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将FRAME-IS应用于一个多方面的实施战略
Antoinette Schoenthaler1, Franze De La Calle2, Elaine De Leon2,3
1Institute for Excellence in Health Equity, NYU Langone Health, 180 Madison Avenue, 752, New York, NY, 10016, USA. Antoinette.Schoenthaler@nyulangone.org.
BMC health services research
|May 31, 2024
概括
这项研究适应了实施策略的调整和修改报告框架 (FRAME-IS),记录了27个调整,以在联邦合格卫生中心 (FQHC) 实践促进高血压控制. 调查结果强调了对复杂实施策略的精细追踪系统的需求.
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
- 健康 公平 卫生 公平
背景情况:
- 对实施策略的调整记录对于将基于证据的干预措施纳入实践至关重要.
- 像FRAME-IS这样的现有框架在捕捉多面战略的复杂性方面是有限的,例如实践便利化.
- 这项研究将修改后的FRAME-IS应用于一项试验,评估在联邦合格卫生中心 (FQHC) 控制高血压的实践便利化 (PF).
研究的目的:
- 评估实践便利化 (PF) 对实施忠实性的有效性.
- 通过修改的"适应和修改实施战略报告框架" (FRAME-IS) 来记录对PF战略的调整.
- 评估FRAME-IS对多方面的实施策略的适用性和价值.
主要方法:
- 使用了三个数据来源:执行委员会会议记录,实践促进员报告和根本原因分析/计划-做-研究-行动工作表.
- 根据FRAME-IS模块提取的文本数据并输入到内容分析的主矩阵中.
- 修改了FRAME-IS,包括对调整的详细跟踪和对成员进行的验证验证.
主要成果:
- 确定了27个适应,其中88.9%支持患者识别和转诊.
- 超过一半 (52.9%) 的调整修改了PF策略的背景,格式或目标受众 (例如基于团体的,社区卫生工作者,护士).
- 适应是广泛的 (83.9%),主要是反应性的 (84.6%),但来自系统的数据审查,涉及FQHC的决策.
结论:
- 修改后的FRAME-IS有效地记录了适应数据,证明了它对各种实施策略的适用性.
- 建议对跟踪系统进行改进,以支持代,持续和多方面的适应的实际文档.
- 这项研究强调了系统的适应文档在实施科学中的重要性.
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