干预适应的综合方法 (CLARION):开发和实施经验和理论驱动的干预适应方法
Lydia Ould Brahim1, Sylvie D Lambert2,3, Nancy Feeley2,4
1Ingram School of Nursing, McGill University, 680 Rue Sherbrooke O #1800, Montréal, QC, H3A 2M7, Canada. lydia.ouldbrahim@mail.mcgill.ca.
干预调整可以通过一种名为CLARION (Consolidated Approach to Intervention adaptatiON) 的新的逐步方法来改进. 这种方法通过详细说明适应过程,并确定关键促进者和挑战,提高了干预的成功.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 干预科学 干预科学
- 行为科学 行为科学
背景情况:
- 干预调整对于在新环境中资源高效实施至关重要.
- 现有的适应框架缺乏详细的操作指导,可能无法保证成功的结果.
- 需要有方法的方法来修改干预措施,而不会影响疗效.
研究的目的:
- 开发和描述一个逐步的干预调整方法,名为CLARION.
- 应用CLARION来调整抑郁症自我管理干预.
- 确定在CLARION适应过程中遇到的促进者和挑战.
主要方法:
- 根据医学研究理事会的指导,M-PACE和范围审查,CLARION被开发出来.
- 该方法整合了干预选择,核心组件识别和利益相关者的反.
- 一个两阶段的过程包括初步适应和与利益相关者进行预测.
主要成果:
- 克拉里昂促进了核心干预组件的清晰表达.
- 一个多元化的指导委员会,包括患者合作伙伴,平衡的投入和效率.
- 关键的挑战包括定义修改类型,委员会参与程度和会议出席率.
结论:
- 开发的CLARION方法为干预调整提供了详细的,逐步指导.
- 克拉里恩有助于建立干预调整的最佳实践.
- 识别促进者和障碍者有助于成功应用适应框架.
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