将障碍和促进因素与实施策略相匹配:为社区环境提出建议
Laura E Balis1,2, Bailey Houghtaling3,4,5
1Gretchen Swanson Center for Nutrition, Omaha, NE, 68514, USA. lbalis@centerfornutrition.org.
Implementation science communications
|November 22, 2023
概括
为社区环境选择实施策略是具有挑战性的,因为从临床环境的可转移性有限. 需要新的工具,以便在不同的社区环境中有效实施基于证据的干预措施.
科学领域:
- 实施科学 实施科学
- 社区干预 社区干预
- 卫生政策 卫生政策
背景情况:
- 实施科学研究主要来自临床环境.
- 社区环境带来了独特的挑战,包括资源减少和多样化的任务.
- 现有的实施策略工具通常是根据临床术语量身定制的,这限制了它们在社区环境中的适用性.
研究的目的:
- 讨论在社区环境中选择实施策略的挑战.
- 突出基于临床的工具对社区环境的有限可转移性.
- 倡导开发新的,务实的工具,以社区为基础的实施.
主要方法:
- 利用现有的匹配工具 (实施研究的综合框架 - 实施变革的专家建议) 来选择战略.
- 与社区从业者一起开展了重点小组,以确定障碍.
- 讨论了工具输出与社区环境的最佳策略之间的一致性.
主要成果:
- 现有工具输出与社区环境的最佳实施策略之间观察到有限的一致性.
- 临床和社区环境之间的背景差异被确定为一个关键挑战.
- 该过程强调了为社区设置量身定制的实施战略编译和匹配工具的需要.
结论:
- 为了相关性,速度和严格性,需要进一步完善实施障碍-战略匹配过程.
- 增加对上下文因素和选择策略的文档将增强知识库.
- 建议开发新的,务实的匹配工具,用于基于社区的实施科学.
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