提高实施研究综合框架 (CFIR) 评分矩阵的务实实用性. 提出一种基于频率的方法:CFIR-f
George Economidis1, Anne-Marie Eades2, Anthony Shakeshaft1,3
1Faculty of Medicine, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, New South Wales, Australia.
PloS one
|November 30, 2023
概括
本研究引入了CFIR频率 (CFIR-f) 评分系统,通过使用专家确定的主题频率来增强实施研究综合框架 (CFIR). CFIR-f有效地确定了基于家庭治疗的实施推动因素和障碍.
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
- 项目评价 项目评价
背景情况:
- 实施研究综合框架 (CFIR) 是广泛使用的工具,用于识别影响计划实施的因素.
- 现有的CFIR评分方法可以从加强系统分类和确定主题的定量权重中受益.
- 专家的共识和主题频率可以完善实施研究框架.
研究的目的:
- 通过结合专家对主题频率的共识来增强实施研究综合框架 (CFIR) 评分系统.
- 试用一种新的基于频率的评分方法,称为CFIR频率 (CFIR-f),用于分类实现支持者和障碍.
- 评估CFIR-f在识别可用于程序修改和实施的可操作见解方面的有用性.
主要方法:
- 对澳大利亚新南威尔士州24名政策和计划专家关于家庭治疗的半结构面试进行主题分析.
- 开发和应用CFIR频率 (CFIR-f) 评分系统,不包括不到50%的参与者确定的主题.
- 根据专家的频率和定义的标准,将主题分类为支持者或障碍者,映射到67个CFIR构造.
主要成果:
- 在CFIR-f中,成功地确定了实施的三个推动因素 (计划,培训,监测) 和六个障碍 (转介,数据,人员,适应,适应性,安全).
- 确定了与使用原始CFIR评分方法发现的支持因素和障碍因素一致.
- 在67个CFIR构造中,CFIR-f成功地将已识别的主题映射到65个CFIR构造中,证明了广泛的适用性.
结论:
- 拟议的CFIR频率 (CFIR-f) 为CFIR评分过程提供了一个结构化,基于频率的增强.
- 这种方法生成了实现推动者和障碍者的排名列表,为决策者和服务提供者提供了有价值的数据.
- "CFIR-f"有助于更明智地做出有关程序修改和成功实施策略的决策.
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