开发一种在实施期间为干预灵活性做出最佳决策的方法 (MODIFI):修改后的Delphi研究

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Stephanie K Brewer¹, Catherine M Corbin², Ana A Baumann³

¹Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, 6200 NE 74Th St, Suite 100, Seattle, WA, 98115, USA. sbrewer1@uw.edu.

Implementation science communications

|June 17, 2024

概括

实施过程中的干预灵活性 (MODIFI) 是一种新的,务实的方法,用于调整基于证据的干预措施. 这种以人为中心的方法指导实施者在定制计划时更好地适应当地环境.

科学领域:

实施科学实施科学
公共卫生干预措施公共卫生干预措施
医疗保健服务研究医疗服务研究

背景情况:

调整干预措施对于将基于证据的实践与不同的实施环境保持一致至关重要.
现有的适应框架往往以研究人员为中心,耗时,并且缺乏适用于应用环境的实际指导.
需要一种务实方法来支持干预实施者在开发和评估上下文相关的适应方面.

研究的目的:

为实施过程中的干预灵活性制定最佳决策 (MODIFI),这是一种干预调整的方法.
为了利用以人为中心的设计原则,为资源有限的干预实施者量身定制.
创建一个务实的方法来开发和评估应用环境中的干预调整.

主要方法:

MODIFI是使用混合方法修改的Delphi流程和43名实施专家开发的.
两轮数据收集包括定量评级 (可接受性,可行性) 和定性反.
传统的内容分析被用来分析代修订的定性反.

主要成果:

第1轮的最初反导致了在第二轮之前进行的修订.
第二轮专注于可行性,产生了高评级和与运行和序列相关的小修订.
介绍了最后的三步MODIFI方法 (学习,适应,评估) 和一个案例.

结论:

MODIFI提供了一种务实的,以实施者为中心的干预调整方法,扩展现有框架.
通过整合以人为中心的设计,MODIFI解决了那些在应用环境中工作的人的实际需求.
使用MODIFI调整干预措施以适应当地环境,可以提高它们在不同人群和环境中的有效性.

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