Getting to implementation: Adaptation of an implementation playbook.
Getting to implementation: Adaptation of an implementation playbook.
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DOI：
10.3389/fpubh.2022.980958
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发表时间：
2022
影响因子：
5.2
通讯作者：
Chinman, Matthew J. J.
中科院分区：
文献类型：
--
作者：
Yakovchenko, Vera;Rogal, Shari S.;Goodrich, David E. E.;Lamorte, Carolyn;Neely, Brittney;Merante, Monica;Gibson, Sandra;Scott, Dawn;McCurdy, Heather;Nobbe, Anna;Morgan, Timothy R. R.;Chinman, Matthew J. J.
支持将证据转化为实践的执行战略需要量身定制和调整，以取得最大成效，但调整执行战略的领域仍处于初期阶段。我们的目标是将旨在帮助社区组织规划和评估行为健康计划的10步实施行动手册“Getting To Outcomes”®（GTO）改编为“Getting To Implementation”（GTI），以支持在医疗保健环境中选择、定制和使用实施策略。我们的嵌入式评估团队与运营、外部促进者和现场实施者合作，采用参与式方法共同设计和调整GTO，以改善退伍军人健康管理局（VA）门诊肝硬化护理。基于证据的实施策略的调整和修改报告框架（FRAME-IS）指导了12个VA医疗中心实施GTI前后的变更记录和分析。来自多个来源（访谈，观察，内容分析和保真度跟踪）的数据进行三角测量和分析，使用快速技术超过3年的时间。实施前的调整是有计划的、主动的，并侧重于上下文和内容，以提高GTI剧本的可接受性、适当性和可行性。在实施期间和实施之后的修改是无计划的和被动的，集中在采用，保真度和可持续性上。所有的变化都是协同开发的，在促进者和/或实施者的层面上保持一致。GTO最初被改编为GTI，以支持医疗保健团队选择和使用实施策略，以改善与指南一致的医疗保健。GTI需要持续的修改，特别是在团队建设、背景评估、战略选择和可持续性方面，因为步骤清晰度和进展方面存在困难。这项工作还突出了在收集和综合执行、忠实度和适应数据的务实方法方面的挑战。本研究在ClinicalTrials.gov上注册（标识符：NCT 04178096）。
Implementation strategies supporting the translation of evidence into practice need to be tailored and adapted for maximum effectiveness, yet the field of adapting implementation strategies remains nascent. We aimed to adapt “Getting To Outcomes”® (GTO), a 10-step implementation playbook designed to help community-based organizations plan and evaluate behavioral health programs, into “Getting To Implementation” (GTI) to support the selection, tailoring, and use of implementation strategies in health care settings. Our embedded evaluation team partnered with operations, external facilitators, and site implementers to employ participatory methods to co-design and adapt GTO for Veterans Health Administration (VA) outpatient cirrhosis care improvement. The Framework for Reporting Adaptations and Modifications to Evidenced-based Implementation Strategies (FRAME-IS) guided documentation and analysis of changes made pre- and post-implementation of GTI at 12 VA medical centers. Data from multiple sources (interviews, observation, content analysis, and fidelity tracking) were triangulated and analyzed using rapid techniques over a 3-year period. Adaptations during pre-implementation were planned, proactive, and focused on context and content to improve acceptability, appropriateness, and feasibility of the GTI playbook. Modifications during and after implementation were unplanned and reactive, concentrating on adoption, fidelity, and sustainability. All changes were collaboratively developed, fidelity consistent at the level of the facilitator and/or implementer. GTO was initially adapted to GTI to support health care teams' selection and use of implementation strategies for improving guideline-concordant medical care. GTI required ongoing modification, particularly in steps regarding team building, context assessment, strategy selection, and sustainability due to difficulties with step clarity and progression. This work also highlights the challenges in pragmatic approaches to collecting and synthesizing implementation, fidelity, and adaptation data. This study was registered on ClinicalTrials.gov (Identifier: NCT04178096).
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1007/s11121-017-0845-6
发表时间：
2018-05
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
Chinman M;Acosta J;Ebener P;Malone PS;Slaughter ME
通讯作者：
Slaughter ME
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
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
5.2
作者：
Huynh, Alexis K.;Hamilton, Alison B.;Finley, Erin P.
通讯作者：
Finley, Erin P.