Implementation evaluation of the Telephone Lifestyle Coaching (TLC) program: organizational factors associated with successful implementation.

Journal Article (Journal Article)

The Telephone Lifestyle Coaching (TLC) program provided telephone-based coaching for six lifestyle behaviors to 5321 Veterans at 24 Veterans Health Administration (VHA) medical facilities. The purpose of the study was to conduct an evaluation of the TLC program to identify factors associated with successful implementation. A mixed-methods study design was used. Quantitative measures of organizational readiness for implementation and facility complexity were used to purposively select a subset of facilities for in-depth evaluation. Context assessments were conducted using interview transcripts. The Consolidated Framework for Implementation Research (CFIR) was used to guide qualitative data collection and analysis. Factors most strongly correlated with referral rates included having a skilled implementation leader who used effective multi-component strategies to engage primary care clinicians as well as general clinic structures that supported implementation. Evaluation findings pointed to recommendations for local and national leaders to help anticipate and mitigate potential barriers to successful implementation.

Full Text

Duke Authors

Cited Authors

  • Damschroder, LJ; Reardon, CM; Sperber, N; Robinson, CH; Fickel, JJ; Oddone, EZ

Published Date

  • June 2017

Published In

Volume / Issue

  • 7 / 2

Start / End Page

  • 233 - 241

PubMed ID

  • 27688249

Pubmed Central ID

  • 27688249

Electronic International Standard Serial Number (EISSN)

  • 1613-9860

Digital Object Identifier (DOI)

  • 10.1007/s13142-016-0424-6


  • eng

Conference Location

  • England