在育儿计划中修改的忠诚度-一致性和故意性
Kristoffer Pettersson1, Pernilla Liedgren2, Aaron R Lyon3
1School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden. kristoffer.pettersson@mdu.se.
Implementation science communications
|February 13, 2024
概括
对基于证据的育儿计划的修改大多与核心功能一致. 然而,无意或局势变化不那么一致,突显了需要有意识地考虑所有程序调整的必要性.
科学领域:
- 实施科学 实施科学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 基于证据的干预措施 (EBI) 在实践中经常受到修改.
- 建议故意修改决策以确保忠实性-一致性,但这种关系尚未得到充分理解.
- 这项研究检查了基于证据的育儿计划的修改.
研究的目的:
- 确定对育儿计划进行的修改类型.
- 评估这些修改的忠实性-一致性.
- 要确定是否有故意性与忠诚度一致性有关.
主要方法:
- 在5个家长计划中,来自28个组长的137个修改的内容分析.
- 报告调整和修改增强框架 (FRAME) 指导修改识别.
- 评估忠诚度-一致性和四个级别的故意性 (通用,情境,有条件,无意).
- 统计分析 (基平方,逻辑回归) 探索了故意性和一致性之间的关系.
主要成果:
- 确定了137种修改,其中定制,添加,缩短,延长和整合其他处理方法是最常见的.
- 大多数修改都是忠实一致的,但一致性在各类别之间有所不同.
- 不故意的或局势的修改更有可能是忠诚度不一致的.
结论:
- 对修改及其影响的明确考虑对于维持EBI的忠实一致使用至关重要.
- 了解故意性和忠实性-一致性之间的关系可以为EBI的实施提供信息.
- 持续修改EBI需要谨慎管理以保持有效性.
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