Determining feasibility of incorporating consumer engagement into implementation activities: study protocol of a hybrid effectiveness-implementation type II pilot.
Determining feasibility of incorporating consumer engagement into implementation activities: study protocol of a hybrid effectiveness-implementation type II pilot.
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DOI：
10.1136/bmjopen-2021-050107
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发表时间：
2022-01-18
期刊：
影响因子：
2.9
通讯作者：
Kirchner JE
中科院分区：
文献类型：
--
作者：
Woodward EN;Willging C;Landes SJ;Hausmann LRM;Drummond KL;Ounpraseuth S;Ball IA;Kirchner JE
实施研究人员可以借鉴参与式研究，使患者（消费者的医疗保健）在实施过程中，并可能减少医疗差距。在医疗保健实施中，消费者参与很少，部分原因是没有正式的指导。我们将创建和试点一个方法工具包，让美国退伍军人健康管理局（VHA）的消费者参与选择和定制实施策略。这个工具包，消费者之声，将提供指导，什么，何时，何地，如何以及为什么实施者可能会让消费者实施治疗。我们将通过实施安全规划干预措施来试点该工具包，以预防农村退伍军人自杀，这是一个自杀差异较大的人群。安全计划干预对减少自杀行为是有效的。在目标1中，我们将使用参与式方法和以用户为中心的设计来开发消费者之声及其方法。在目标2中，我们将通过在两个为农村VHA患者服务的诊所实施安全规划干预来试点消费者之声。一个网站将只收到当前的实施战略（实施促进）;第二个网站将收到实施促进加消费者之声。我们将使用混合方法来评估消费者声音的可行性和可接受性。我们将比较初步实施（覆盖范围，收养，忠诚度）和临床结果（抑郁症严重程度，自杀意念，自杀行为）的网站。在目标3中，我们将在20个月时评估目标2的结局，以评估持续影响。我们将收集有关安全规划干预可持续性的定性数据。这些研究由中央阿肯色州退伍军人医疗保健系统的机构审查委员会监督。我们计划使用传统的学术传播方式（例如，会议，出版物）。我们计划通过与实施实践中的其他培训师举行会议来传播调查结果，以便他们可以采用消费者的声音。我们计划与当地社区委员会分享成果。
Implementation researchers could draw from participatory research to engage patients (consumers of healthcare) in implementation processes and possibly reduce healthcare disparities. There is a little consumer involvement in healthcare implementation, partially because no formal guidance exists. We will create and pilot a toolkit of methods to engage consumers from the US’ Veterans Health Administration (VHA) in selecting and tailoring implementation strategies. This toolkit, Consumer Voice, will provide guidance on what, when, where, how and why an implementer might engage consumers in implementing treatments. We will pilot the toolkit by implementing Safety Planning Intervention for suicide prevention with rural veterans, a population with suicide disparities. Safety Planning Intervention is effective for reducing suicidal behaviours. In Aim 1, we will use participatory approaches and user-centred design to develop Consumer Voice and its methods. In Aim 2, we will pilot Consumer Voice by implementing the Safety Planning Intervention in two clinics serving rural VHA patients. One site will receive a current implementation strategy (Implementation Facilitation) only; the second will receive Implementation Facilitation plus Consumer Voice. We will use mixed methods to assess feasibility and acceptability of Consumer Voice. We will compare sites on preliminary implementation (reach, adoption, fidelity) and clinical outcomes (depression severity, suicidal ideation, suicidal behaviour). In Aim 3, we will evaluate Aim 2 outcomes at 20 months to assess sustained impact. We will gather qualitative data on sustainability of the Safety Planning Intervention. These studies are overseen by the Institutional Review Board at the Central Arkansas Veterans Healthcare System. We plan to use traditional academic modalities of dissemination (eg, conferences, publications). We plan to disseminate findings through meetings with other trainers in implementation practice so they may adopt Consumer Voice. We plan to share results with local community boards.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
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影响因子：
3.2
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