一个结构方程模型的CFIR内部和外部设置构造,组织特征,和国家DPP招生
Lillian Madrigal1, Regine Haardörfer2, Michelle C Kegler2
1Rollins School of Public Health Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA. lmadrig@emory.edu.
Implementation science communications
|November 18, 2023
概括
工作人员和规模等组织因素对国家糖尿病预防计划 (DPP) 的招生产生重大影响. 专注于这些因素可以改善计划的覆盖范围和糖尿病预防工作.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 预防糖尿病 预防糖尿病
背景情况:
- 国家糖尿病预防计划 (DPP) 已在3000多个组织中得到广泛传播.
- 了解影响计划覆盖范围的组织层面因素对于优化实施至关重要.
研究的目的:
- 量化检查实施研究综合框架 (CFIR) 构造 (内部和外部设置) 与国家DPP中的覆盖范围 (注册) 的实施结果之间的关系.
主要方法:
- 一项2021年跨部门在线调查对586名全国DPP工作人员进行.
- 结构方程建模分析了从CFIR变量到入学的直接和间接途径.
主要成果:
- 八个CFIR结构特征和一个组织特征与招生直接相关.
- 与入学率的积极关联包括交付时间,员工水平,组织规模和多样化的环境交付.
- 学术组织和那些只为非白人参与者服务的组织显示,与入学率有负面关联.
结论:
- 组织结构特征,特别是人员配置,是提高国家DPP招生和计划覆盖范围的关键目标.
- 该研究强调了量化CFIR测量和结构方程建模在实施研究中的有用性.
- 调查结果可以为其他健康预防计划提供信息,以优化组织因素,以改善实施结果.
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