Designing Caregiver-Implemented Shared-Reading Interventions to Overcome Implementation Barriers.
Designing Caregiver-Implemented Shared-Reading Interventions to Overcome Implementation Barriers.
复制标题
设计护理人员实施的共享阅读干预措施以克服实施障碍。
DOI：
10.1044/2015_jslhr-l-14-0344
复制
发表时间：
2015
期刊：
影响因子：
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通讯作者：
Damschroder,Laura
中科院分区：
文献类型：
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作者：
Justice,LauraM;Logan,JessicaR;Damschroder,Laura
目的本研究提出了理论域框架的应用（TDF;米吉等人，2005年），一个综合框架，借鉴行为变化理论，语音语言pathology.MethodsA多步骤的程序被用来识别障碍，影响照顾者的实施共享阅读干预与他们的孩子语言障碍（LI）。作者研究了从两个随机对照试验的实施问题，并映射到域的TDF以及经验验证的行为改变techniques.ResultsFour障碍的实施被确定为潜在影响照顾者的执行：时间压力，阅读困难，不适与阅读，并缺乏认识的好处。这些被映射到3个TDF域：意图，对能力的信念和技能。反过来，4行为改变技术被确定为影响这些领域的潜在工具：奖励，反馈，模型和鼓励。描述了一项正在进行的研究，该研究正在确定这些技术对改善护理人员实施共享阅读干预的影响。结论描述了识别实施障碍的步骤，以及一项正在进行的实验，该实验将明确确定行为改变技术是否会影响这些障碍，提供了一个模型，如何执行科学可以用来识别和克服执行障碍，在治疗沟通障碍。
PurposeThis study presents an application of the theoretical domains framework (TDF; Michie et al., 2005), an integrative framework drawing on behavior-change theories, to speech-language pathology.MethodsA multistep procedure was used to identify barriers affecting caregivers' implementation of shared-reading interventions with their children with language impairment (LI). The authors examined caregiver-level data corresponding to implementation issues from two randomized controlled trials and mapped these to domains in the TDF as well as empirically validated behavior-change techniques.ResultsFour barriers to implementation were identified as potentially affecting caregivers' implementation: time pressures, reading difficulties, discomfort with reading, and lack of awareness of benefits. These were mapped to 3 TDF domains: intentions, beliefs about capabilities, and skills. In turn, 4 behavior-change techniques were identified as potential vehicles for affecting these domains: reward, feedback, model, and encourage. An ongoing study is described that is determining the effects of these techniques for improving caregivers' implementation of a shared-reading intervention.ConclusionsA description of the steps to identifying barriers to implementation, in conjunction with an ongoing experiment that will explicitly determine whether behavior-change techniques affect these barriers, provides a model for how implementation science can be used to identify and overcome implementation barriers in the treatment of communication disorders.