将理论领域框架映射到实施研究的综合框架:多个框架是否增加了价值?
B O'Donovan1, C Kirke2, M Pate2
1Data Science Centre, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland. bernadineodonovan@rcsi.ie.
将理论领域框架 (TDF) 和实施研究综合框架 (CFIR) 结合起来,有助于实施研究. 分析TDF和CFIR之间的重叠增强了对患者持有的药物清单 (PHML) 的决定因素的理解.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 理论领域框架 (TDF) 和实施研究综合框架 (CFIR) 经常在实施研究中结合在一起.
- 关于使用多个框架的实用性存在争论,人们担心潜在的冗余性.
- 这项研究调查了TDF和CFIR之间的重叠,当应用到了解患者持有药物清单 (PHML) 的采用时.
研究的目的:
- 为在实施研究中结合使用TDF和CFIR提供指导.
- 在PHML实施的背景下,评估TDF和CFIR构造之间的重叠程度.
- 确定PHML在医疗保健实践中广泛纳入的决定因素.
主要方法:
- 与39名参与者 (21名医疗保健专业人员和18名非医疗保健专业人员) 进行了半结构化的电话采访.
- 采访数据用TDF和CFIR进行了转录和分析.
- 框架领域之间的重叠是使用预定义的标准 (实质性,一致性,平均值,非实质性) 来量化.
主要成果:
- 将TDF映射到CFIR确定了6个TDF域和5个CFIR域的关键决定因素.
- 观察到大量的重叠,广泛的TDF域与特定的CFIR构造 (例如,环境背景和具有干预特征的资源) 相连接.
- 在TDF的社会影响和CFIR的内部设置之间注意到了意想不到的非实质性的重叠.
结论:
- 识别CFIR和TDF之间的交叉点和重叠,有助于对实施研究结果的解释.
- 对TDF和CFIR强项的相互应用为定义不佳的领域提供了更丰富的数据.
- 这种综合方法促进了确定实施和创新决定因素的确定.
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