Development of a Field Guide for Assessing Readiness to Implement Evidence-Based Cancer Screening Interventions in Primary Care Clinics.
Development of a Field Guide for Assessing Readiness to Implement Evidence-Based Cancer Screening Interventions in Primary Care Clinics.
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DOI：
10.5888/pcd19.210395
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发表时间：
2022-05-12
影响因子：
5.5
通讯作者：
Hannon, Peggy A.
中科院分区：
文献类型：
--
作者：
Hohl, Sarah D.;Melillo, Stephanie;Vu, Thuy T.;Escoffery, Cam;DeGroff, Amy;Schlueter, Dara;Ross, Leslie W.;Maxwell, Annette E.;Sharma, Krishna P.;Boehm, Jennifer;Joseph, Djenaba;Hannon, Peggy A.
循证干预措施，包括提供者评估和反馈，提供者提醒，患者提醒和减少结构性障碍，提高结直肠癌筛查率。评估初级保健诊所实施这些干预措施的准备情况可以帮助诊所利用优势、识别障碍并制定成功计划。然而，诊所可能缺乏工具来评估准备情况，并使用调查结果来规划成功实施。为了满足这一需求，我们为疾病控制和预防中心（CDC）的结直肠癌控制计划（CRCCP）制定了评估准备实施循证癌症筛查干预措施的现场指南（现场指南）。我们对证据和现有工具进行了文献综述，以衡量实施准备情况，审查了选定的CRCCP获奖者（n = 35）的准备工具，并对关键线人（n = 8）进行了半结构化访谈。我们征求了CDC工作人员和接受者的反馈意见，以告知最终文件。在线公开的现场指南概述了4个评估阶段：1）召集团队成员并确定评估活动，2）设计和管理准备情况评估，3）评估评估数据，以及4）制定实施计划。包括评估活动和工具，以促进每个阶段的完成。现场指南将实施科学和实践经验整合到相关工具中，以加强临床实施能力，增加干预可持续性的潜力，并提高结直肠癌筛查率，重点关注在安全网诊所环境中服务的患者。虽然这一工具是为初级保健诊所癌症筛查而开发的，但《现场指南》可能对诊所及其合作伙伴在其他慢性病方面有更广泛的应用。
Evidence-based interventions, including provider assessment and feedback, provider reminders, patient reminders, and reduction of structural barriers, improve colorectal cancer screening rates. Assessing primary care clinics’ readiness to implement these interventions can help clinics use strengths, identify barriers, and plan for success. However, clinics may lack tools to assess readiness and use findings to plan for successful implementation. To address this need, we developed the Field Guide for Assessing Readiness to Implement Evidence-Based Cancer Screening Interventions (Field Guide) for the Centers for Disease Control and Prevention’s (CDC’s) Colorectal Cancer Control Program (CRCCP). We conducted a literature review of evidence and existing tools to measure implementation readiness, reviewed readiness tools from selected CRCCP award recipients (n = 35), and conducted semi-structured interviews with key informants (n = 8). We sought feedback from CDC staff and recipients to inform the final document. The Field Guide, which is publicly available online, outlines 4 assessment phases: 1) convene team members and determine assessment activities, 2) design and administer the readiness assessment, 3) evaluate assessment data, and 4) develop an implementation plan. Assessment activities and tools are included to facilitate completion of each phase. The Field Guide integrates implementation science and practical experience into a relevant tool to bolster clinic capacity for implementation, increase potential for intervention sustainability, and improve colorectal cancer screening rates, with a focus on patients served in safety net clinic settings. Although this tool was developed for use in primary care clinics for cancer screening, the Field Guide may have broader application for clinics and their partners for other chronic diseases.
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