Optimizing process flow diagrams to guide implementation of a colorectal cancer screening intervention in new settings.
Optimizing process flow diagrams to guide implementation of a colorectal cancer screening intervention in new settings.
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DOI：
10.1007/s10552-023-01769-w
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发表时间：
2023-12
影响因子：
2.3
通讯作者：
Wheeler, Stephanie B.
中科院分区：
文献类型：
--
作者：
O'Leary, Meghan C.;Lich, Kristen Hassmiller;Reuland, Daniel S.;Brenner, Alison T.;Moore, Alexis A.;Ratner, Shana;Birken, Sarah A.;Wheeler, Stephanie B.
关键词：
本研究的目的是评估使用流程流程图（或流程图）描述先前实施的循证干预（EBI）的可接受性，以告知在新环境中实施类似的干预。我们开发了三个不同版本的流程图，每个都可视化了在社区卫生中心实施相同的多组分结直肠癌（CRC）筛查EBI，但包括不同程度的实施细节。对社区卫生专业人员和其他不属于该干预措施的地点的从业人员进行了访谈。我们评估了他们与地图设计相关的偏好，他们对指导EBI实施的潜在效用，以及在给定流程图中可用信息的情况下，在当地环境中实施类似干预的可行性。采访了11名社区卫生代表。参与者能够了解干预措施是如何实施的，并围绕在当地系统中实施这种复杂干预措施的可行性进行讨论。地图在支持实施方面的潜在用途包括工作人员培训、角色描述、监测和质量控制，以及调整现有干预措施的组成部分和实施活动。流程图可以潜在地支持有关在新上下文中采用、实现和调整现有ebi的决策。考虑到决定是否以及如何实现EBI所涉及的复杂性，这些图可以作为可视化的、易于理解的工具，告知EBI的潜在未来采用者关于实现所需的活动、资源和人员配备。在线版本包含补充材料，可在10.1007/s10552-023-01769-w获得。
The goal of this study was to assess acceptability of using process flow diagrams (or process maps) depicting a previously implemented evidence-based intervention (EBI) to inform the implementation of similar interventions in new settings. We developed three different versions of process maps, each visualizing the implementation of the same multicomponent colorectal cancer (CRC) screening EBI in community health centers but including varying levels of detail about how it was implemented. Interviews with community health professionals and practitioners at other sites not affiliated with this intervention were conducted. We assessed their preferences related to the map designs, their potential utility for guiding EBI implementation, and the feasibility of implementing a similar intervention in their local setting given the information available in the process maps. Eleven community health representatives were interviewed. Participants were able to understand how the intervention was implemented and engage in discussions around the feasibility of implementing this type of complex intervention in their local system. Potential uses of the maps for supporting implementation included staff training, role delineation, monitoring and quality control, and adapting the components and implementation activities of the existing intervention. Process maps can potentially support decision-making about the adoption, implementation, and adaptation of existing EBIs in new contexts. Given the complexities involved in deciding whether and how to implement EBIs, these diagrams serve as visual, easily understood tools to inform potential future adopters of the EBI about the activities, resources, and staffing needed for implementation. The online version contains supplementary material available at 10.1007/s10552-023-01769-w.
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影响因子：
5.2
作者：
Mills, Sarah D.;Golden, Shelley D.;O'Leary, Meghan C.;Logan, Paige;Lich, Kristen Hassmiller
通讯作者：
Lich, Kristen Hassmiller
影响因子：
--
作者：
Malo TL;Correa SY;Moore AA;Ferrari RM;Leeman J;Brenner AT;Wheeler SB;Tan X;Reuland DS;Scaling Colorectal Cancer Screening Through Outreach, Referral, and Engagement (SCORE) Study Protocol Consortium
通讯作者：
Scaling Colorectal Cancer Screening Through Outreach, Referral, and Engagement (SCORE) Study Protocol Consortium
影响因子：
7.2
作者：
Birken, Sarah A.;Bunger, Alicia C.;Weiner, Bryan J.
通讯作者：
Weiner, Bryan J.
DOI：
10.1016/j.cppeds.2018.08.010
发表时间：
2018-07-01
影响因子：
1.6
作者：
Marriott, Robert D.
通讯作者：
Marriott, Robert D.
影响因子：
2.8
作者：
Antonacci G;Lennox L;Barlow J;Evans L;Reed J
通讯作者：
Reed J