Developing an implementation research logic model: using a multiple case study design to establish a worked exemplar.
Developing an implementation research logic model: using a multiple case study design to establish a worked exemplar.
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DOI：
10.1186/s43058-022-00337-8
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发表时间：
2022-08-16
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中科院分区：
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实施科学框架探索，解释和评估实施过程的不同组成部分。通过使用程序逻辑方法，可以将具有不同目的的实现框架组合起来，以详细描述复杂的交互。实施研究逻辑模型（IRLM）促进了因果路径和机制的发展，使实施。IRLM的关键要素在不同的研究设计中各不相同，其在不同环境中综合研究结果的适用性也未得到充分探讨。本研究的双重目的是开发一个IRLM的实施研究，使用案例研究方法，并证明实用程序的IRLM综合调查结果跨案例网站。范例项目中使用的方法和IRLM的对齐案例研究方法进行了说明。使用复制逻辑有目的地选择病例，并代表在癌症或精神疾病患者的常规护理中嵌入运动的组织。四个数据源被选中：半结构化的访谈，特意选择的工作人员，组织文件审查，意见，并使用计划的可持续性评估工具（PSAT）的调查。使用框架分析，并在每个病例现场制作IRLM。识别、提取和重现单个IRLM中的相似元素，以综合各研究中心的结果，并代表广义的跨病例结果。IRLM被嵌入到研究的多个阶段，包括数据收集，分析和报告透明度。在33-44个决定因素和36-44个实施战略，确定在网站，通知个人IRLM。描述“干预适应性”的概括性发现的一个例子表明，各个地点的实施策略的决定因素细节和机制具有相似性。然而，对类似的决定因素采用了不同的战略。相互依存和双向的关系沿着影响执行结果的因果路径运作。案例研究方法有助于解决实施研究的优先事项，包括发展因果途径和机制。将IRLM嵌入案例研究方法提供了结构，并增加了研究的透明度和可复制性。查明各地点的类似要素有助于综合调查结果，并对执行进程作出一般性解释。详细的方法提供了一个复制的例子，可以建立在实施研究的普遍知识。在线版本包含补充材料，可通过10.1186/s43058-022-00337-8获得。
Implementation science frameworks explore, interpret, and evaluate different components of the implementation process. By using a program logic approach, implementation frameworks with different purposes can be combined to detail complex interactions. The Implementation Research Logic Model (IRLM) facilitates the development of causal pathways and mechanisms that enable implementation. Critical elements of the IRLM vary across different study designs, and its applicability to synthesizing findings across settings is also under-explored. The dual purpose of this study is to develop an IRLM from an implementation research study that used case study methodology and to demonstrate the utility of the IRLM to synthesize findings across case sites. The method used in the exemplar project and the alignment of the IRLM to case study methodology are described. Cases were purposely selected using replication logic and represent organizations that have embedded exercise in routine care for people with cancer or mental illness. Four data sources were selected: semi-structured interviews with purposely selected staff, organizational document review, observations, and a survey using the Program Sustainability Assessment Tool (PSAT). Framework analysis was used, and an IRLM was produced at each case site. Similar elements within the individual IRLM were identified, extracted, and re-produced to synthesize findings across sites and represent the generalized, cross-case findings. The IRLM was embedded within multiple stages of the study, including data collection, analysis, and reporting transparency. Between 33-44 determinants and 36-44 implementation strategies were identified at sites that informed individual IRLMs. An example of generalized findings describing “intervention adaptability” demonstrated similarities in determinant detail and mechanisms of implementation strategies across sites. However, different strategies were applied to address similar determinants. Dependent and bi-directional relationships operated along the causal pathway that influenced implementation outcomes. Case study methods help address implementation research priorities, including developing causal pathways and mechanisms. Embedding the IRLM within the case study approach provided structure and added to the transparency and replicability of the study. Identifying the similar elements across sites helped synthesize findings and give a general explanation of the implementation process. Detailing the methods provides an example for replication that can build generalizable knowledge in implementation research. The online version contains supplementary material available at 10.1186/s43058-022-00337-8.
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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
DOI：
10.1186/s13012-016-0540-1
发表时间：
2017-02-02
期刊：
Implementation science : IS
影响因子：
--
作者：
Anselmi L;Binyaruka P;Borghi J
通讯作者：
Borghi J
影响因子：
11.3
作者：
Damschroder, Laura J.
通讯作者：
Damschroder, Laura J.
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
案例研究方法。
影响因子：
4
作者：
Crowe S;Cresswell K;Robertson A;Huby G;Avery A;Sheikh A
通讯作者：
Sheikh A