基于COSMIN框架和因数实验的临床实践指南的可实施性评估工具的开发:一个研究协议
Dongmei Zhong1,2,3, Gregory A Aarons4, Alison M Hutchinson5,6
1School of Public Health, Southern Medical University, Guangzhou, China.
BMC health services research
|November 13, 2024
概括
这项研究开发了一种新的评估工具,以改善临床实践指南的实施. 该工具具有理论依据,可靠和有效,帮助指南开发人员提高其可用性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床实践指南开发 临床实践指南开发
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床实践指南对于标准化医疗保健至关重要,但面临实施挑战.
- 实施指南的障碍源于外部因素和指南的内在特征.
- 现有的指导方针可实施性的评估工具缺乏理论基础和经验验证.
研究的目的:
- 开发一个理论上有根据,可靠和有效的评估工具,用于临床实践指南的可实施性.
- 通过为有效实施提供基于经验的指导来解决当前工具的局限性.
- 帮助指南开发人员优化指南,以便在现实世界中更好地应用.
主要方法:
- 一个四阶段的研究过程,包括理论框架生成,因数实验和严格的规模开发 (可靠性,有效性,可用性测试),遵循COSMIN指南.
- 基于经过验证的理论框架,开发评估工具的维度和项目.
- 将经过验证的工具与STAR指南评级系统集成,用于全面评估指南.
主要成果:
- 一个理论上有根据,可靠和有效的评估工具,用于临床实践指南的可执行性.
- 在确认因素分析中通过因子负载量化指导方针可执行性的量化.
- 为指南用户提供客观的评估结果,为指南开发者提供更好的可执行性.
结论:
- 开发的评估工具提供了一个强大的方法来评估和提高临床实践指南的可执行性.
- 该工具支持指南制定者在制定前,制定期间和制定后提高指南质量.
- 该研究为加强临床实践指南的实际应用和影响提供了经过验证的工具.
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