弥合直觉与理论之间的差距:不同方法对实施策略的比较 开发改善林奇综合征检测的实施策略
April Morrow1, Priscilla Chan1, Gabriella Tiernan1
1Implementation to Impact (i2i), School of Population Health, Faculty of Medicine, UNSW, Sydney, New South Wales, Australia.
Public health genomics
|August 1, 2024
概括
这项研究比较了基于理论和基于直觉的实施策略,以改善癌症转诊实践. 基于理论的策略显示出潜力,突出了对其有效性的更多研究的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
- 实施科学 实施科学
背景情况:
- 在行为改变干预中明确应用理论是鼓励的,但缺乏经验证据.
- 隐藏和寻找项目 (HaSP) 旨在比较基于理论的与基于直觉的实施策略.
研究的目的:
- 详细说明用于比较基于理论和基于直觉的实施策略的方法和资源.
- 通过理论和直观方法检查通过理论和直观方法生成的策略.
主要方法:
- 一个集群随机对照试验跨越七个澳大利亚医院.
- 利益相关者共同设计了特定地点的战略,以改善林奇综合征转诊.
- 直观的策略被追溯编码为理论的对齐.
主要成果:
- 提出了51种策略:32种基于理论的和19种基于直觉的.
- 行为改变技术 (BCT) 类别在两只手臂中都使用,类型相似但频率不同.
- 追溯编码显示,42%的基于直觉的策略具有机械联系,表明理论对齐.
结论:
- 这些方法允许对理论和直观的实施策略设计进行可靠的比较.
- 这些方法的更大规模应用可以提供关于理论方法比较有效性的最终证据.
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