Do the Expert Recommendations for Implementing Change (ERIC) strategies adequately address sustainment?
Do the Expert Recommendations for Implementing Change (ERIC) strategies adequately address sustainment?
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DOI：
10.3389/frhs.2022.905909
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Hall, Alix
中科院分区：
文献类型：
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作者：
Nathan, Nicole;Powell, Byron J;Shelton, Rachel C;Laur, Celia V;Wolfenden, Luke;Hailemariam, Maji;Yoong, Sze Lin;Sutherland, Rachel;Kingsland, Melanie;Waltz, Thomas J;Hall, Alix
可持续性科学是实施科学中的一个新兴领域。关于最佳支持循证干预措施（EBI）的持续实施和持续影响的策略的证据有限。为了建立这样的证据，需要明确的定义以及实施特定和/或与维持相关的战略的方法。制定了实施变革专家建议 (ERIC) 等分类法和汇编来描述和组织实施策略。本研究旨在调整、完善和扩展 ERIC 汇编，以纳入对维持的明确关注。我们还试图对可以考虑和应用 ERIC 策略的具体实施阶段进行分类。我们使用两阶段迭代方法来调整 ERIC。这涉及：(1) 通过共识进行调整（ERIC 战略针对通过文献确定的维持障碍进行制定，以确定现有的实施策略是否足以解决维持问题、所需的措辞变化，或者是否需要新的战略）； (2) 该维持明确的 ERIC 术语表的初步应用（已发布的维持干预中描述的策略根据术语表进行编码，以确定是否需要进一步修订）。所有团队成员独立审查变更并为后续迭代提供反馈，直至达成共识。在此之后，并利用相同的共识流程，应用探索、准备、实施和维持 (EPIS) 框架来确定何时可以最好地跨阶段采用每种策略。对 73 项 ERIC 战略中的 41 项的定义进行了表面层面的更改，以明确解决维持问题。另外四种策略的定义发生了更深层次的变化。确定了一项新策略：与利益相关者沟通循证实践的持续影响。 EPIS 的应用表明，在准备和实施阶段至少应考虑四分之三的战略，因为它们可能会影响维持。提供了明确的 ERIC 维持术语表，以帮助研究人员和从业者开发、测试或应用策略来改善现实环境中 EBI 的维持。虽然大多数 ERIC 策略只需要进行微小的改变，但它们对维持的影响需要进行实证检验，这可能需要在未来进行重大改进或补充。
Sustainability science is an emerging area within implementation science. There is limited evidence regarding strategies to best support the continued delivery and sustained impact of evidence-based interventions (EBIs). To build such evidence, clear definitions, and ways to operationalize strategies specific and/or relevant to sustainment are required. Taxonomies and compilations such as the Expert Recommendations for Implementing Change (ERIC) were developed to describe and organize implementation strategies. This study aimed to adapt, refine, and extend the ERIC compilation to incorporate an explicit focus on sustainment. We also sought to classify the specific phase(s) of implementation when the ERIC strategies could be considered and applied. We used a two-phase iterative approach to adapt the ERIC. This involved: (1) adapting through consensus (ERIC strategies were mapped against barriers to sustainment as identified via the literature to identify if existing implementation strategies were sufficient to address sustainment, needed wording changes, or if new strategies were required) and; (2) preliminary application of this sustainment-explicit ERIC glossary (strategies described in published sustainment interventions were coded against the glossary to identify if any further amendments were needed). All team members independently reviewed changes and provided feedback for subsequent iterations until consensus was reached. Following this, and utilizing the same consensus process, the Exploration, Preparation, Implementation and Sustainment (EPIS) Framework was applied to identify when each strategy may be best employed across phases. Surface level changes were made to the definitions of 41 of the 73 ERIC strategies to explicitly address sustainment. Four additional strategies received deeper changes in their definitions. One new strategy was identified: Communicate with stakeholders the continued impact of the evidence-based practice. Application of the EPIS identified that at least three-quarters of strategies should be considered during preparation and implementation phases as they are likely to impact sustainment. A sustainment-explicit ERIC glossary is provided to help researchers and practitioners develop, test, or apply strategies to improve the sustainment of EBIs in real-world settings. Whilst most ERIC strategies only needed minor changes, their impact on sustainment needs to be tested empirically which may require significant refinement or additions in the future.