The pragmatic, rapid, and iterative dissemination and implementation (PRIDI) cycle: adapting to the dynamic nature of public health emergencies (and beyond).
The pragmatic, rapid, and iterative dissemination and implementation (PRIDI) cycle: adapting to the dynamic nature of public health emergencies (and beyond).
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DOI：
10.1186/s12961-021-00764-4
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发表时间：
2021-08-04
影响因子：
4
通讯作者：
McMahon JM
中科院分区：
文献类型：
--
作者：
Yousefi Nooraie R;Shelton RC;Fiscella K;Kwan BM;McMahon JM
公共卫生突发事件（如2020年COVID-19大流行）加速了证据生成以及最需要证据的快速传播和实施（D&I）的需求。在本文中，我们反思了D&I框架和方法如何实用（即，与现实世界相关）的工具，用于快速和迭代规划、实施、评估和传播证据，以应对突发公共卫生事件。PRIDI周期基于一个“双循环”学习过程，认识到需要对执行周期（内环）作出反应并反复调整，以适应不断变化的情况，这些情况由新出现的目标和预期成果、新出现的干预措施和D&I战略、不断变化的证据以及新出现的个人和背景特点和需求的外循环所呈现。利益相关者反复评估这些实施的周围环境，并重新考虑实施计划和活动。即使卫生系统的优先事项是向有需要的个人提供最好的护理，科学家也专注于开发有效的诊断和治疗技术，但D&I的规划至关重要。如果没有一个灵活和适应性强的D&I进程，能够对新出现的证据生成周期作出反应，并通过参与和反馈与利益攸关方和目标用户的需求和优先事项密切相关，那么缓解突发公共卫生事件的干预措施（例如，COVID-19大流行）及其他新出现的问题对最能受益的人群的影响范围和影响有限。PRIDI周期旨在提供一种务实的方法，以支持整个证据生成和使用过程中的D&I规划。
Public health emergencies—such as the 2020 COVID-19 pandemic—accelerate the need for both evidence generation and rapid dissemination and implementation (D&I) of evidence where it is most needed. In this paper, we reflect on how D&I frameworks and methods can be pragmatic (i.e., relevant to real-world context) tools for rapid and iterative planning, implementation, evaluation, and dissemination of evidence to address public health emergencies. The PRIDI cycle is based on a “double-loop” learning process that recognizes the need for responsiveness and iterative adaptation of implementation cycle (inner loop) to the moving landscapes, presented by the outer loops of emerging goals and desired outcomes, emerging interventions and D&I strategies, evolving evidence, and emerging characteristics and needs of individuals and contexts. Stakeholders iteratively evaluate these surrounding landscapes of implementation, and reconsider implementation plans and activities. Even when the health system priority is provision of the best care to the individuals in need, and scientists are focused on development of effective diagnostic and therapeutic technologies, planning for D&I is critical. Without a flexible and adaptive process of D&I, which is responsive to emerging evidence generation cycles, and closely connected to the needs and priorities of stakeholders and target users through engagement and feedback, the interventions to mitigate public health emergencies (e.g., COVID-19 pandemic), and other emerging issues, will have limited reach and impact on populations that would most benefit. The PRIDI cycle is intended to provide a pragmatic approach to support planning for D&I throughout the evidence generation and usage processes.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
7.2
作者：
Birken, Sarah A.;Bunger, Alicia C.;Weiner, Bryan J.
通讯作者：
Weiner, Bryan J.
影响因子：
39.2
作者：
Brehaut, Jamie C.;Colquhoun, Heather L.;Grimshaw, Jeremy M.
通讯作者：
Grimshaw, Jeremy M.
影响因子：
--
作者：
通讯作者：
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DOI：
10.1001/jamahealthforum.2020.0345
发表时间：
2020-03-02
期刊：
JAMA health forum
影响因子：
--
作者：
Cavallo, Joseph J;Donoho, Daniel A;Forman, Howard P
通讯作者：
Forman, Howard P