to identify eligible patients and the development of educational material.

Nursing intervention analysis: Understanding the characteristics of trauma patients in a regional emergency medical center

Introduction: This study aims to analyze nursing interventions for trauma patients at regional emergency medical centers based on injury types, mechanisms, and sites, providing foundational data for nursing education programs. Specific goals include understanding trauma patient characteristics, determining the frequency of nursing interventions by injury types, mechanisms, and sites and identifying variations in nursing interventions based on injury characteristics.Methods: Conducted retrospectively, this study contributes basic data for creating nursing education materials. It includes 661 eligible trauma patients out of 19,920 visits to the S city regional emergency medical center between March 1, 2019, and February 29, 2020.Results: This research is pivotal in gathering contexts for nursing interventions among trauma patients, providing essential information for the development of nursing education resources. It emphasizes the importance of a comprehensive analysis of interventions tailored to the type, location, and mechanism of injuries to ensure effective patient care. The development and ongoing use of educational materials for nurses remain vital.Conclusions: This investigation highlights the importance of documenting and analyzing nursing intervention strategies in trauma care, establishing a solid foundation for educational content in this field. Continuous examination of varied interventions according to injury characteristics is crucial for delivering precise and effective nursing care. The sustained development and application of educational resources in nursing are essential for improving patient outcomes.

Occupational therapy and chronic pain - the didactic experience at academic pain league at the University of São Paulo medical school

Occupational Therapy interventions for people with chronic pain focus on promoting independence/autonomy and rescuing meaningful activities (interrupted after the limitations brought about by illness). Various strategies can be used, such as: guidance on energy conservation and joint protection techniques, prescription and/or manufacture of positioning devices, prescription and/or manufacture of assistive technology equipment, development of creative and expressive activities, training activities of daily living, environmental assessment, guidance for family members and caregivers. This article aims to present the implementation of the Occupational Therapy Service at the FMUSP Pain League, developed since 2023. The work focused on implementing Occupational Therapy as one of the professions that make up the FMUSP Pain League, on a permanent and continuous basis; and, in addition, allow undergraduates teaching opportunities (theoretical and practical) related to the multidisciplinary care of people with chronic pain, as well as promoting research actions in the area of ​​Occupational Therapy and Chronic Pain. In OT, a student and the supervising teacher work, together with the multidisciplinary team. Activities are weekly and take place at night. Remote and in-service supervision is carried out. The implementation took place in 3 stages. In the first stage, we sought to understand the dynamics of the league, as well as characterize the patients and their specific demands, through participant observation. The second stage was structured around the specific OT intervention; evaluations of league users were carried out, with the application of evaluation and recording instruments. The third stage focused on monitoring patients and families, with new assessments carried out when necessary. Interventions follows through individual plan care, family guidance, development of educational material, prescription and/or production of assistive technology devices. The service uses a specific evolution form and the data feeds into a service database. We consider that the results obtained are satisfactory, as theoretical and practical learning was possible for the participating student. Currently, Occupational Therapy is already part of the League's routine activities, with participation in the Introductory Course, in the Board of Directors and in planning activities for 2024.

The Development of Semantic Processing in Children’s Emotional Advancement: An Analysis of the Movie “Inside Out”

The study focuses on the development of semantic processing in children through the lens of the Disney animated movie “inside out” by Pete Docter and Ronnie Del Carmen. Semantic processing is a basic aspect of human knowledge of language processing that enables to extract meaning from the words and to comprehend the intended information conveyed by others. The movie “Inside Out” depicts the story of an 11-year-old girl named Riley and the personification of her emotion Joy, Sadness, Anger, Fear and Disgust as they navigate her life experiences. By analyzing the movie’s plot, characters and dialogues, the study investigates (1) how children’s semantic processing develops over time, (2) how it relates to the ability to understand abstract concepts and how it can impact children’s emotional development. (3) What role do metaphors and analogies play in the semantic development of children depicted in the movie. The goals of this study are to investigate the content, characters, and themes of the movie, to analyze the use of metaphors and analogies in the movie and to explore the relationship between the development of semantic processing and children's emotional advancement. The present study used mixed method to provide a comprehensive understanding of the phenomenon. The study targeted two different age groups i.e. 5-8 years and 9-12 years to calculate the impact of age on the development of semantic processing. The findings indicate that the movie “Inside Out” successfully engaged the children in reflecting on and succussing their understanding of emotions. Participants demonstrated and enhanced awareness of the importance and complexity of emotions. Also, it provides insight into how animated movies can be used as a tool to promote semantic development in children’s emotional advancement and inform the development of educational materials that can facilitate semantic processing in children.

한⋅베 식문화 비교를 통한 사회통합프로그램 교재 개선 방안 연구

Objectives The purpose of this study is to compare the food cultures of Korea and Vietnam and to explore ways to supplement the content of food culture education in the textbooks ‘Korean Language and Culture’ Beginner 1⋅ 2 and Intermediate 1⋅2, which are used in the Korea Immigration and Integration Program. Methods This study compared the food cultures of Korea and Vietnam through a literature review and analyzed the content of food culture education in the ‘Korean Language and Culture’ textbooks Beginner 1⋅2 and Intermediate 1⋅2. Based on this analysis, it identified areas of deficiency in the textbooks and proposed educational strategies to enhance learning effectiveness. Results The comparison of food cultures between Korea and Vietnam revealed significant differences in food styles, cooking methods, and dining customs between the two countries. Additionally, it was identified that there are areas in the food culture education content of the ‘Korean Language and Culture’ textbooks that require improvement. Conclusions In this study, strategies and methods for educating Vietnamese female marriage immigrants on food culture through the ‘Korean Language and Culture’ textbook were proposed. By expanding and enhancing the content of the textbook, not only can the effectiveness of learning be increased, but also adaptability can be enhanced by introducing practical experience programs where learners can directly experience and learn about Korean dining culture. In the future, more systematic development of educational materials and expansion of practical experience programs will be necessary, and conducting comparative studies on various cultures through online education platforms will further enhance the effectiveness of food culture education.

On the development of linguistic and cultural competence in a Chinese audience (based on media texts)

This scientific article examines the concepts of “media-text” and “linguistic and cultural competence”, analyzes various definitions of these concepts in the works of researchers in the Russian Federation and describes the features of working with media texts in classes of Russian as a foreign language.The article emphasizes the importance of including media texts in the educational process for the effective presentation and control of the acquisition of linguistic and cultural information, the development of productive and receptive types of speech activity in Chinese students, in particular, the skills of listening, speaking and reading.This scientific article provides teachers with recommendations and methodological approaches to the selection of certain media texts for use in classes of Russian as a foreign language. The results of the study may be useful for the further development of educational materials aimed at developing linguistic and cultural competence in Chinese students.As a result of the research, we have found that media texts are an essential tool for learning language and culture in a multicultural context; the use of media texts increases foreign students’ motivation and interest in learning Russian as a foreign language. The article presents the results of an experimental study that confirm the hypothesis that media texts contribute to the development of linguistic and cultural competence and have a positive effect on the learning process.

Improvement of students' digital literacy through the development of android-based Smart Edu learning media on plant breeding material

This study intends to increase students' digital literacy abilities through the implementation of Smart Edu learning media in plant breeding material. This is a research and development project. Peer reviewers, material specialists, media experts, and student trials are used to evaluate products. Digital literacy and media assessment questionnaires were used to gather research data. The investigation's findings are: 1) According to scientific phases, the Android-based Smart Edu learning media was created, and its features include an eye-catching visualization display, ease of use, and content that aligns with the goals of plant growth and development; 2) according to material expert tests, android-based smart edu learning media on plant growth and development material that has been developed is suitable for use in learning when viewed from the perspective of content assessment or the learning material's contents, which are included in the very good category; 3) learning with android-based smart edu media has significantly improved digital literacy when compared to conventional learning. The development and application of Android-based smart educational learning materials demonstrate that their use is both practical and efficient in enhancing students' digital literacy. Further study should be done to create iOS and Android-based applications as well

Evaluation of a didactic sequence proposal based on technoteaching applied in basic education

Faced with the problem of expository classes contributing little to student learning, a Didactic Sequence (SD) proposal was developed that promotes student protagonism in the construction of knowledge. The objective is to evaluate the proposal of this SD, based on the theoretical assumptions of Technoteaching, in view of the development of Digital Authorial Educational Materials (MADEs), making use of a digital technological artifact by Basic Education students. The intervention research, based on Design Based Learning (DBR), analyzed the application of two SD linked to Statistics and English Language content with students in the 2nd year of High School and the 5th year of Elementary School, respectively, based on the predicted SD model. It was found that the proposal was favorable in terms of quality, promoting the learning of the students involved.

Undergraduate and graduate students' conceptual understanding of model classification outcomes under the lens of scientific argumentation

AbstractRecent advancements in artificial intelligence (AI) and machine learning (ML) have driven research and development across multiple industries to meet national economic and technological demands. Consequently, companies are investing in AI, ML, and data analytics workforce development efforts to digitalize operations and enhance global competitiveness. As such, evidence‐based educational research around ML is essential to provide a foundation for the future workforce as they face complex AI challenges. This study explored students' conceptual ML understanding through a scientific argumentation framework, where we examined how they used evidence and reasoning to support claims about their ML models. This framework lets us gain insight into students' conceptualizations and helped scaffold student learning via a cognitive apprenticeship model. Thirty students in a mechanical engineering classroom at Purdue University experimented with neural network ML models within a computational notebook to create visual claims (ML models) with textual explanations of their evidence and reasoning. Accordingly, we qualitatively analyzed their learning artifacts to examine their underfit, fit, and overfit models and explanations. It was found that some students tended toward technical explanations while others used visual explanations. Students with technically dominant explanations had higher proficiency in generating correctly fit models but lacked explanatory evidence. Conversely, students with visually dominant explanations provided evidence but lacked technical reasoning and were less accurate in identifying fit models. We discuss implications for both groups of students and offer future research directions to examine how positive pedagogical elements of learning design can optimize ML educational material and AI workforce development.

Australian consensus statement on doxycycline post-exposure prophylaxis (doxy-PEP) for the prevention of syphilis, chlamydia and gonorrhoea among gay, bisexual and other men who have sex with men.

Doxycycline post-exposure prophylaxis (doxy-PEP) involves consuming 200 mg of doxycycline up to 72 hours after a condomless sex act to reduce the risk of bacterial sexually transmitted infections (STIs). Recent clinical trials of doxy-PEP have demonstrated significant reductions in syphilis, chlamydia and, to a lesser degree, gonorrhoea among gay, bisexual and other men who have sex with men (GBMSM). There is a high level of interest in doxy-PEP in the GBMSM community and, in response, the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) held a national consensus conference with the aim of creating preliminary guidance for clinicians, community, researchers and policy makers. There was broad agreement that doxy-PEP should be considered primarily for the prevention of syphilis in GBMSM who are at risk of this STI, with a secondary benefit of reductions in other bacterial STIs. At the end of the consensus process, there remained some disagreement, as some stakeholders felt strongly that doxy-PEP should be considered only for the prevention of syphilis in GBMSM, and that the risk of increasing antimicrobial resistance outweighed any potential benefit from reductions in other bacterial STIs in the target population. The national roundtable made several other recommendations for clinicians, community, researchers and policy makers, as detailed in this article. ASHM will support the development of detailed clinical guidelines and education materials on doxy-PEP (www.ashm.org.au/doxy-pep). For GBMSM at high risk of syphilis, and perhaps other bacterial STIs, clinicians may consider prescribing doxy-PEP for a limited period of time, followed by a review of ongoing need. Unlike human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP), doxy-PEP may not be suitable as a population-level intervention and should instead be used more selectively.

Exploring the experiences of wellbeing, health, and healthcare among women who have been domestically sex trafficked in Ontario, Canada: A qualitative study protocol.

Although there is a growing body of evidence to suggest that persons who have been sex trafficked can suffer devastating health consequences and often face challenges accessing suitable care that addresses their health and overall well-being, little existing research has adopted a survivor-informed approach. Centering the voices of sex-trafficked women in this research will provide valuable insights into their health-related experiences and can help lay the foundation for survivor-centric healthcare responses. Using a semi-structured interview guide, we will interview women who have been domestically sex trafficked in Ontario; recruitment will continue until data saturation is reached. Interview questions and prompts will elicit information about women's experiences prior to, during, and after their trafficking ordeal, with particular attention paid to their encounters with healthcare providers. Intersectionality theory will inform strategies for recruitment, data collection, and data analysis. Data will be analyzed deductively as well as inductively using Braun and Clarke's six phases of reflexive thematic analysis. The study's design was informed by the consolidated criteria for reporting qualitative research (COREQ), which ensures a comprehensive and robust reporting of interview data. We will continue to adhere to the COREQ checklist throughout the data collection, analysis, and findings write-up phases, helping to ensure methodological accuracy and transparency. To our knowledge, this will be the first Canada-specific investigation to apply intersectionality theory to explore the experiences of well-being, health, and healthcare from the perspectives of women who have been domestically sex trafficked. The results of this study hold the potential to improve responses to trafficking within the healthcare sector. Specifically, the findings could be used to inform the development of education materials and curricula for medical students and continuing professional education for health and allied healthcare providers. They could also inform the creation of patient experience surveys and intake forms for sex trafficked patients.

New Trends in E-learning and New Approaches to the Development of E-learning Educational Materials

E-learning represents an area that is dynamically developing and closely correlated with society's technological progress. Since its inception, we have witnessed many changes in e-learning development and the creation of electronic educational materials. With the growing development of modern technologies, E-learning is becoming a key element in education. This article aims to identify and describe the main trends in e-learning and the creation of electronic educational materials. As part of our survey, we identified the main trends shaping E-learning. These trends include various aspects, including the personalisation of education, the interactivity of courses, the use of artificial intelligence and data analysis for better efficiency, the development of virtual reality and augmented reality in the educational environment, the inclusion of various multimedia elements, and many others. We expect these trends to have a significant impact on the way educational materials are created and delivered. They open the door to new possibilities and innovations in the E-learning field, which promise a more effective and adaptable education for everyone.

Malaysian Science Teachers’ Tech-infused Instruction and Assessment Strategies

Science education consistently displays unique traits shaped by evolving educational landscapes, as well as global trends and developments. Despite global enthusiasm for technology in education, there is a notable dearth of studies on Malaysian science teachers' skills in integrating instructional technology. Studies in this region seldom delve deeply into the use of specific Information and Communication Technology (ICT) tools and web platforms in teaching and assessment, indicating a significant gap in the literature on technology integration in Malaysian science classrooms. This paper presents a study carried out involving a survey of 36 science teachers across 16 secondary schools in a district in Kelantan, one of the eastern states in Malaysia. It aimed to achieve the following research objectives: 1) To examine science teachers’ use of digital tools and technology in lesson planning and the development of educational materials; 2) To investigate science teachers’ incorporation of technology into their science instruction; and 3) To determine how technology is integrated into the science assessment and reporting process. The findings reveal a high level of digital resourcefulness among teachers, contrasting with prior studies that indicated minimal technological integration in Malaysian classrooms. Teachers predominantly relied on web resources like YouTube and online textbooks for lesson planning, while Microsoft PowerPoint and Google Slides were frequently used in instruction. Google Classroom and Quizizz were identified as the most common platforms in science assessments. The findings highlight a significant shift in technology usage, advocating for continued professional development, collaborative networks, and policy reforms to further integrate technology into science education. It also suggests that future studies should focus on more specific aspects of technology use, aiming to enhance its impact on teaching methodologies and curriculum alignment, thus making a significant contribution to the discourse on instructional technology in Malaysian science education.

RISE-Vac-Co-production of Vaccine Education Materials with Persons Living in Prison.

Increasing vaccination knowledge is effective in addressing hesitancy and is particularly important in populations deprived of liberty who may not routinely have access to health information, ensuring health equity. RISE-Vac is a European Union-funded project aiming to promote vaccine literacy, offer, and uptake in prisons in Europe. We consulted persons living in prisons in the United Kingdom (through the Prisoner Policy Network), France, and Moldova to determine their vaccination knowledge gaps, the information they would like to receive, and how they would like to receive it. We received 344 responses: 224 from the United Kingdom, 70 from France, and 50 from Moldova. Participants were particularly interested in learning about the effectiveness, side effects, and manufacturing of vaccines. Their responses guided the development of educational materials, including a brochure that will be piloted in prisons in Europe. Persons with experience of imprisonment were involved at every stage of this project.

Record, reflect and refine: using video review as an initiative to improve neonatal care.

The goal of every medical team is to provide optimal care for their patients. We aimed to use video review (VR) sessions to identify and address areas for improvement in neonatal care. For nine months, neonatal procedures (stabilization at birth, intubations and sterile line insertions) were video recorded and reviewed with the neonatal care providers. Action research was used to identify and address areas for improvement which were categorized as (1) protocol/equipment adjustments, (2) input for research, (3) aspects of variety, or (4) development of educational material or training programs. Eighteen VR sessions were organized with a mean(SD) of 17(5) staff members participating. In total, 120 areas for improvement were identified and addressed, of which 84/120 (70%) were categorized as aspects of variety, 20/120 (17%) as development of educational material or training programs, 10/120 (8%) as protocol/equipment adjustments, and 6/120 (5%) as input for research. The areas for improvement were grouped in themes per category, including sterility, technique, equipment, communication, teamwork, parents' perspective and ventilation. Our study showed that regularly organized VR empowered healthcare providers to identify and address a large variety of areas for improvement, contributing to continuous learning and improvement processes. Video review empowered healthcare providers to identify areas for improvement in neonatal care Video review gave providers the opportunity to address identified areas for improvement, either by enhancing the application of external evidence (i.e. guidelines), learning from individual clinical expertise or strengthening resilience and teamwork Embedding regularly organized video review sessions allowed for continuous monitoring of care by providers, which can be beneficial for creating ongoing learning and improvement processes The structured pathways, supporting implementation of changes that were proposed based on the video review sessions, could help other centers make use of the potential video review has to offer.

Increasing Community Nutrition Awareness through Balanced Nutrition Education Program


 Public health is a vital aspect in the development of a country. One of the key factors affecting health is balanced nutrition. Despite this, awareness of the importance of nutrition is often low in many societies, especially in developing countries. To overcome this challenge, balanced nutrition education programs have become one of the effective strategies. This program aims to increase public knowledge and awareness about the importance of balanced nutrition and encourage behavior change towards a healthier diet. Program implementation methods include identification of needs, development of appropriate educational materials, program implementation involving various related parties, periodic evaluation, and program adjustments as needed. The results of this program include increased knowledge of community nutrition, changes in healthier eating behaviors, and improved overall health and well-being of the community. The success of balanced nutrition education programs shows that this approach is effective in raising people's nutrition awareness and encouraging positive behavior change. However, sustainability and innovation development challenges still need to be addressed to achieve broader and sustainable impact in the long term. With strong commitment and cross-sector cooperation, balanced nutrition education programs have the potential to significantly improve the quality of life and welfare of the community

Clean and Healthy Living Behavior Education to improve the knowledge of Elementary School Students


 Clean and healthy living behavior is the main foundation for maintaining individual health and preventing the spread of disease. Education about clean and healthy living behaviors can be done in various ways, such as through counseling, campaigns, the development of educational materials, collaboration with health centers, training, the active role of schools, the use of social media, exemplary examples, and measurement and evaluation. Educational materials that are arranged in an attractive and easy-to-understand manner are the main instruments in this effort. Collaboration with medical personnel, involving health centers, and the active role of schools are recognized as important supporting factors. The use of social media is also integrated as an effective means of reaching a wider audience. By combining these approaches, it is hoped that people can better understand and adopt clean and healthy living behaviors in their daily lives. Evaluation of the effectiveness of educational programs needs to be done to ensure their success and impact on community knowledge and behavior.

Facilitators and Barriers of Bystander Intervention Intent in Image-Based Sexual Abuse Contexts: A Focus Group Study with a University Sample.

Image-based sexual abuse (IBSA) encompasses the taking, sharing, and/or threatening to share nude or sexual images of others without their consent. The prevalence of IBSA is growing rapidly due to technological advancements, such as access to smartphones, that have made engagement in such activities easier. Bystanders offer an important means of intervention, but little is known about what facilitates or inhibits bystander action in these contexts. To address this gap in the literature, seven focus groups (n = 35) were conducted to explore the factors that facilitate and inhibit bystander action in the context of three different IBSA scenarios (taking, sharing, and making threats to share nude or sexual images without consent). Using thematic analysis, eight themes were identified, suggesting that the perceived likelihood of intervention increased with greater feelings of responsibility, empathy with the victim, reduced feelings of audience inhibition, greater feelings of safety, greater anger toward the IBSA behavior, closer relationships with the victim and perpetrator, the incident involving a female victim and male perpetrator, and perception of greater benefits of police involvement. These findings are considered alongside the physical sexual violence literature in highlighting the similarities and nuances across the different contexts. Implications for the development of policies and educational materials are discussed in relation to encouraging greater bystander intervention in IBSA contexts.

Variability in the Integration of Peers in a Multi-site Digital Mental Health Innovation Project

Peer support specialists (“peers”) who have the lived experience of, and are in recovery from, mental health challenges are increasingly being integrated into mental health care as a reimbursable service across the US. This study describes the ways peers were integrated into Help@Hand, a multi-site innovation project that engaged peers throughout efforts to develop and offer digital mental health interventions across counties/cities (“sites”) in California. Using a mixed methods design, we collected quantitative data via quarterly online surveys, and qualitative data via semi-annual semi-structured phone interviews with key informants from Help@Hand sites. Quantitative data were summarized as descriptive findings and qualitative data from interviews were analyzed using rapid qualitative analysis methods. In the final analytic phase, interview quotes were used to illustrate the complex realities underlying quantitative responses. 117 quarterly surveys and 46 semi-annual interviews were completed by key informants from 14 sites between September 2020 and January 2023. Peers were integrated across diverse activities for support and implementation of digital mental health interventions, including development of training and educational materials (78.6% of sites), community outreach (64.3%), technology testing (85.7%), technology piloting (90.9%), digital literacy training (71.4%), device distribution (63.6%), technical assistance (72.7%), and cross-site collaboration (66.7%). Peer-engaged activities shifted over time, reflecting project phases. Peer-provided digital literacy training and technology-related support were key ingredients for project implementations. This study indicates the wide range of ways peers can be integrated into digital mental health intervention implementations. Considering contextual readiness for peer integration may enhance their engagement into programmatic activities.

Reanalysis of genomic data, how do we do it now and what if we automate it? A qualitative study

Automating reanalysis of genomic data for undiagnosed rare disease patients presents a paradigm shift in how clinical genomics is delivered. We aimed to map the current manual and proposed automated approach to reanalysis and identify possible implementation strategies to address clinical and laboratory staff’s perceived challenges to automation. Fourteen semi-structured interviews guided by a simplified process map were conducted with clinical and laboratory staff across Australia. Individual process maps were integrated into an overview of the current process, noting variation in service delivery. Participants then mapped an automated approach and were invited to discuss perceived challenges and possible supports to automation. Responses were analysed using the Consolidated Framework for Implementation Research, linking to the Expert Recommendations for Implementing Change framework to identify theory-informed implementation strategies. Process mapping demonstrates how automation streamlines processes with eleven steps reduced to seven. Although participants welcomed automation, challenges were raised at six of the steps. Strategies to overcome challenges include embedding project champions, developing education materials, facilitating clinical innovation and quality monitoring tools, and altering reimbursement structures. Future work can build on these findings to develop context specific implementation strategies to guide translation of an automated approach to reanalysis to improve clinical care and patient outcomes.