Promises and pitfalls in implementation science from the perspective of US-based researchers: learning from a pre-mortem.
Promises and pitfalls in implementation science from the perspective of US-based researchers: learning from a pre-mortem.
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DOI：
10.1186/s13012-022-01226-3
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发表时间：
2022-08-13
影响因子：
7.2
通讯作者：
Lane-Fall, Meghan B.
中科院分区：
文献类型：
--
作者：
Beidas, Rinad S.;Dorsey, Shannon;Lewis, Cara C.;Lyon, Aaron R.;Powell, Byron J.;Purtle, Jonathan;Saldana, Lisa;Shelton, Rachel C.;Stirman, Shannon Wiltsey;Lane-Fall, Meghan B.
执行科学已处于相当先进的阶段，外地应当反思迄今为止在实现其愿景方面取得的进展，目标是规划前进的道路。在这场辩论中，我们从一组美国研究人员的角度，就可能阻碍进展的潜在威胁以及提高该领域成功和影响力的机会进行了反思和报告。10名职业生涯中期的美国研究人员完成了一项“事前剖析”或小组头脑风暴练习，利用前瞻性的事后之见想象一个事件已经发生，并对其进行解释-以减少不良结果的可能性。我们就与该领域的威胁和机遇相关的六个关键主题达成了共识：（1）影响不足，（2）过于强调成为一门“合法科学”，（3）重新创造证据与实践之间的差距，（4）难以平衡可及性和实地一致性，（5）无法与合作伙伴协调时间表和优先事项，以及（6）过于复杂的实施战略和方法。我们提交这篇辩论文章是为了在我们的领域继续发展和演变的同时，与其他实施伙伴进行进一步的讨论。我们希望确定的关键机会将加强在美国的实施研究的未来，并引发国际团体的讨论。我们将继续虚心学习如何最好地实施，以实现公平的人口健康影响的目标。在线版本包含补充材料，可通过10.1186/s13012-022-01226-3获得。
Implementation science is at a sufficiently advanced stage that it is appropriate for the field to reflect on progress thus far in achieving its vision, with a goal of charting a path forward. In this debate, we offer such reflections and report on potential threats that might stymie progress, as well as opportunities to enhance the success and impact of the field, from the perspective of a group of US-based researchers. Ten mid-career extramurally funded US-based researchers completed a “pre-mortem” or a group brainstorming exercise that leverages prospective hindsight to imagine that an event has already occurred and to generate an explanation for it — to reduce the likelihood of a poor outcome. We came to consensus on six key themes related to threats and opportunities for the field: (1) insufficient impact, (2) too much emphasis on being a “legitimate science,” (3) re-creation of the evidence-to-practice gap, (4) difficulty balancing accessibility and field coherence, (5) inability to align timelines and priorities with partners, and (6) overly complex implementation strategies and approaches. We submit this debate piece to generate further discussion with other implementation partners as our field continues to develop and evolve. We hope the key opportunities identified will enhance the future of implementation research in the USA and spark discussion across international groups. We will continue to learn with humility about how best to implement with the goal of achieving equitable population health impact at scale. The online version contains supplementary material available at 10.1186/s13012-022-01226-3.
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影响因子：
25.8
作者：
Beidas RS;Buttenheim AM;Mandell DS
通讯作者：
Mandell DS
DOI：
10.1186/s13012-021-01097-0
发表时间：
2021-03-19
期刊：
Implementation science : IS
影响因子：
--
作者：
Brownson RC;Kumanyika SK;Kreuter MW;Haire-Joshu D
通讯作者：
Haire-Joshu D
影响因子：
4
作者：
Bragge, Peter;Grimshaw, Jeremy M.;Colquhoun, Heather
通讯作者：
Colquhoun, Heather
影响因子：
0.9
作者：
Boulton, Richard;Sandall, Jane;Sevdalis, Nick
通讯作者：
Sevdalis, Nick
影响因子：
3.6
作者：
Brimacombe, Michael B.
通讯作者：
Brimacombe, Michael B.