Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): the CFIR Outcomes Addendum.
Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): the CFIR Outcomes Addendum.
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DOI：
10.1186/s13012-021-01181-5
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发表时间：
2022-01-22
期刊：
影响因子：
--
通讯作者：
Lowery J
中科院分区：
文献类型：
--
作者：
Damschroder LJ;Reardon CM;Opra Widerquist MA;Lowery J
从业者和研究人员广泛认识到实施循证创新 (EBI) 所面临的挑战。背景，广义上定义为 EBI 之外的一切，包括支持或反对实施工作的动态且多样化的力量。实施研究综合框架（CFIR）是指导实施背景决定因素评估的最广泛使用的框架之一。 2009 年的原始文章因认识到框架发展的必要性而受到批评。随着实施科学的成熟，CFIR 中的差距已经被发现，并且需要更新。我们的团队正在根据文献综述和作者的后续调查来开发 CFIR 2.0。我们向 CFIR 提出成果附录，以解决这些来源的建议，将成果纳入框架。我们进行了文献综述并对纳入文章的通讯作者进行了调查，以确定对 CFIR 的建议。有人建议添加这些来源的实施和创新成果。基于这些建议，我们对（1）预期实施成果和实际实施成果、（2）实施成果和创新成果、（3）基于 CFIR 的实施决定因素和创新决定因素进行概念区分。提出了 CFIR 的成果附录。我们的目标是在 CFIR 以及其他决定性实施框架中使用的结果类型之间提供清晰的概念区别。当研究人员考虑哪些结果最适合在他们的研究中进行评估时，这些区别可以帮助澄清问题。我们希望提前分享这一点能够产生关于我们提议的附录的优点的反馈和辩论。
The challenges of implementing evidence-based innovations (EBIs) are widely recognized among practitioners and researchers. Context, broadly defined as everything outside the EBI, includes the dynamic and diverse array of forces working for or against implementation efforts. The Consolidated Framework for Implementation Research (CFIR) is one of the most widely used frameworks to guide assessment of contextual determinants of implementation. The original 2009 article invited critique in recognition for the need for the framework to evolve. As implementation science has matured, gaps in the CFIR have been identified and updates are needed. Our team is developing the CFIR 2.0 based on a literature review and follow-up survey with authors. We propose an Outcomes Addendum to the CFIR to address recommendations from these sources to include outcomes in the framework. We conducted a literature review and surveyed corresponding authors of included articles to identify recommendations for the CFIR. There were recommendations to add both implementation and innovation outcomes from these sources. Based on these recommendations, we make conceptual distinctions between (1) anticipated implementation outcomes and actual implementation outcomes, (2) implementation outcomes and innovation outcomes, and (3) CFIR-based implementation determinants and innovation determinants. An Outcomes Addendum to the CFIR is proposed. Our goal is to offer clear conceptual distinctions between types of outcomes for use with the CFIR, and perhaps other determinant implementation frameworks as well. These distinctions can help bring clarity as researchers consider which outcomes are most appropriate to evaluate in their research. We hope that sharing this in advance will generate feedback and debate about the merits of our proposed addendum.
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影响因子：
2.4
作者：
Glasgow, Russell E.;Klesges, Lisa M.;Vogt, Thomas M.
通讯作者：
Vogt, Thomas M.
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：
2.2
作者：
Althaus, Catherine
通讯作者：
Althaus, Catherine
影响因子：
11.3
作者：
Damschroder, Laura J.
通讯作者：
Damschroder, Laura J.
影响因子：
1.8
作者：
Hill JN;Locatelli SM;Bokhour BG;Fix GM;Solomon J;Mueller N;LaVela SL
通讯作者：
LaVela SL