为实用,稳健实施和可持续性模型制定一个务实的措施
James O E Pittman1, Laurie Lindamer1, Erin Almklov1
1Veterans Health Administration Center of Excellence for Stress and Mental Health.
Psychological services
|April 10, 2025
概括
一个新的调查工具,PRISM上下文调查工具 (PCSI),有效地评估实施科学因素. 该工具通过评估成功的上下文决定因素,帮助规划和维持健康计划.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 实用,稳健的实施和可持续性模型 (PRISM) 是计划规划,实施和维持计划的框架.
- 目前用于评估PRISM的上下文决定因素的工具有限,需要新的评估方法.
- 卫生计划的有效实施和维持需要了解多层次的上下文因素.
研究的目的:
- 开发和评估PRISM上下文调查工具 (PCSI) 以评估实施情况.
- 为了确定PCSI的心理测量和务实性质.
- 证明PCSI在为医疗保健实施和维持战略提供信息方面的实用性.
主要方法:
- 通过使用现有问题,专家反和试点测试,开发了一项29项调查 (PCSI).
- PCSI包括每一个PRISM上下文域中的3-6个项目,按5分利克特级别评分.
- 通过将PCSI分数与实施结果 (可接受性,可行性,适当性) 相关联来确定并发有效性.
主要成果:
- 该PCSI显示出良好的心理测量特性,其子尺度的内部一致性从0.53到0.82.
- 同时有效性很强,与可行性 (r=0.70) 和适当性 (r=0.80) 有关.
- 该调查平均需要14分钟才能完成,实用评级表明实际实用性.
结论:
- PCSI是一个在心理测量上健全和务实的工具,用于评估实施科学中的上下文决定因素.
- 可以使用PCSI来定制实施努力,并改善医疗保健机构的计划维持.
- 该工具支持在各种健康环境中应用PRISM框架.
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