Advancing mechanisms of implementation to accelerate sustainable evidence-based practice integration: protocol for generating a research agenda.
Advancing mechanisms of implementation to accelerate sustainable evidence-based practice integration: protocol for generating a research agenda.
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推进实施机制，以加速可持续循证实践整合：生成研究议程的协议。
DOI：
10.1136/bmjopen-2021-053474
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发表时间：
2021-10-18
期刊：
影响因子：
2.9
通讯作者：
Mittman B
中科院分区：
文献类型：
--
作者：
Lewis CC;Powell BJ;Brewer SK;Nguyen AM;Schriger SH;Vejnoska SF;Walsh-Bailey C;Aarons GA;Beidas RS;Lyon AR;Weiner B;Williams N;Mittman B
机制解释了执行战略如何运作。实施研究需要仔细的操作和实证研究的因果路径（S）的战略效果的变化，以及可能放大或削弱其影响的因素。了解机制对于复制研究结果、从负面研究中吸取教训或使在一种环境下制定的执行战略适应另一种环境至关重要。如果不了解执行机制，就很难设计战略，在各种情况下产生预期效果，这可能对优先群体接受护理的环境产生不成比例的影响。这份手稿概述了医疗保健研究和质量机构资助的倡议的协议：（1）建立议程的优先事项，以指导健康和公共卫生实施机制的研究，（2）将议程传播给研究，政策和实践受众。一个科学专家网络将在3年内召开“深入”会议。将通过分析和综合来自以下六个来源的信息来制定研究议程：（1）系统审查，（2）网络成员研究机制的方法，（3）在执行建议反馈会议上提出的新建议，（4）在一个主要的执行问题研究培训机构举行的工作组会议，（5）在实施研究协作协会（SIRC）2019年会议上的分组会议和（6）SIRC会议摘要。两名成员将从每个数据源中提取与机制相关的文本段，第三名成员将生成语句作为概念映射的输入。概念绘图将产生独特的挑战集群，该网络将参与名义上的小组进程，以确定研究议程的优先事项。这一举措将产生一个可采取行动的研究议程，以指导研究工作，确定和测试实施战略的变革机制。该议程将通过多种渠道传播，以征求反馈意见，并促进对执行机制的严格研究。
Mechanisms explain how implementation strategies work. Implementation research requires careful operationalisation and empirical study of the causal pathway(s) by which strategies effect change, and factors that may amplify or weaken their effects. Understanding mechanisms is critically important to replicate findings, learn from negative studies or adapt an implementation strategy developed in one setting to another. Without understanding implementation mechanisms, it is difficult to design strategies to produce expected effects across contexts, which may have disproportionate effects on settings in which priority populations receive care. This manuscript outlines the protocol for an Agency for Healthcare Research and Quality-funded initiative to: (1) establish priorities for an agenda to guide research on implementation mechanisms in health and public health, and (2) disseminate the agenda to research, policy and practice audiences. A network of scientific experts will convene in ‘Deep Dive’ meetings across 3 years. A research agenda will be generated through analysis and synthesis of information from six sources: (1) systematic reviews, (2) network members’ approaches to studying mechanisms, (3) new proposals presented in implementation proposal feedback sessions, (4) working group sessions conducted in a leading implementation research training institute, (5) breakout sessions at the Society for Implementation Research Collaboration’s (SIRC) 2019 conference and (6) SIRC conference abstracts. Two members will extract mechanism-relevant text segments from each data source and a third member will generate statements as an input for concept mapping. Concept mapping will generate unique clusters of challenges, and the network will engage in a nominal group process to identify priorities for the research agenda. This initiative will yield an actionable research agenda to guide research to identify and test mechanisms of change for implementation strategies. The agenda will be disseminated via multiple channels to solicit feedback and promote rigorous research on implementation mechanisms.
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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/s13012-017-0649-x
发表时间：
2017-10-03
期刊：
Implementation science : IS
影响因子：
--
作者：
Powell BJ;Stanick CF;Halko HM;Dorsey CN;Weiner BJ;Barwick MA;Damschroder LJ;Wensing M;Wolfenden L;Lewis CC
通讯作者：
Lewis CC
影响因子：
4
作者：
Bragge, Peter;Grimshaw, Jeremy M.;Colquhoun, Heather
通讯作者：
Colquhoun, Heather
影响因子：
5.7
作者：
Jolles, Monica Perez;Lengnick-Hall, Rebecca;Mittman, Brian S.
通讯作者：
Mittman, Brian S.
影响因子：
12.7
作者：
Aarons, Gregory A.;Wells, Rebecca S.;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.