辅助干预:改变针对受益者的方法,支持采用和使用健康创新
Justin D Smith1, Dennis H Li2, James L Merle3
1Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA. jd.smith@hsc.utah.edu.
Implementation science : IS
|February 8, 2024
概括
实施科学需要一个新的术语",辅助干预",以澄清变化方法. 这些方法针对受益者,以促进参与健康干预,与直接干预或实施策略不同.
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
- 行为科学 行为科学
背景情况:
- 实施科学将变革方法分类为干预措施 (针对健康结果) 或战略 (针对交付系统).
- 准确的分类对于将影响归因于健康或实施结果至关重要.
- 在HIV实施研究中发现了具有双重特征的变化方法的不一致分类.
研究的目的:
- 提出一个新的术语",辅助干预",以分类特定的变化方法.
- 为了减轻混和改进在实施科学中变更方法的规范.
- 区分辅助干预与传统干预和实施策略.
主要方法:
- 从200多个艾滋病毒实施研究项目的变化方法和系统审查的审查.
- 变革方法的分析不一致地被归类为干预,战略或两者兼而有之.
- 制定一个概念框架,根据目标,结果和因果关系路径定义辅助干预措施.
主要成果:
- 确定了许多具有干预和策略特征的变革方法.
- 在不同研究中如何标记类似的变化方法中发现了不一致性.
- 拟议的辅助干预作为一个单独的类别,针对受益者参与健康干预.
结论:
- 采用"辅助干预"一词将提高实施科学的清晰度.
- 这种概念化将改善对这些特定变化方法的有效性测试.
- 它将导致与受益者参与相关的机制和结果的更好的规范.
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