开发一种新的务实工具,用于评估基于证据的干预措施的上下文适应性和可行性,以便在全球卫生中有效实施
Kehinde Olawale Ogunyemi1, Scott McNabb2, Virgil Lokossou3
1Hubert Department of Global Health, Emory University Rollins School of Public Health, Atlanta, Georgia, USA ogunyemikehinde89@gmail.com.
BMJ global health
|April 16, 2025
概括
开发了一个新的务实上下文适应性和可行性 (PCoF) 工具,以更好地评估现实环境中的基于证据的干预措施 (EBIs). 该工具解决了当前方法的局限性,为政策决策提供了更细致的理解.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 评估基于证据的干预措施 (EBI) 的上下文适应性和可行性对于成功实施和可持续性至关重要.
- 目前的方法经常使用总结性得分的减少主义方法,无法捕捉EBI和现实世界背景之间的复杂相互作用.
- 这限制了关于EBI采用的明智政策决策.
研究的目的:
- 开发一种新的工具来评估EBI的上下文适应性和可行性.
- 解决现有评估方法在捕捉EBI实施的复杂性方面的局限性.
- 支持政策决策,以实现有效的EBI采用和可持续性.
主要方法:
- 在2023年2月至8月期间,采用了五步顺序的流程.
- 这涉及研究人员,从业者,政策制定者和各种人群的协作努力.
- 这些步骤包括利益相关者设想,证据综合和解构,共识建设和工具开发.
主要成果:
- 开发了一个务实的上下文适合性和可行性 (PCoF) 工具.
- 可接受性,偏好,使用意愿和资源可用性被确定为关键构造.
- 该工具通过构造互动的九个现实场景来评估结果,将评级分为强,稍微强或弱.
结论:
- 该PCoF工具代表了解决EBI实施复杂性的进步.
- 它超越了简单的评分,捕捉了EBI和上下文之间的微妙相互作用.
- 需要进一步完善,验证和标准化,以使PCoF成为政策和实践的强有力的决策支持工具.
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