开发一种在实施期间为干预灵活性做出最佳决策的方法 (MODIFI):修改后的Delphi研究
Stephanie K Brewer1, Catherine M Corbin2, Ana A Baumann3
1University of Washington School of Medicine.
Research square
|November 14, 2023
概括
实施过程中的干预灵活性 (MODIFI) 是一种新的,务实的方法,可以帮助实施者将基于证据的干预措施适应当地环境. 这种以人为中心的设计方法提供了一个结构化的三步过程,用于实际的适应和评估.
科学领域:
- 实施科学 实施科学
- 公共卫生干预 公共卫生干预
- 程序适应 程序适应
背景情况:
- 基于证据的干预措施往往需要调整以适应不同的实施环境.
- 现有的干预调整框架通常是以研究人员为中心的,耗时的和资源的.
- 需要一个务实的方法来指导从业者在开发和评估特定环境的适应.
研究的目的:
- 为实施过程中的干预灵活性制定最佳决策 (MODIFI),这是一种干预调整的方法.
- 为适应干预实施者在资源有限的应用环境中的需求量身定制实用方法.
- 利用以人为中心的设计方法来实现实际干预适应.
主要方法:
- MODIFI是使用混合方法修改的Delphi流程开发的,与43名实施专家合作.
- 两轮数据收集包括定量评级 (可接受性,可行性) 和定性反.
- 传统的内容分析被用来分析修订的定性反.
主要成果:
- 专家反导致两轮MODIFI方法的代修订.
- 第1轮专注于可接受性,参与者将组件评为必不可少,并建议修订.
- 第二轮专注于可行性,产生了高评级和与运行和序列相关的小修订.
结论:
- MODIFI提供了一种务实的,三步方法 (学习,适应,评估) 来定制基于证据的干预措施.
- 该方法将以人为中心的设计原则与实施科学框架相结合.
- MODIFI旨在提高各种环境和人群的干预措施的有效性,覆盖范围和适用性.
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