基于理论的审计和反的发展:一个复杂的实施策略的例子,以改善英国初级保健中的喘自我管理
Kirstie McClatchey1, Aimee Sheldon1, Liz Steed2
1Usher Institute, The University of Edinburgh, Edinburgh, UK.
Journal of evaluation in clinical practice
|July 13, 2023
概括
这项研究开发了基于理论的审计和反,以改善英国初级保健中的喘自我管理. 该过程证实了可行性,并引导将其整合到一个更大的实施战略中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 行为科学 行为科学
背景情况:
- 审计和反是一种基于证据的策略,以改善医疗保健的提供.
- 然而,有限的研究报告使用理论来指导审计和反干预措施的设计.
- 改善支持的喘自我管理在英国的初级保健是一个关键的目标.
研究的目的:
- 设计和开发基于理论的审计和反,以支持喘自我管理.
- 突出支持喘自我管理的提供,并确定在初级保健中需要改进的领域.
主要方法:
- 使用了与医学研究理事会 (MRC) 复杂干预框架一致的三阶段方法:开发,可行性和试验前.
- 理论探索和映射,包括理论领域框架和行为变化技术分类学,指导设计.
- 一般实践人员和临床医生的反为IMPART战略的改进和整合提供了信息.
主要成果:
- 开发过程证实了基于理论的审计和反的可行性.
- 反强调需要强调支持的自我管理和喘行动计划的重要性.
- 预先试点为整合审计和反与IMP ART战略的其他组成部分提供了信息.
结论:
- 一个多阶段的开发过程,结合理论,成功地为审计和反的设计和交付做出了贡献.
- 目前,IMP2ART战略,包括开发的审计和反,正在英国范围的集群随机对照试验中进行评估.
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