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Inj Prev. 2021 May 07; doi: 10.1136/injuryprev-2020-044105. Epub 2021 May 07.

Implementing the Cardiff Model for violence prevention: using the diffusion of innovation theory to understand facilitators and barriers to implementation.

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

Sara Kohlbeck, Michael Levas, Jennifer Hernandez-Meier, Stephen Hargarten

Affiliations

  1. Comprehensive Injury Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA [email protected].
  2. Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  3. Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

PMID: 33963057 DOI: 10.1136/injuryprev-2020-044105

Abstract

OBJECTIVE: Interpersonal violence is an ongoing, vexing public health issue. Communities require comprehensive timely data on violence to plan and implement effective violence prevention strategies. Emergency departments (EDs) can play an important role in violence prevention. EDs treat injuries associated with violent crime, and they are well-positioned to systematically collect information about these injuries, including the location where the injury occurred. The Cardiff Model for Violence Prevention (The Cardiff Model) provides a framework for interdisciplinary data collection and sharing.

METHODS: This paper uses the Diffusion of Innovation Theory as a framework to present our experiences of implementing the Cardiff Model in several EDs that serve the Milwaukee area, and to detail the processes of data collection, linking and presentation across four different hospital systems.

RESULTS: Implementing a city-wide data collection effort that involves multiple hospital systems is challenging. Viewing our findings through the lens of the Diffusion of Innovations theory provides a way to anticipate facilitators and challenges to Cardiff Model implementation in a hospital setting.

CONCLUSIONS: Facilitators and barriers to Cardiff Model adoption in the ED setting can be understood using the Diffusion of Innovation theory, and barriers can be interrupted through careful planning and continuous communication between partners.

© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: cross sectional study; program evaluation; screening

Conflict of interest statement

Competing interests: None declared.

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