在国家一级预防支持系统中的解包技术援助 (TA) 策略:在确定TA类型和数量的混合方法研究中
Jochebed G Gayles1, Sarah M Chilenski1, Nataly Barragán1
1Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, PA, USA.
Evaluation & the health professions
|May 25, 2024
概括
技术援助 (TA) 策略在实施科学方面有所不同. 了解干预特征是定制TA的关键,包括咨询,协调,监测和资源交付,以便更好地采用现实世界.
科学领域:
- 实施科学 实施科学
- 预防科学科学 预防科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于证据的干预疗效与现实应用之间的差距是一个持续的挑战.
- 技术援助 (TA) 对于弥合这一研究与实践的差距至关重要,但其战略往往没有被衡量.
- 缺乏关于TA变化的经验数据,阻碍了有效的实施支持.
研究的目的:
- 通过识别不同的策略,它们的频率和相关因素来解开TA的"黑盒子".
- 探索组织特征,干预特征和提供的TA的数量/类型之间的关系.
- 提供对优化TA交付的见解,以便在现实世界中实施干预.
主要方法:
- 在六年时间内对超过1万次TA接触进行了定性内容分析.
- 将TA互动分类为不同的策略:咨询,协调物流,监测和资源交付.
- 统计探索组织经验和干预特征如何影响TA交付.
主要成果:
- 确定了四个主要的TA战略:咨询 (27.2%),协调物流 (24.5%),资源交付 (28.2%) 和监测 (16.5%).
- 具有先前经验的组织需要较少的监测和资源交付TA.
- 干预特征与提供的所有TA策略的类型和数量有显著的相关性.
结论:
- 干预特征是TA需求的关键决定因素,影响特定的TA策略的选择和数量.
- 根据干预特征和组织能力量身定制TA可以提高实施成功率.
- 这项研究为优化TA在现实环境中的交付提供了基础的见解.
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