Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures.
Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures.
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DOI：
10.1186/1748-5908-8-22
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发表时间：
2013-02-17
期刊：
影响因子：
--
通讯作者：
Barr CH
中科院分区：
文献类型：
--
作者：
Chaudoir SR;Dugan AG;Barr CH
目前实施科学的努力的方法论障碍是缺乏一致的假设，以影响实施的成功和这些结构的可识别的措施的结构。为了解决这些差距，本文的主要目标是确定一个多层次的框架，捕捉影响实施结果的主要因素，进行系统的审查，评估这些主要因素中包含的结构的可用措施，并确定这些措施的标准有效性的搜索文章。我们进行了系统的文献回顾，以确定文章报告的使用或开发的措施，旨在评估结构，预测实施循证卫生创新。截至2012年8月12日发表的文章通过MEDLINE、CINAHL、PsycINFO和杂志Implementation Science进行识别。然后，我们利用修改后的五因素框架，以代码是否每个措施包含项目，评估结构，组织，供应商，患者和创新水平的因素。此外，我们编码的标准有效性的每个措施内获得的搜索文章。我们确定了62项措施。结果表明，组织，供应商和创新水平的结构有最大数量的措施可供使用，而结构和患者水平的结构最少。此外，相对较少的措施证明了标准有效性，或与实施结果的可靠关联（例如，fidelity）。根据这些发现，我们的讨论集中在研究人员可以利用的策略，以确定，适应和改进现有的措施，用于自己的实施研究。总的来说，我们的文献综述和由此产生的措施纲要增加了研究人员的能力，概念化和测量实施相关的结构，在他们正在进行的和未来的研究。
Two of the current methodological barriers to implementation science efforts are the lack of agreement regarding constructs hypothesized to affect implementation success and identifiable measures of these constructs. In order to address these gaps, the main goals of this paper were to identify a multi-level framework that captures the predominant factors that impact implementation outcomes, conduct a systematic review of available measures assessing constructs subsumed within these primary factors, and determine the criterion validity of these measures in the search articles. We conducted a systematic literature review to identify articles reporting the use or development of measures designed to assess constructs that predict the implementation of evidence-based health innovations. Articles published through 12 August 2012 were identified through MEDLINE, CINAHL, PsycINFO and the journal Implementation Science. We then utilized a modified five-factor framework in order to code whether each measure contained items that assess constructs representing structural, organizational, provider, patient, and innovation level factors. Further, we coded the criterion validity of each measure within the search articles obtained. Our review identified 62 measures. Results indicate that organization, provider, and innovation-level constructs have the greatest number of measures available for use, whereas structural and patient-level constructs have the least. Additionally, relatively few measures demonstrated criterion validity, or reliable association with an implementation outcome (e.g., fidelity). In light of these findings, our discussion centers on strategies that researchers can utilize in order to identify, adapt, and improve extant measures for use in their own implementation research. In total, our literature review and resulting measures compendium increases the capacity of researchers to conceptualize and measure implementation-related constructs in their ongoing and future research.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
7.2
作者：
Aarons, Gregory A.;Glisson, Charles;Landsverk, John A.
通讯作者：
Landsverk, John A.
影响因子：
2
作者：
Chau, Janita P. C.;Lopez, Violeta;Thompson, David R.
通讯作者：
Thompson, David R.
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A
影响因子：
3.8
作者：
Brown, Caroline E.;Wickline, Mary A.;Glaser, Dale
通讯作者：
Glaser, Dale