Clarity out of chaos: Use of theory in implementation research
Clarity out of chaos: Use of theory in implementation research
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DOI：
10.1016/j.psychres.2019.06.036
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发表时间：
2020-01-01
影响因子：
11.3
通讯作者：
Damschroder, Laura J.
中科院分区：
文献类型：
--
作者：
Damschroder, Laura J.
实施科学已被认为是卫生系统改革的潜在催化剂，部分原因是它提供了有充分根据的概念理论，这些理论通常被封装在框架中。设计良好的框架提供了一种语义结构，一种共同的语言，通过它可以指导研究实施和测试干预措施的系统方法。本文概述了理论在推进实施科学中的类型和作用。本文描述了用于选择适当框架的资源以及说明性示例。这种情况下，发展良好的理论是使知识从看似混乱中浮现出来，并将知识广泛可靠地转化为日常实践，从而通过提供根植于该知识的干预措施，最大限度地提高患者的健康和福祉。
Implementation science has been recognized as a potential catalyst for health system reform, in part, because of its contribution of well-grounded conceptual theories, often encapsulated in frameworks. Well-designed frameworks provide a semantic structure, a common language by which to guide systematic approaches to studying implementation and testing interventions. An overview of the types and roles of theory in advancing implementation science is offered in this article. Resources for selecting appropriate frameworks are described along with illustrative examples. The case is made that well-developed theory is what enables knowledge to emerge out of seeming chaos and for translation of that knowledge to be widely and reliably implemented into routine practice so that health and well-being of patients is maximized by delivery of interventions that are rooted in that knowledge.