识别障碍和实施策略,以告知TBI查在行为医疗机构的采用
Kathryn A Hyzak1, Alicia C Bunger, Jennifer A Bogner
1Author Affiliations: Department of Physical Medicine and Rehabilitation, College of Medicine, The Ohio State University, Columbus, Ohio (Drs Hyzak and Bogner); Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio (Dr Bunger); College of Social Work, The Ohio State University, Columbus, Ohio (Dr Davis); and Center for Psychedelic and Consciousness Research, Department of Psychiatry and Behavioral Sciences Johns Hopkins University Baltimore, Maryland (Dr Davis).
确定了在行为健康环境中采用俄俄州立大学创伤性脑损伤识别方法 (OSU TBI-ID) 的障碍. 需要多层次的战略来改善TBI查的采用和实施.
科学领域:
- 实施科学 实施科学
- 行为健康 行为健康
- 神经科学是一个神经科学.
背景情况:
- 创伤性脑损伤 (TBI) 在有行为健康状况的个体中很普遍.
- 对TBI的查对于行为医疗机构的有效治疗至关重要.
- 俄俄州立大学创伤性脑损伤识别方法 (OSU TBI-ID) 是一种用于识别TBI的工具.
研究的目的:
- 在行为医疗保健组织中识别采用OSU TBI-ID的障碍.
- 与实施策略相匹配识别的障碍.
- 为未来实施TBI查的努力提供信息.
主要方法:
- 使用20名行为健康提供者的半结构面试进行的定性研究.
- 使用实施研究综合框架 (CFIR) 对采访数据进行主题分析.
- 将障碍与战略相匹配,使用实施变革的专家建议 (CFIR/ERIC) 工具.
主要成果:
- 在CFIR领域确定了10个障碍:内部设置 (领导力,资源,激励),个人特征 (知识,自我效能,动机),外部设置 (任务,激励) 和过程 (人员参与).
- 具体障碍包括领导层的不充分参与,对TBI-行为健康联系的知识不足,自我效率低,以及缺乏州级任务.
- 建议的策略包括识别冠军,改变激励措施,告知论领袖和进行需求评估.
结论:
- 这项研究是第一个在实践中检查OSU TBI-ID采用的障碍.
- 针对提供商,组织和系统层面的多层次实施策略是必要的.
- 未来的研究应该测试这些策略对TBI查采用,实施,维持和客户结果的影响.
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