探索利益相关者参与干预实施研究:系统的证据合成与证据差距地图方法
Kristina Arnahoutova1, Sabina De Geest1,2, Juliane Mielke2
1Department of Primary Care and Public Health, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
利益相关者参与 (SI) 对于成功的干预至关重要,但往往缺乏深度. 本研究提出了一个框架,以改善SI规划和协作实施研究.
科学领域:
- 实施科学 实施科学
- 公共卫生研究 公共卫生研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的干预实施在很大程度上依赖于利益相关者的参与 (SI).
- 现有的文献为实施科学中的战略SI规划提供了有限的实际指导.
- 之前的工作在2015-2020年的研究中映射了SI,强调需要更新的洞察力.
研究的目的:
- 将SI在实施科学研究中的当前使用情况映射出来.
- 识别SI战略和规划中的差距.
- 提出一个实用的框架,以加强SI在实施研究.
主要方法:
- 采用了证据差距地图方法,更新了之前的搜索 (Mielke等人,2022).
- 在PubMed搜索中,使用既定标准对2021-2023年的研究进行了搜索.
- 数据提取使用了"关于患者参与的报告指南"和"公众检查清单",分析了272项研究.
主要成果:
- 在89%的研究中报告了SI,但往往缺乏深度和战略规划.
- 利益相关者参与主要发生在准备阶段,重点关注微型和中级参与者.
- 咨询方法占主导地位,积极协作有限,并很少对SI流程或成本进行评估.
结论:
- 在实施研究中,迫切需要更结构化和更全面的SI规划.
- 该研究提供了切实可行的建议,以加强SI努力,提高干预的可持续性.
- 加强SI需要超越咨询方法,在所有利益相关者层面上进行更积极的合作.
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