使用RE-AIM和CFIR框架对CAPABLE实施进行五年审查.
Deborah L Paone1,2, Jeanne W Schuller1, Matthew Lee Smith3,4
1Paone & Associates, LLC, Minneapolis, MN, United States.
Frontiers in public health
|July 11, 2025
概括
实施像CAPABLE这样的基于证据的计划需要领导力支持和技术援助,但在招聘和资金方面面临挑战. 解决这些因素是成功维持和扩展程序的关键.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 社区老龄化在现场,促进老年人更好的生活 (CAPABLE) 计划是一个基于证据的干预计划,旨在提高老年人的日常功能,并通过家庭改造来支持他们实现目标.
- CAPABLE利用一个多学科的团队,包括职业治疗师,护士和手工工人,指导老年人通过设定目标和在4至6个月的时间内计划行动.
- 了解提供CAPABLE的组织的实施和可持续性经验对于改进未来的项目推出和解决已识别的障碍至关重要.
研究的目的:
- 检查各种组织中促进或阻碍CAPABLE计划实施和可持续性的因素.
- 确定CAPABLE成功实施的关键组件,并从程序管理员的角度了解挑战和促进者.
- 为CAPABLE国家中心提供见解,以加强技术支持,资金和政策,以改善计划传播和扩展.
主要方法:
- 该研究使用RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) 和CFIR (实施研究综合框架) 框架来评估CAPABLE的实施和维持.
- 从65个实施CAPABLE的组织收集了五年 (2019-2024) 的数据,利用许可记录,计划管理员的年度调查以及每月技术援助电话的笔记.
- 对收集的数据进行了定性主题和描述性分析,组织作为分析单位. 还审查了关于CAPABLE结果的已发表的研究.
主要成果:
- 对CAPABLE实施的关键促进因素包括强有力的领导支持,获得技术援助和坚持计划忠诚度.
- 组织面临的常见挑战是招募参与者,招聘合格人员和确保可持续融资的困难.
- 内部因素,如CAPABLE的感知价值和项目经理的承诺,以及外部因素,如初始试点资金和与"社区老龄化"目标的协调,支持了计划的采用.
结论:
- 该研究确定了CAPABLE实施和可持续性的关键促进者和障碍,突出了需要加强支持的领域.
- 这些发现正在积极为CAPABLE国家中心提供额外的技术援助,并指导改善资金和政策的努力.
- 联合使用RE-AIM和CFIR框架证明有效监测和报告基于证据的程序的持续实施,解决文献上的差距.
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