Implementing an Electronic Patient-Reported Outcome and Decision Support Tool in Early Intervention.
Implementing an Electronic Patient-Reported Outcome and Decision Support Tool in Early Intervention.
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DOI：
10.1055/s-0042-1760631
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发表时间：
2023-01
影响因子：
2.9
通讯作者：
Khetani, Mary A.
中科院分区：
文献类型：
--
作者：
Rizk, Sabrin;Kaelin, Vera C.;Sim, Julia Gabrielle C.;Murphy, Natalie J.;McManus, Beth M.;Leland, Natalie E.;Stoffel, Ashley;James, Lesly;Barnekow, Kris;Papautsky, Elizabeth Lerner;Khetani, Mary A.
关键词：
目的本研究的目的是确定和优先考虑早期干预（EI）利益相关者的支持和实施幼儿参与和环境措施（YC-PEM），电子病人报告的结果（e-PRO）工具的障碍的观点，在多个地方和国家EI计划的实施规模。 方法采用解释性序贯（quan > QUAL）混合方法研究，研究对象包括EI家庭（n = 6）、服务协调员（n = 9）和项目领导（n = 7）。 半结构化访谈和焦点小组被用来分享选择的定量实用试验结果（例如，实施战略的有用性百分比），并征求利益攸关方的观点，以将这些结果纳入背景。三个研究人员演绎编码的成绩单，以实施研究的综合框架（CFIR）的结构。对CFIR结构中的数据进行归纳分析，以生成由国家幼儿顾问对其与长期实施的相关性进行评级的主题。 所有三个利益攸关方群体（即，家庭、服务协调员、项目领导）在CFIR的四个领域中的每一个领域内确定了多个结构的主题支持和障碍：（1）“干预特征”的六个主题，（2）“过程”的六个主题，（3）“内部设置”的三个主题，（4）“外部设置”的四个主题。例如，所有利益攸关方团体都描述了YC-PEM e-PRO在建立联系和获取有关家庭优先事项的有意义信息以制定有效服务计划（“干预特征”）方面的价值。各利益攸关方优先考虑接触具有不同语言偏好和用户导航需求的家庭，进一步调整其与自动数据采集和交换程序（“程序”）的接口;并促进积极的执行氛围（“内部环境”）。服务协调员和项目领导进一步阐述了YC-PEM e-PRO结果对于改善EI访问（“外部环境”）的价值。 结论结果表明，YC-PEM e-PRO是一种可行的循证干预措施。 在进行混合2型和3型多地点试验之前，需要对其界面进行优化，以测试这些实施策略在州和地方EI计划中的电子数据捕获能力和不同水平的组织准备和实施资源。
Objective The aim of the study is to identify and prioritize early intervention (EI) stakeholders' perspectives of supports and barriers to implementing the Young Children's Participation and Environment Measure (YC-PEM), an electronic patient-reported outcome (e-PRO) tool, for scaling its implementation across multiple local and state EI programs. Methods An explanatory sequential (quan > QUAL) mixed-methods study was conducted with EI families ( n = 6), service coordinators ( n = 9), and program leadership ( n = 7). Semi-structured interviews and focus groups were used to share select quantitative pragmatic trial results (e.g., percentages for perceived helpfulness of implementation strategies) and elicit stakeholder perspectives to contextualize these results. Three study staff deductively coded transcripts to constructs in the Consolidated Framework for Implementation Research (CFIR). Data within CFIR constructs were inductively analyzed to generate themes that were rated by national early childhood advisors for their relevance to longer term implementation. Results All three stakeholder groups (i.e., families, service coordinators, program leadership) identified thematic supports and barriers across multiple constructs within each of four CFIR domains: (1) Six themes for “intervention characteristics,” (2) Six themes for “process,” (3) three themes for “inner setting,” and (4) four themes for “outer setting.” For example, all stakeholder groups described the value of the YC-PEM e-PRO in forging connections and eliciting meaningful information about family priorities for efficient service plan development (“intervention characteristics”). Stakeholders prioritized reaching families with diverse linguistic preferences and user navigation needs, further tailoring its interface with automated data capture and exchange processes (“process”); and fostering a positive implementation climate (“inner setting”). Service coordinators and program leadership further articulated the value of YC-PEM e-PRO results for improving EI access (“outer setting”). Conclusion Results demonstrate the YC-PEM e-PRO is an evidence-based intervention that is viable for implementation. Optimizations to its interface are needed before undertaking hybrid type-2 and 3 multisite trials to test these implementation strategies across state and local EI programs with electronic data capture capabilities and diverse levels of organizational readiness and resources for implementation.
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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：
1.9
作者：
Graham, Fiona;Timothy, Emily;Levack, William
通讯作者：
Levack, William
DOI：
10.3109/01942638.2015.1130007
发表时间：
2017-01-01
影响因子：
2.1
作者：
Benjamin, Tanya E.;Lucas-Thompson, Rachel G.;Khetani, Mary A.
通讯作者：
Khetani, Mary A.
影响因子：
2.6
作者：
Rigau BL;Scully EA;Dooling-Litfin JK;Murphy NJ;McManus BM;Khetani MA
通讯作者：
Khetani MA
影响因子：
3.1
作者：
Jimenez, Manuel E.;Fiks, Alexander G.;Guevara, James P.
通讯作者：
Guevara, James P.