使用基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 来记录旨在减少慢性疼痛阿片类药物处方的多层次解除实施策略的修改.
Rose Hennessy Garza1, Nora Jacobson2, Andrew Cohen3
1Joseph J Zilber College of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Implementation research and practice
|January 9, 2026
概括
基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 是记录实施策略变化的实用工具. 这项研究评估了其在多站点试验中的实用性,发现它很有用,但有改进的领域.
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
- 临床实践指南 临床实践指南
背景情况:
- 基于证据的实践实施通常需要修改,需要有系统的文档.
- 基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 提供了一种结构化的方法来记录这些变化.
- 在现实环境中评估FRAME-IS的实用性,就像多站点试验一样,对于其改进和采用至关重要.
研究的目的:
- 评估FRAME-IS工具的实际实用性和用户友好性.
- 为了记录在Deidentified Opioid Initiative试验中对四个实施策略的修改.
- 确定FRAME-IS的应用中的优点,局限性和需要改进的领域.
主要方法:
- 跨学科团队使用FRAME-IS记录了四个系统咨询策略的修改.
- 由于COVID-19,远程医疗和不断变化的阿片类药物处方指南等因素,需要进行修改.
- 无识别阿片类药物倡议试验涉及两个医疗保健系统的32家诊所,采用了一种顺序,多重分配的随机试验设计.
主要成果:
- 发现FRAME-IS是实用,全面和用户友好的,用于记录实施战略的修改.
- 该工具有效地促进了对实施过程的反思,并突出了关键的研究问题.
- 挑战包括管理角色模糊,捕捉级联修改,并适应多站点集群试验的报告.
结论:
- FRAME-IS是一个有价值的工具,可以系统地衡量实施策略的演变.
- 提供了建议,以加强FRAME-IS,并指导其在未来研究中的应用.
- 需要进一步的研究来探索记录的修改对实施结果的影响.
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