适应性设计在实施科学和实践中:它们的承诺和需要更大的理解和改进的沟通
Amy Kilbourne1,2, Matthew Chinman3,4,5, Shari Rogal4,6
1Quality Enhancement Research Initiative, U.S. Department of Veterans Affairs, Washington, District of Columbia, USA.
实现科学中的自适应设计需要更清晰的定义. 本研究提出了一种分类法,以区分自适应性实践策略与自适应性试验设计,旨在实现一致的科学语言和改善研究影响.
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
- 临床试验设计 临床试验设计
背景情况:
- 适应和适应性设计在实施科学中具有前景,但缺乏明确的定义.
- "适应性"一词不一致地应用于干预,实施策略和试验设计.
- 缺乏精确性阻碍了在实践中适应性方法的一致应用和复制.
研究的目的:
- 为了澄清在实施科学中围绕适应的术语.
- 提出一个分类法,区分固定与适应的实施策略和试验设计.
- 为加强实施研究报告和设计提供建议.
主要方法:
- 实施科学文献的系统审查.
- 分析"适应"一词在干预,策略和设计方面是如何使用的.
- 为适应性实施策略和试验设计制定拟议的分类法.
主要成果:
- "适应性"一词在各种干预措施,实施策略和试验设计中广泛而不一致地使用.
- 拟议的分类学区分固定与自适应的实施策略和实施试验设计.
- 概述了未来研究,资助者和研究人员的关键建议.
结论:
- 建立适应的共同语言对于推进实施科学至关重要.
- 实施策略的核心功能和解决设计/道德方面的考虑是非常重要的.
- 需要进一步的研究和资金来完善和具体化适应性实施策略.
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