应用认知步行方法来提高以公平为中心的实施战略的可用性
Kelly A Aschbrenner1,2, Emily R Haines3, Gina R Kruse4
1Department of Psychiatry, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA. kelly.aschbrenner@dartmouth.edu.
Implementation science communications
|September 3, 2024
概括
这项研究提高了合作伙伴和股权数据驱动实施 (PEDDI) 在卫生中心癌症查的可用性. 以人为中心的设计和可用性测试导致了可行的重新设计解决方案,以实现公平的干预实施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 人与计算机的交互
背景情况:
- 联邦合格的社区卫生中心 (CHC) 与研究人员合作,开发了合作和公平数据驱动的实施 (PEDDI).
- PEDDI旨在促进基于证据的干预措施的公平实施.
- 这项研究评估了PEDDI在使用以人为中心设计的癌症查干预措施中的可用性.
研究的目的:
- 评估PEDDI工具对实施癌症查干预措施的可用性.
- 识别可用性问题,并为PEDDI.DI生成重新设计解决方案.
- 评估以人为中心的设计对CHC干预实施的影响.
主要方法:
- 采用以人为中心的设计方法,特别是实施策略的认知步骤 (CWIS).
- 三个促进的CWIS会议与四个CHC的七名最终用户进行,这些人实施了结直肠癌 (CRC) 查干预.
- 识别了可用性问题和重新设计解决方案,通过任务完成评级,用户反和转录会话的共识编码.
主要成果:
- 在CWIS会议后,PEDDI的可用性评级从"边际可接受性" (66.3) 提高到"可接受" (77.8).
- 在四个PEDDI任务中确定了10个可用性问题,并提出了强制性数据领域 (健康的社会决定因素,健康公平目标) 和异步通信工具的建议.
- 重新设计的解决方案重点是加强健康公平的数据收集,提高员工参与干预调整的参与度.
结论:
- 该CWIS方法在改善PEDDI用于癌症查实施的可用性方面表现出有效性.
- 识别的可用性问题和建议的解决方案为PEDDI的未来改进提供了路线图.
- 该研究强调了CWIS在解决资源有限的环境中癌症查和其他创新的实施不平等问题的价值.
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