How to formulate research questions and design studies for telehealth assessment and evaluation
How to formulate research questions and design studies for telehealth assessment and evaluation
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DOI：
10.1177/1357633x16673274
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发表时间：
2017-10-01
影响因子：
4.7
通讯作者：
Gray, Leonard C.
中科院分区：
文献类型：
--
作者：
Fatehi, Farhad;Smith, Anthony C.;Gray, Leonard C.
在发展远程保健干预的不同阶段，规划研究战略并提出正确的研究问题，对于产生科学证据至关重要。每个阶段的研究目标应与干预措施的成熟度相对应，并将需要各种研究设计。尽管有几个已公布的远程医疗或远程保健评估框架作为更广泛的电子健康领域的子集，但目前还没有简单的模型来指导研究规划。在这篇文章中，我们提出了一个五阶段模型，作为一个框架，为一个新的干预或服务系统规划一个全面的远程健康研究计划。这些阶段是：(1)概念开发，(2)服务设计，(3)实施前，(4)实施，(5)实施后，在每个阶段都要考虑一些研究。强有力的评估对于远程保健的广泛接受和实施非常重要。我们希望这个框架使研究人员、服务管理员和临床医生能够从能够评估研究对其特定情况的适用性和有效性的角度来概念化、开展和评估远程健康研究。
Planning a research strategy and formulating the right research questions at various stages of developing a telehealth intervention are essential for producing scientific evidence. The aim of research at each stage should correspond to the maturity of the intervention and will require a variety of study designs. Although there are several published evaluation frameworks for telemedicine or telehealth as a subset of broader eHealth domain, there is currently no simple model to guide research planning. In this paper we propose a five-stage model as a framework for planning a comprehensive telehealth research program for a new intervention or service system. The stages are: (1) Concept development, (2) Service design, (3) Pre-implementation, (4) Implementation, (5) Post-implementation, and at each stage a number of studies are considered. Robust evaluation is important for the widespread acceptance and implementation of telehealth. We hope this framework enables researchers, service administrators and clinicians to conceptualise, undertake and appraise telehealth research from the point of view of being able to assess how applicable and valid the research is for their particular circumstances.