确定和制定实施策略:代码设计的重要作用
Patricia J van der Laag1, Berber G Dorhout2,3, Aaron A Heeren2
1Julius Center for Health Sciences and Primary Care, Nursing Science, University Medical Center Utrecht, University Utrecht, Utrecht, Netherlands.
Frontiers in health services
|February 22, 2024
概括
这项研究开发了一套基于理论的实践实施策略包,用于初级保健中的ProMuscle干预. 开发的工具箱有助于将策略定制为特定的背景,以便更好地采用.
科学领域:
- 实施科学 实施科学
- 老年学是一门学科.
- 初级保健研究研究初级保健研究
背景情况:
- 研究中的实施策略通常描述不佳,缺乏上下文相关性.
- 需要有效的基于理论和实践的策略来理解实施过程.
- 针对老年人的ProMuscle干预需要对初级保健机构制定强有力的实施策略.
研究的目的:
- 描述ProMuscle的实用,基于理论的实施策略包的逐步开发.
- 为社区居住的老年人在初级保健中创建一个定制的实施工具箱.
- 为了解决对精确描述和具体上下文实施方法的需求.
主要方法:
- 利用实施映射的前四个步骤来制定战略.
- 使用实施研究综合框架 (CFIR) 分类实施障碍.
- 通过CFIR-ERIC工具将战略障碍与战略联系起来,并通过与利益相关者共同设计将其运行起来.
主要成果:
- 确定了654个障碍,与40个战略相关,分为七个主题.
- 通过共同设计会议开发了20个实际实施活动.
- 创建了一个基于Web的实施工具箱,用于特定的,按时间顺序排序的战略优先级.
结论:
- 基于理论的方法与利益相关者共同设计相结合,有效地为ProMuscle开发了一个实施策略包.
- 开发的实施战略映射方法可以在多个初级保健机构中使用.
- 未来的评估将评估这些战略和工具箱对ProMuscle实施和采用的影响.
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