AIMD - a validated, simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies
AIMD - a validated, simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies
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DOI：
10.1186/s12874-017-0314-8
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发表时间：
2017-03-04
影响因子：
4
通讯作者：
Colquhoun, Heather
中科院分区：
文献类型：
--
作者：
Bragge, Peter;Grimshaw, Jeremy M.;Colquhoun, Heather
背景资料：描述有效促进和支持在医疗保健政策和实践中使用研究证据的科学术语的扩散阻碍了该领域的理解和发展。为解决这一问题，一个国际术语工作组制定并发布了一个简化的干预框架，以促进证据并将其纳入卫生实践、系统和政策。本文介绍了验证工作和第二次国际会议的结果，最终在更新的AIMD框架[目的，成分，机制，交付].Methods：框架有效性进行了评估，对术语表（n = 51），主要研究（n = 37）和报告指南（n = 10）。两名研究人员将框架组件独立地分类为完全代表，部分代表或不存在。系统地记录了改进框架的机会。扩大的国际术语工作组的一次会议更新了框架，审查和审议后的验证结果和完善proposs.Results：有变化的代表性的组件在三种类型的文献，特别是组件的因果机制。对主要研究的分析表明，如果只包括明确的因果机制，而不是明确和不明确的因果机制，则这一概念的代表性从92%降至68%。所有组成部分在报告指南中都得到了很好的体现，但对这些组成部分的描述程度低于其他类型的文献。会议确定了12个改进框架的机会，其中9个在会上得到落实。更新后的AIMD框架包括四个组成部分：（1）目标：您希望您的干预措施实现什么目标？(2)成分：干预措施包括哪些内容？(3)机制：您认为干预将如何发挥作用？以及（4）交付：您将如何交付干预？结论：参考了广泛的相关文献，对简化框架草案进行了验证，改进后的框架更加实用。AIMD框架可以帮助将证据推广到实践中，消除理解干预措施如何工作的障碍，加强干预措施的沟通并支持知识综合。未来的工作需要集中在开发和测试资源和教育计划，以优化与相关最终用户群体合作使用AIMD框架。
Background: Proliferation of terms describing the science of effectively promoting and supporting the use of research evidence in healthcare policy and practice has hampered understanding and development of the field. To address this, an international Terminology Working Group developed and published a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. This paper presents results of validation work and a second international workgroup meeting, culminating in the updated AIMD framework [Aims, Ingredients, Mechanism, Delivery].Methods: Framework validity was evaluated against terminology schemas (n = 51); primary studies (n = 37); and reporting guidelines (n = 10). Framework components were independently categorized as fully represented, partly represented, or absent by two researchers. Opportunities to refine the framework were systematically recorded. A meeting of the expanded international Terminology Working Group updated the framework by reviewing and deliberating upon validation findings and refinement proposals.Results: There was variation in representativeness of the components across the three types of literature, in particular for the component 'causal mechanisms'. Analysis of primary studies revealed that representativeness of this concept lowered from 92 to 68% if only explicit, rather than explicit and non-explicit references to causal mechanisms were included. All components were very well represented in reporting guidelines, however the level of description of these was lower than in other types of literature. Twelve opportunities were identified to improve the framework, 9 of which were operationalized at the meeting. The updated AIMD framework comprises four components: (1) Aims: what do you want your intervention to achieve and for whom? (2) Ingredients: what comprises the intervention? (3) Mechanisms: how do you propose the intervention will work? and (4) Delivery: how will you deliver the intervention?Conclusions: The draft simplified framework was validated with reference to a wide range of relevant literature and improvements have enhanced useability. The AIMD framework could aid in the promotion of evidence into practice, remove barriers to understanding how interventions work, enhance communication of interventions and support knowledge synthesis. Future work needs to focus on developing and testing resources and educational initiatives to optimize use of the AIMD framework in collaboration with relevant end-user groups.