Assessing the use of constructs from the consolidated framework for implementation research in U.S. rural cancer screening promotion programs: a systematic search and scoping review.
Assessing the use of constructs from the consolidated framework for implementation research in U.S. rural cancer screening promotion programs: a systematic search and scoping review.
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DOI：
10.1186/s12913-022-08976-2
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发表时间：
2023-01-18
影响因子：
2.8
通讯作者：
中科院分区：
文献类型：
--
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在农村地区，癌症筛查是次优的，需要干预措施来提高接受率。执行研究综合框架(CFIR)是一个广泛使用的执行科学框架，用于优化循证干预措施的规划和交付，这可能对农村地区的筛查宣传特别有用。我们检查了CFIR定义的结构域和结构在改善农村地区癌症筛查项目中的讨论。我们对研究数据库(例如Medline、CINAHL)进行了系统的搜索，以确定在美国农村地区提供的癌症筛查促进计划的研究(发表至2022年11月)。我们确定了166条记录，纳入了15项研究。接下来，两位评价者使用标准化的抽象工具对农村癌症筛查推广项目中的CFIR结构进行了关键范围的审查。每项研究都至少报告了一些CFIR结构域和结构，但研究报告的方式各不相同。广泛地说，来自过程、干预和外部环境领域的结构被普遍报道，但来自内部环境和个人领域的结构较少被报道。最常见的结构是计划(100%的研究报告)，其次是适应性、世界性以及反思和评估(各占86.7%)。没有研究报告改变、自我效能或意见领袖的紧张感。在农村地区癌症筛查促进计划的规划和实施中利用CFIR可以改善计划的实施。还需要更多的研究来评估未得到充分利用的CFIR域，即内部环境和个人，对癌症筛查计划的影响。网上版载有补充材料，可在10.1186/s12913-022-08976-2查阅。
Cancer screening is suboptimal in rural areas, and interventions are needed to improve uptake. The Consolidated Framework for Implementation Research (CFIR) is a widely-used implementation science framework to optimize planning and delivery of evidence-based interventions, which may be particularly useful for screening promotion in rural areas. We examined the discussion of CFIR-defined domains and constructs in programs to improve cancer screening in rural areas. We conducted a systematic search of research databases (e.g., Medline, CINAHL) to identify studies (published through November 2022) of cancer screening promotion programs delivered in rural areas in the United States. We identified 166 records, and 15 studies were included. Next, two reviewers used a standardized abstraction tool to conduct a critical scoping review of CFIR constructs in rural cancer screening promotion programs. Each study reported at least some CFIR domains and constructs, but studies varied in how they were reported. Broadly, constructs from the domains of Process, Intervention, and Outer setting were commonly reported, but constructs from the domains of Inner setting and Individuals were less commonly reported. The most common constructs were planning (100% of studies reporting), followed by adaptability, cosmopolitanism, and reflecting and evaluating (86.7% for each). No studies reported tension for change, self-efficacy, or opinion leader. Leveraging CFIR in the planning and delivery of cancer screening promotion programs in rural areas can improve program implementation. Additional studies are needed to evaluate the impact of underutilized CFIR domains, i.e., Inner setting and Individuals, on cancer screening programs. The online version contains supplementary material available at 10.1186/s12913-022-08976-2.
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影响因子：
1.6
作者：
Cunningham, LE;Michielutte, R;Boxley, J
通讯作者：
Boxley, J
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：
5.1
作者：
Greiner, KA;Engelman, KK;Ellerbeck, EF
通讯作者：
Ellerbeck, EF
影响因子：
12.7
作者：
Glasgow, Russell E.;Vinson, Cynthia;Hunter, Christine
通讯作者：
Hunter, Christine
DOI：
10.1158/1055-9965.epi-17-0092
发表时间：
2017-07
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Blake KD;Moss JL;Gaysynsky A;Srinivasan S;Croyle RT
通讯作者：
Croyle RT