A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project
A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project
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DOI：
10.1186/s13012-015-0209-1
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发表时间：
2015-02-12
影响因子：
7.2
通讯作者：
Kirchner, JoAnn E.
中科院分区：
文献类型：
--
作者：
Powell, Byron J.;Waltz, Thomas J.;Kirchner, JoAnn E.
背景：识别、开发和测试实施策略是实施科学的重要目标。然而，这些努力由于文献中使用的语言不一致和对执行战略的描述不充分而变得复杂。实施变革的专家建议（ERIC）研究旨在通过系统地收集具有实施科学和临床实践专业知识的广泛利益相关者的意见，完善已出版的实施战略术语和定义汇编。目的抽样被用来招募一个专家小组在实施和临床实践谁从事三轮修改后的德尔菲过程，以产生共识执行战略和定义。第一轮和第二轮是网上调查，征求对执行战略术语和定义的意见。每一轮之后，根据参与者的反馈进行迭代改进。第三轮涉及的实时民意调查和共识的过程中，通过基于网络的平台和conference call.Results：与会者确定了31%的术语和/或定义的实质性问题，并提出了五个额外的战略。最初出版的战略汇编中有75%的定义在投票后得到保留。最后，专家小组达成共识的最终汇编73实施strategies.Conclusions：本研究通过提高概念的清晰度，相关性和全面性的实施策略，可以单独使用或组合在实施研究和实践领域的进步。ERIC的未来阶段将侧重于开发概念上不同的战略类别以及对每个战略的重要性和可行性的评级。接下来，专家小组将为假设但真实的场景推荐多方面的策略，这些场景因网站对循证计划和实践的认可以及围绕该努力的背景支持的强度而异。
Background: Identifying, developing, and testing implementation strategies are important goals of implementation science. However, these efforts have been complicated by the use of inconsistent language and inadequate descriptions of implementation strategies in the literature. The Expert Recommendations for Implementing Change (ERIC) study aimed to refine a published compilation of implementation strategy terms and definitions by systematically gathering input from a wide range of stakeholders with expertise in implementation science and clinical practice.Methods: Purposive sampling was used to recruit a panel of experts in implementation and clinical practice who engaged in three rounds of a modified Delphi process to generate consensus on implementation strategies and definitions. The first and second rounds involved Web-based surveys soliciting comments on implementation strategy terms and definitions. After each round, iterative refinements were made based upon participant feedback. The third round involved a live polling and consensus process via a Web-based platform and conference call.Results: Participants identified substantial concerns with 31% of the terms and/or definitions and suggested five additional strategies. Seventy-five percent of definitions from the originally published compilation of strategies were retained after voting. Ultimately, the expert panel reached consensus on a final compilation of 73 implementation strategies.Conclusions: This research advances the field by improving the conceptual clarity, relevance, and comprehensiveness of implementation strategies that can be used in isolation or combination in implementation research and practice. Future phases of ERIC will focus on developing conceptually distinct categories of strategies as well as ratings for each strategy's importance and feasibility. Next, the expert panel will recommend multifaceted strategies for hypothetical yet real-world scenarios that vary by sites' endorsement of evidence-based programs and practices and the strength of contextual supports that surround the effort.