The stages of implementation completion for evidence-based practice: protocol for a mixed methods study.
The stages of implementation completion for evidence-based practice: protocol for a mixed methods study.
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DOI：
10.1186/1748-5908-9-43
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发表时间：
2014-04-05
期刊：
影响因子：
--
通讯作者：
Saldana L
中科院分区：
文献类型：
--
作者：
Saldana L
该协议描述了“制定成果衡量标准以及适当的传播和实施方法”，这是实施研究的优先事项。尽管已经开发了许多循证实践 (EBP)，但在如何将 EBP 常规纳入常规护理方面仍存在巨大的知识差距。对安装 EBP 的“需要什么”缺乏了解会给公共卫生带来代价高昂的后果，包括缺乏最有益的服务、在失败的实施尝试中浪费精力和资源，以及在尝试失败后可能会不愿意尝试实施新的 EBP。实施完成阶段 (SIC) 是实施过程和里程碑的八阶段工具，各个阶段跨越三个实施阶段（实施前、实施、可持续性）。项目描述了站点完成实施活动的日期，产生对持续时间（完成一个阶段的时间）、比例（已完成的阶段活动）的评估，以及站点在实施过程中进展程度的一般衡量。我们建议将 SIC 扩展到儿童服务部门（少年司法、学校、药物使用、儿童福利）中运营的 EBP。成功和失败的实施尝试都将使用混合方法设计进行仔细审查。阶段成本将被测量和检查。回顾性数据（来自以前的站点实施工作）和前瞻性数据（来自新采用的站点）都将被分析。将审查实施前对实施和可持续性成果的影响（目标 1）。混合方法程序将侧重于加深对实施失败过程的理解，以确定 SIC 是否可以对不太可能成功的站点进行早期检测（目标 2）。研究活动将包括 SIC 阶段的成本映射以及实施成本与实施绩效之间关系的检查（目标 3）。该项目通过解决实施过程和相关成本之间的衡量差距，填补了实施科学领域的空白。该项目的目标是提供工具，帮助提高 EBP 的采用率，从而增加青年人获得服务的机会，并减少因实施失败而造成的资源浪费。
This protocol describes the ‘development of outcome measures and suitable methodologies for dissemination and implementation approaches,’ a priority for implementation research. Although many evidence-based practices (EBPs) have been developed, large knowledge gaps remain regarding how to routinely move EBPs into usual care. The lack of understanding of ‘what it takes’ to install EBPs has costly public health consequences, including a lack of availability of the most beneficial services, wasted efforts and resources on failed implementation attempts, and the potential for engendering reluctance to try implementing new EBPs after failed attempts. The Stages of Implementation Completion (SIC) is an eight-stage tool of implementation process and milestones, with stages spanning three implementation phases (pre-implementation, implementation, sustainability). Items delineate the date that a site completes implementation activities, yielding an assessment of duration (time to complete a stage), proportion (of stage activities completed), and a general measure of how far a site moved in the implementation process. We propose to extend the SIC to EBPs operating in child service sectors (juvenile justice, schools, substance use, child welfare). Both successful and failed implementation attempts will be scrutinized using a mixed methods design. Stage costs will be measured and examined. Both retrospective data (from previous site implementation efforts) and prospective data (from newly adopting sites) will be analyzed. The influence of pre-implementation on implementation and sustainability outcomes will be examined (Aim 1). Mixed methods procedures will focus on increasing understanding of the process of implementation failure in an effort to determine if the SIC can provide early detection of sites that are unlikely to succeed (Aim 2). Study activities will include cost mapping of SIC stages and an examination of the relationship between implementation costs and implementation performance (Aim 3). This project fills a gap in the field of implementation science by addressing the measurement gap between the implementation process and the associated costs. The goal of this project is to provide tools that will help increase the uptake of EBPs, thereby increasing the availability of services to youth and decreasing wasted resources from failed implementation efforts.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
3
作者：
GIBBONS, RD;HEDEKER, DR
通讯作者：
HEDEKER, DR
DOI：
10.1007/s10488-007-0148-5
发表时间：
2008-03-01
影响因子：
2.6
作者：
Glisson, Charles;Landsverk, John;Green, Philip
通讯作者：
Green, Philip
DOI：
10.1007/s10488-010-0276-1
发表时间：
2010-11
影响因子：
2.6
作者：
Aarons, Gregory A.;Covert, Jill;Skriner, Laura C.;Green, Amy;Marto, Donna;Garland, Ann F.;Landsverk, John
通讯作者：
Landsverk, John
DOI：
10.1007/s10488-007-0121-3
发表时间：
2007-07-01
影响因子：
2.6
作者：
Aarons, Gregory A.;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.