Model and approach for assessing implementation context and fidelity in the HEALing Communities Study.
Model and approach for assessing implementation context and fidelity in the HEALing Communities Study.
复制标题
评估康复社区研究中实施环境和忠诚度的模型和方法。
DOI：
10.1016/j.drugalcdep.2020.108330
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发表时间：
2020-12-01
影响因子：
4.2
通讯作者：
Walker DM
中科院分区：
文献类型：
--
作者：
Knudsen HK;Drainoni ML;Gilbert L;Huerta TR;Oser CB;Aldrich AM;Campbell ANC;Crable EL;Garner BR;Glasgow LM;Goddard-Eckrich D;Marks KR;McAlearney AS;Oga EA;Scalise AL;Walker DM
为了应对美国阿片类药物的流行，HEALing（帮助结束长期成瘾）社区研究 (HCS) 是一项多地点、等候名单、社区级整群随机试验，旨在在 67 个社区测试新颖的社区治愈 (CTH) 干预措施。 CTH 将在医疗保健、行为健康、司法和其他社区环境中扩展一套综合的循证实践 (EBP)，以减少阿片类药物过量死亡。我们介绍了 RE-AIM/PRISM 框架和方法的基本原理和改编，用于捕获 CTH 实施背景并评估实施保真度。 HCS 通过重复的年度调查以及对社区联盟成员和主要利益相关者的定性访谈来衡量内部和外部 CTH 实施环境的关键领域。忠诚度的核心结构包括剂量、依从性、质量和计划差异化——调整 CTH 干预措施以满足每个社区的需求。忠诚度措施包括每月 CTH 检查清单、CTH 活动期间产生的工件的整理、联盟和工作组的出席情况以及联盟会议纪要。每月跟踪研究地点向社区提供的培训和技术援助。为了帮助减轻全国阿片类药物的流行，必须在社区中增加 EBP 的采用。 HCS 是迄今为止规模最大、最复杂的实施研究实验之一。我们对实施背景和保真度的系统检查将显着促进对如何最好地评估社区层面的 EBP 实施以及评估实施背景、保真度和干预影响之间关系的理解。
In response to the U.S. opioid epidemic, the HEALing (Helping to End Addiction Long-termSM) Communities Study (HCS) is a multisite, wait-listed, community-level cluster-randomized trial that aims to test the novel Communities That HEAL (CTH) intervention, in 67 communities. CTH will expand an integrated set of evidence-based practices (EBPs) across health care, behavioral health, justice, and other community-based settings to reduce opioid overdose deaths. We present the rationale for and adaptation of the RE-AIM/PRISM framework and methodological approach used to capture the CTH implementation context and to evaluate implementation fidelity. HCS measures key domains of the internal and external CTH implementation context with repeated annual surveys and qualitative interviews with community coalition members and key stakeholders. Core constructs of fidelity include dosage, adherence, quality, and program differentiation—the adaptation of the CTH intervention to fit each community’s needs. Fidelity measures include a monthly CTH checklist, collation of artifacts produced during CTH activities, coalition and workgroup attendance, and coalition meeting minutes. Training and technical assistance delivered by the research sites to the communities are tracked monthly. To help attenuate the nation’s opioid epidemic, the adoption of EBPs must be increased in communities. The HCS represents one of the largest and most complex implementation research experiments yet conducted. Our systematic examination of implementation context and fidelity will significantly advance understanding of how to best evaluate community-level implementation of EBPs and assess relations among implementation context, fidelity, and intervention impact.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
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
影响因子：
2.3
作者：
Arthur, Michael W.;Hawkins, J. David;Abbott, Robert D.
通讯作者：
Abbott, Robert D.
影响因子：
5.2
作者：
Harden SM;Smith ML;Ory MG;Smith-Ray RL;Estabrooks PA;Glasgow RE
通讯作者：
Glasgow RE
DOI：
10.1177/109019819402100203
发表时间：
1994-06-01
期刊：
HEALTH EDUCATION QUARTERLY
影响因子：
--
作者：
ISRAEL, BA;CHECKOWAY, B;ZIMMERMAN, M
通讯作者：
ZIMMERMAN, M