The Implementation Research Logic Model: a method for planning, executing, reporting, and synthesizing implementation projects.

The Implementation Research Logic Model: a method for planning, executing, reporting, and synthesizing implementation projects.
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DOI:
10.1186/s13012-020-01041-8
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发表时间:
2020-09-25
期刊:
Implementation science : IS
影响因子:
--
通讯作者:
Rafferty MR
Rafferty MR
中科院分区:
其他
文献类型:
--
作者:
Smith JD;Li DH;Rafferty MR

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对于实施研究的具体方面,包括决定因素、战略和成果,存在着许多模型、框架和理论。然而,执行研究项目往往未能提供一个连贯的理由或理由,这些方面是如何选择和测试彼此之间的关系。尽管有必要更好地具体说明项目所涉核心要素之间的概念联系,但几乎没有开发出什么工具或方法来帮助完成这项任务。实施研究逻辑模型(IRLM)就是为了这个目的而创建的,并提高了描述在医疗保健提供系统中改进循证干预措施的采用的复杂过程的严谨性和透明度。IRLM的结构和指导原则是通过一系列的初步活动与多个调查代表不同的实施研究项目的背景下,研究设计和实施策略进行评估。IRLM的效用在为期2天的培训过程中进行了评估,超过130名实施研究人员和医疗保健提供系统合作伙伴。与IRLM的初步工作产生了一个核心结构和常见的实施研究设计和情况的多种变化,以及指导原则和使用建议。调查结果表明,IRLM在多种用途上具有很高的实用性,例如提高项目的严谨性和可重复性;作为项目如何实施的“路线图”;明确报告和说明项目如何实施;以及了解项目的决定因素,战略,机制和成果之间的联系。IRLM是一个半结构化的,原则指导的工具,旨在提高规范,严谨性,可重复性和可测试的因果关系的实施研究项目所涉及的途径。IRLM还可以帮助实施研究人员和实施合作伙伴规划和执行实践变更计划。IRLM的调整和完善正在进行中,为各种项目的使用和应用开发资源,以应对这一复杂科学领域的挑战。
Numerous models, frameworks, and theories exist for specific aspects of implementation research, including for determinants, strategies, and outcomes. However, implementation research projects often fail to provide a coherent rationale or justification for how these aspects are selected and tested in relation to one another. Despite this need to better specify the conceptual linkages between the core elements involved in projects, few tools or methods have been developed to aid in this task. The Implementation Research Logic Model (IRLM) was created for this purpose and to enhance the rigor and transparency of describing the often-complex processes of improving the adoption of evidence-based interventions in healthcare delivery systems. The IRLM structure and guiding principles were developed through a series of preliminary activities with multiple investigators representing diverse implementation research projects in terms of contexts, research designs, and implementation strategies being evaluated. The utility of the IRLM was evaluated in the course of a 2-day training to over 130 implementation researchers and healthcare delivery system partners. Preliminary work with the IRLM produced a core structure and multiple variations for common implementation research designs and situations, as well as guiding principles and suggestions for use. Results of the survey indicated a high utility of the IRLM for multiple purposes, such as improving rigor and reproducibility of projects; serving as a “roadmap” for how the project is to be carried out; clearly reporting and specifying how the project is to be conducted; and understanding the connections between determinants, strategies, mechanisms, and outcomes for their project. The IRLM is a semi-structured, principle-guided tool designed to improve the specification, rigor, reproducibility, and testable causal pathways involved in implementation research projects. The IRLM can also aid implementation researchers and implementation partners in the planning and execution of practice change initiatives. Adaptation and refinement of the IRLM are ongoing, as is the development of resources for use and applications to diverse projects, to address the challenges of this complex scientific field.
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