在加速结肠直肠癌查和通过实施科学研究计划的后续行动中记录适应情况:方法和适应例子
Borsika A Rabin1,2, Erin S Kenzie3,4, Jill M Oliveri5
1Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, United States.
Frontiers in health services
|October 13, 2025
概括
适应对于实施卫生计划至关重要. 这项研究记录了八个研究计划中的96个适应,揭示了各种各样的文档方法和常见的实施前变化.
科学领域:
- 实施科学 实施科学
- 公共卫生计划适应
- 医疗保健服务研究 医疗服务研究
背景情况:
- 适应对于成功实施临床和公共卫生计划至关重要.
- 缺乏关于方案调整的系统文档和指导.
- 了解适应将发现置于背景,并支持未来的计划扩展.
研究的目的:
- 系统地记录和分析通过实施科学 (ACCSIS) 倡议加速结肠直肠癌查和后续行动的干预和实施策略的调整.
- 探索ACCSIS内部的不同研究项目如何记录和分析这些适应.
- 提供一个模板来评估在大型,多个站点的研究倡议的适应.
主要方法:
- 利用了一种代的数据收集方法,包括调查,数据抽象和验证在八个ACCSIS研究计划中.
- 采用快速定性分析方法来审查,编码和总结适应数据.
- 代表多个ACCCSIS程序的分析团队进行了数据分析.
主要成果:
- 在ACCCSIS程序如何定义和记录调整方面存在显著差异,共同的方法包括会议记录和定期反思.
- 报告了9种分析方法,其中快速定性方法,描述性统计和混合方法分析是最常见的.
- 报告共有96个适应情况,主要是在实施前阶段 (68%) 或程序格式 (71%);36%是与大流行相关的.
结论:
- 一个系统的,多方法的方法使得探索和比较的适应文档和分析跨ACCSIS计划.
- 结果为适应科学提供了信息,突出了适应对实施努力的需要和影响.
- 描述的方法为其他大规模研究计划的适应性评估提供了可转移的模板.
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