{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:24:38Z","timestamp":1740108278539,"version":"3.37.3"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T00:00:00Z","timestamp":1629331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["CIN 13-412","CDA 12-272","10707","10707"],"award-info":[{"award-number":["CIN 13-412","CDA 12-272","10707","10707"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Osteoporos Int"],"published-print":{"date-parts":[[2022,1]]},"DOI":"10.1007\/s00198-021-06098-9","type":"journal-article","created":{"date-parts":[[2021,8,19]],"date-time":"2021-08-19T23:24:29Z","timestamp":1629415469000},"page":"139-147","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cultivating across \u201cpockets of excellence\u201d: challenges to sustaining efforts to improve osteoporosis care"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1680-1334","authenticated-orcid":false,"given":"Aaron T.","family":"Seaman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1889-9259","authenticated-orcid":false,"given":"Melissa J. A.","family":"Steffen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9183-9909","authenticated-orcid":false,"given":"Jennifer M.","family":"Van Tiem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shylo","family":"Wardyn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiomara","family":"Santana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9247-8957","authenticated-orcid":false,"given":"Karla L.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3008-1230","authenticated-orcid":false,"given":"Samantha L.","family":"Solimeo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,19]]},"reference":[{"key":"6098_CR1","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1359\/jbmr.061113","volume":"22","author":"R Burge","year":"2007","unstructured":"Burge R, Dawson-Hughes B, Solomon DH et al (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005\u20132025. J Bone Miner Res 22:465\u2013475. https:\/\/doi.org\/10.1359\/jbmr.061113","journal-title":"J Bone Miner Res"},{"key":"6098_CR2","unstructured":"U.S. Department of Health and Human Services (2004) Bone health and osteoporosis: a report of the Surgeon General. Office of the Surgeon General, Rockville, MD"},{"key":"6098_CR3","doi-asserted-by":"publisher","first-page":"2520","DOI":"10.1002\/jbmr.2269","volume":"29","author":"NC Wright","year":"2014","unstructured":"Wright NC, Looker AC, Saag KG et al (2014) The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. J Bone Miner Res 29:2520\u20132526. https:\/\/doi.org\/10.1002\/jbmr.2269","journal-title":"J Bone Miner Res"},{"key":"6098_CR4","doi-asserted-by":"publisher","first-page":"2359","DOI":"10.1007\/s00198-014-2794-2","volume":"25","author":"F Cosman","year":"2014","unstructured":"Cosman F, de Beur SJ, LeBoff MS et al (2014) Clinician\u2019s guide to prevention and treatment of osteoporosis. Osteoporos Int 25:2359\u20132381. https:\/\/doi.org\/10.1007\/s00198-014-2794-2","journal-title":"Osteoporos Int"},{"key":"6098_CR5","doi-asserted-by":"publisher","first-page":"1802","DOI":"10.1210\/jc.2011-3045","volume":"97","author":"NB Watts","year":"2012","unstructured":"Watts NB, Adler RA, Bilezikian JP et al (2012) Osteoporosis in men: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 97:1802\u20131822. https:\/\/doi.org\/10.1210\/jc.2011-3045","journal-title":"J Clin Endocrinol Metab"},{"key":"6098_CR6","doi-asserted-by":"publisher","first-page":"2521","DOI":"10.1001\/jama.2018.7498","volume":"319","author":"U.S. Preventive Services Task Force","year":"2018","unstructured":"U.S. Preventive Services Task Force (2018) Screening for osteoporosis to prevent fractures: US Preventive Services Task Force recommendation statement. JAMA 319:2521\u20132531. https:\/\/doi.org\/10.1001\/jama.2018.7498","journal-title":"JAMA"},{"key":"6098_CR7","doi-asserted-by":"publisher","first-page":"60","DOI":"10.7812\/TPP\/14-190","volume":"20","author":"S Jain","year":"2016","unstructured":"Jain S, Bilori B, Gupta A et al (2016) Are men at high risk for osteoporosis underscreened? A quality improvement project Perm J 20:60. https:\/\/doi.org\/10.7812\/TPP\/14-190","journal-title":"A quality improvement project Perm J"},{"key":"6098_CR8","doi-asserted-by":"publisher","first-page":"1485","DOI":"10.1002\/jbmr.2888","volume":"31","author":"S Khosla","year":"2016","unstructured":"Khosla S, Shane E (2016) A crisis in the treatment of osteoporosis. J Bone Miner Res 31:1485\u20131487. https:\/\/doi.org\/10.1002\/jbmr.2888","journal-title":"J Bone Miner Res"},{"key":"6098_CR9","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1136\/JIM-2018-000907","volume":"67","author":"RR Narla","year":"2019","unstructured":"Narla RR, Hirano LA, Lo SHY et al (2019) Suboptimal osteoporosis evaluation and treatment in older men with and without additional high-risk factors for fractures. J Investig Med 67:743\u2013749. https:\/\/doi.org\/10.1136\/JIM-2018-000907","journal-title":"J Investig Med"},{"key":"6098_CR10","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1007\/s00198-019-05226-w","volume":"31","author":"T Merlijn","year":"2020","unstructured":"Merlijn T, Swart KMA, van der Horst HE et al (2020) Fracture prevention by screening for high fracture risk: a systematic review and meta-analysis. Osteoporos Int 31:251\u2013257. https:\/\/doi.org\/10.1007\/s00198-019-05226-w","journal-title":"Osteoporos Int"},{"key":"6098_CR11","doi-asserted-by":"publisher","first-page":"2127","DOI":"10.1007\/s00198-009-0976-0","volume":"20","author":"T Gleeson","year":"2009","unstructured":"Gleeson T, Iversen MD, Avorn J et al (2009) Interventions to improve adherence and persistence with osteoporosis medications: a systematic literature review. Osteoporos Int 20:2127\u20132134. https:\/\/doi.org\/10.1007\/s00198-009-0976-0","journal-title":"Osteoporos Int"},{"key":"6098_CR12","doi-asserted-by":"publisher","first-page":"1779","DOI":"10.1007\/s00198-017-3946-y","volume":"28","author":"J-C Morfeld","year":"2017","unstructured":"Morfeld J-C, Vennedey V, M\u00fcller D et al (2017) Patient education in osteoporosis prevention: a systematic review focusing on methodological quality of randomised controlled trials. Osteoporos Int 28:1779\u20131803. https:\/\/doi.org\/10.1007\/s00198-017-3946-y","journal-title":"Osteoporos Int"},{"key":"6098_CR13","doi-asserted-by":"publisher","first-page":"2907","DOI":"10.1007\/s00198-013-2364-z","volume":"24","author":"M Hiligsmann","year":"2013","unstructured":"Hiligsmann M, Salas M, Hughes DA et al (2013) Interventions to improve osteoporosis medication adherence and persistence: a systematic review and literature appraisal by the ISPOR Medication Adherence & Persistence Special Interest Group. Osteoporos Int 24:2907\u20132918. https:\/\/doi.org\/10.1007\/s00198-013-2364-z","journal-title":"Osteoporos Int"},{"key":"6098_CR14","doi-asserted-by":"publisher","first-page":"2135","DOI":"10.1007\/s00198-013-2348-z","volume":"24","author":"K \u00c5kesson","year":"2013","unstructured":"\u00c5kesson K, Marsh D, Mitchell PJ et al (2013) Capture the fracture: a best practice framework and global campaign to break the fragility fracture cycle. Osteoporos Int 24:2135\u20132152. https:\/\/doi.org\/10.1007\/s00198-013-2348-z","journal-title":"Osteoporos Int"},{"key":"6098_CR15","unstructured":"International Osteoporosis Foundation (2021) Implementation strategies. https:\/\/www.capturethefracture.org\/implementation-strategies. Accessed 14 Apr 2021"},{"key":"6098_CR16","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1007\/s00198-010-1206-5","volume":"21","author":"SB Jaglal","year":"2010","unstructured":"Jaglal SB, Hawker G, Cameron C et al (2010) The Ontario Osteoporosis Strategy: implementation of a population-based osteoporosis action plan in Canada. Osteoporos Int 21:903\u2013908. https:\/\/doi.org\/10.1007\/s00198-010-1206-5","journal-title":"Osteoporos Int"},{"key":"6098_CR17","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1002\/art.21072","volume":"53","author":"JT Harrington","year":"2005","unstructured":"Harrington JT, Barash HL, Day S, Lease J (2005) Redesigning the care of fragility fracture patients to improve osteoporosis management: a health care improvement project. Arthritis Care Res (Hoboken) 53:198\u2013204. https:\/\/doi.org\/10.1002\/art.21072","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"6098_CR18","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s00198-011-1705-z","volume":"22","author":"JT Harrington","year":"2011","unstructured":"Harrington JT (2011) A decade of system- and population-based osteoporosis care improvement. Osteoporos Int 22:483. https:\/\/doi.org\/10.1007\/s00198-011-1705-z","journal-title":"Osteoporos Int"},{"key":"6098_CR19","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1186\/s12913-015-1192-6","volume":"15","author":"AR Fleiszer","year":"2015","unstructured":"Fleiszer AR, Semenic SE, Ritchie JA et al (2015) An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study. BMC Health Serv Res 15:535. https:\/\/doi.org\/10.1186\/s12913-015-1192-6","journal-title":"BMC Health Serv Res"},{"key":"6098_CR20","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1177\/1098214005278752","volume":"26","author":"MA Scheirer","year":"2005","unstructured":"Scheirer MA (2005) Is sustainability possible? A review and commentary on empirical studies of program sustainability. Am J Eval 26:320\u2013347. https:\/\/doi.org\/10.1177\/1098214005278752","journal-title":"Am J Eval"},{"key":"6098_CR21","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/1748-5908-7-17","volume":"7","author":"S Wiltsey Stirman","year":"2012","unstructured":"Wiltsey Stirman S, Kimberly J, Cook N et al (2012) The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci 7:17. https:\/\/doi.org\/10.1186\/1748-5908-7-17","journal-title":"Implement Sci"},{"key":"6098_CR22","doi-asserted-by":"publisher","first-page":"E12","DOI":"10.5888\/pcd11.130184","volume":"11","author":"DA Luke","year":"2014","unstructured":"Luke DA, Calhoun A, Robichaux CB et al (2014) The Program Sustainability Assessment Tool: a new instrument for public health programs. Prev Chronic Dis 11:E12. https:\/\/doi.org\/10.5888\/pcd11.130184","journal-title":"Prev Chronic Dis"},{"key":"6098_CR23","doi-asserted-by":"publisher","first-page":"S157","DOI":"10.1097\/QAI.0000000000000322","volume":"67","author":"N Edwards","year":"2014","unstructured":"Edwards N, Barker PM (2014) The importance of context in implementation research. JAIDS J Acquir Immune Defic Syndr 67:S157\u2013S162. https:\/\/doi.org\/10.1097\/QAI.0000000000000322","journal-title":"JAIDS J Acquir Immune Defic Syndr"},{"key":"6098_CR24","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1186\/s13012-016-0506-3","volume":"11","author":"CR May","year":"2016","unstructured":"May CR, Johnson M, Finch T (2016) Implementation, context and complexity. Implement Sci 11:141. https:\/\/doi.org\/10.1186\/s13012-016-0506-3","journal-title":"Implement Sci"},{"key":"6098_CR25","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1186\/s12913-019-4015-3","volume":"19","author":"P Nilsen","year":"2019","unstructured":"Nilsen P, Bernhardsson S (2019) Context matters in implementation science: a scoping review of determinant frameworks that describe contextual determinants for implementation outcomes. BMC Health Serv Res 19:189. https:\/\/doi.org\/10.1186\/s12913-019-4015-3","journal-title":"BMC Health Serv Res"},{"key":"6098_CR26","unstructured":"Hunter D, McCallum J, Howes D (2019) Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare. J Nurs Heal Care 4:"},{"key":"6098_CR27","doi-asserted-by":"publisher","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","volume":"52","author":"B Saunders","year":"2018","unstructured":"Saunders B, Sim J, Kingstone T et al (2018) Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 52:1893\u20131907","journal-title":"Qual Quant"},{"key":"6098_CR28","doi-asserted-by":"crossref","unstructured":"Seaman AT, Steffen M, Doo T, et al (2018) Metasynthesis of patient attitudes toward bone densitometry. J Gen Intern Med","DOI":"10.1007\/s11606-018-4587-3"},{"key":"6098_CR29","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1007\/s11657-021-00882-0","volume":"16","author":"KL Miller","year":"2021","unstructured":"Miller KL, Steffen MJ, McCoy KD et al (2021) Delivering fracture prevention services to rural US veterans through telemedicine: a process evaluation. Arch Osteoporos 16:27. https:\/\/doi.org\/10.1007\/s11657-021-00882-0","journal-title":"Arch Osteoporos"},{"key":"6098_CR30","doi-asserted-by":"publisher","unstructured":"Van Tiem JM, Steffen MJA, Seaman AT, et al (2021) Attitudes towards bone health among rural-dwelling Veterans identified as at risk of fracture: a qualitative analysis. JBMR Plus n\/a:e10501. https:\/\/doi.org\/10.1002\/jbm4.10501","DOI":"10.1002\/jbm4.10501"},{"key":"6098_CR31","first-page":"133","volume-title":"Analyzing and interpreting qualitative research: after the interview","author":"AJ Bingham","year":"2021","unstructured":"Bingham AJ, Witkowsky P (2021) Deductive and inductive approaches to qualitative data analysis. In: Vanover C, Mihas P, Saldana J (eds) Analyzing and interpreting qualitative research: after the interview. SAGE Publications, Thousand Oaks, CA, pp 133\u2013148"},{"key":"6098_CR32","doi-asserted-by":"publisher","first-page":"e9012","DOI":"10.1097\/MD.0000000000009012","volume":"96","author":"DE Beaton","year":"2017","unstructured":"Beaton DE, Mamdani M, Zheng H et al (2017) Improvements in osteoporosis testing and care are found following the wide scale implementation of the Ontario Fracture Clinic Screening Program: an interrupted time series analysis. Medicine (Baltimore) 96:e9012\u2013e9012. https:\/\/doi.org\/10.1097\/MD.0000000000009012","journal-title":"Medicine (Baltimore)"},{"key":"6098_CR33","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1002\/jbmr.3182","volume":"32","author":"N Binkley","year":"2017","unstructured":"Binkley N, Blank RD, Leslie WD et al (2017) Osteoporosis in crisis: it\u2019s time to focus on fracture. J Bone Miner Res 32:1391\u20131394. https:\/\/doi.org\/10.1002\/jbmr.3182","journal-title":"J Bone Miner Res"},{"key":"6098_CR34","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1093\/geront\/gnq123","volume":"51","author":"SL Solimeo","year":"2011","unstructured":"Solimeo SL, Weber TJ, Gold DT (2011) Older men\u2019s explanatory model for osteoporosis. Gerontologist 51:530\u2013539. https:\/\/doi.org\/10.1093\/geront\/gnq123","journal-title":"Gerontologist"},{"key":"6098_CR35","doi-asserted-by":"publisher","first-page":"1692","DOI":"10.1177\/1049732311416825","volume":"21","author":"JM Weston","year":"2011","unstructured":"Weston JM, Norris EV, Clark EM (2011) The invisible disease. Qual Health Res 21:1692\u20131704. https:\/\/doi.org\/10.1177\/1049732311416825","journal-title":"Qual Health Res"},{"key":"6098_CR36","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/s11914-013-0177-9","volume":"11","author":"JR Curtis","year":"2013","unstructured":"Curtis JR, Silverman SL (2013) Commentary: The five Ws of a fracture liaison service: why, who, what, where, and how? In Osteoporosis, we reap what we sow. Curr Osteoporos Rep 11:365\u2013368. https:\/\/doi.org\/10.1007\/s11914-013-0177-9","journal-title":"Curr Osteoporos Rep"},{"key":"6098_CR37","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1002\/art.22234","volume":"55","author":"JT Harrington","year":"2006","unstructured":"Harrington JT, Deal CL (2006) Successes and failures in improving osteoporosis care after fragility fracture: results of a multiple-site clinical improvement project. Arthritis Care Res (Hoboken) 55:724\u2013728. https:\/\/doi.org\/10.1002\/art.22234","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"6098_CR38","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1111\/j.0887-378X.2004.00325.x","volume":"82","author":"T Greenhalgh","year":"2004","unstructured":"Greenhalgh T, Robert G, MacFarlane F et al (2004) Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 82:581\u2013629. https:\/\/doi.org\/10.1111\/j.0887-378X.2004.00325.x","journal-title":"Milbank Q"},{"key":"6098_CR39","doi-asserted-by":"publisher","unstructured":"Damschroder LJ, Banaszak-Holl J, Kowalski CP, et al (2009) The role of the \u201cchampion\u201d in infection prevention: results from a multisite qualitative study. Qual Saf Heal Care 18:434 LP \u2013 440. https:\/\/doi.org\/10.1136\/qshc.2009.034199","DOI":"10.1136\/qshc.2009.034199"},{"key":"6098_CR40","doi-asserted-by":"publisher","first-page":"676","DOI":"10.3122\/jabfm.2012.05.110281","volume":"25","author":"EK Shaw","year":"2012","unstructured":"Shaw EK, Howard J, West DR et al (2012) The role of the champion in primary care change efforts: from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP). J Am Board Fam Med 25:676\u2013685. https:\/\/doi.org\/10.3122\/jabfm.2012.05.110281","journal-title":"J Am Board Fam Med"},{"key":"6098_CR41","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/S1553-7250(05)31057-9","volume":"31","author":"CK Stroebel","year":"2005","unstructured":"Stroebel CK, McDaniel RR, Crabtree BF et al (2005) How complexity science can inform a reflective process for improvement in primary care practices. Jt Comm J Qual Patient Saf 31:438\u2013446. https:\/\/doi.org\/10.1016\/S1553-7250(05)31057-9","journal-title":"Jt Comm J Qual Patient Saf"}],"container-title":["Osteoporosis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00198-021-06098-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00198-021-06098-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00198-021-06098-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T14:14:26Z","timestamp":1642083266000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00198-021-06098-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,19]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["6098"],"URL":"https:\/\/doi.org\/10.1007\/s00198-021-06098-9","relation":{},"ISSN":["0937-941X","1433-2965"],"issn-type":[{"type":"print","value":"0937-941X"},{"type":"electronic","value":"1433-2965"}],"subject":[],"published":{"date-parts":[[2021,8,19]]},"assertion":[{"value":"17 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study received IRB approval from the University of Iowa Institutional Review Board (IRB #201711739). Participants were given elements of consent and participation indicated consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}