Ten years of implementation outcomes research: a scoping review.
Ten years of implementation outcomes research: a scoping review.
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DOI：
10.1186/s13012-023-01286-z
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发表时间：
2023-07-25
影响因子：
7.2
通讯作者：
Swanson, Julia C. C.
中科院分区：
文献类型：
--
作者：
Proctor, Enola K. K.;Bunger, Alicia C. C.;Lengnick-Hall, Rebecca;Gerke, Donald R. R.;Martin, Jared K. K.;Phillips, Rebecca J. J.;Swanson, Julia C. C.
关键词：
Proctor和他的同事在2011年的论文中提出了八项实施成果的分类，并向该领域提出了挑战，要求他们解决专注于概念化、衡量和理论建设的研究议程。十年后，本文绘制了该领域在执行成果研究方面的进展情况。本范围审查描述了如何研究每个实施成果、所使用的研究设计和方法，以及当前文献中所代表的背景和背景。我们还描述了执行成果在执行战略和其他成果方面的作用。Arksey和O‘Malley进行范围审查的框架指导了我们的方法。利用前向引文追踪法，我们确定了所有引用2011年论文的文献。我们在科学网(WOS)数据库中进行了搜索，并添加了出版商发送给第一作者的引文提醒，时间为6个月，与WOS引文搜索一致。这产生了1346个标题和摘要。最初的摘要筛选产生了480份手稿，全文审查产生了400份符合纳入标准的手稿(至少对一项实施成果进行了经验评估)。略多于一半(52.1%)的收录手稿检查了可接受性。忠诚度(39.3%)、可行性(38.6%)、收养(26.5%)和适当性(21.8%)也被普遍检查。渗透率(16.0%)、可持续性(15.8%)和成本(7.8%)较少被检查。32份手稿审查了原始分类中未包括的实施成果。大多数研究发生在医疗保健(45.8%)或行为健康(22.5%)组织中。三分之二的人使用了观察性设计。我们发现，在测试执行战略和执行成果之间的关系方面几乎没有取得进展的证据，这使我们没有做好充分准备，不知道如何取得执行成功。此外，很少有研究测试执行成果对其他重要成果类型的影响，例如服务系统和改善个人或人口健康。我们的审查全面概述了现有执行成果文献正在处理的研究问题，并揭示了在未来10年的成果研究中需要对实现执行成果的战略进行严格的分析性研究和测试。网上版载有补充材料，可在10.1186/s13012-023-01286-z查阅。
Proctor and colleagues’ 2011 paper proposed a taxonomy of eight implementation outcomes and challenged the field to address a research agenda focused on conceptualization, measurement, and theory building. Ten years later, this paper maps the field’s progress in implementation outcomes research. This scoping review describes how each implementation outcome has been studied, research designs and methods used, and the contexts and settings represented in the current literature. We also describe the role of implementation outcomes in relation to implementation strategies and other outcomes. Arksey and O’Malley’s framework for conducting scoping reviews guided our methods. Using forward citation tracing, we identified all literature citing the 2011 paper. We conducted our search in the Web of Science (WOS) database and added citation alerts sent to the first author from the publisher for a 6-month period coinciding with the WOS citation search. This produced 1346 titles and abstracts. Initial abstract screening yielded 480 manuscripts, and full-text review yielded 400 manuscripts that met inclusion criteria (empirical assessment of at least one implementation outcome). Slightly more than half (52.1%) of included manuscripts examined acceptability. Fidelity (39.3%), feasibility (38.6%), adoption (26.5%), and appropriateness (21.8%) were also commonly examined. Penetration (16.0%), sustainability (15.8%), and cost (7.8%) were less frequently examined. Thirty-two manuscripts examined implementation outcomes not included in the original taxonomy. Most studies took place in healthcare (45.8%) or behavioral health (22.5%) organizations. Two-thirds used observational designs. We found little evidence of progress in testing the relationships between implementation strategies and implementation outcomes, leaving us ill-prepared to know how to achieve implementation success. Moreover, few studies tested the impact of implementation outcomes on other important outcome types, such as service systems and improved individual or population health. Our review presents a comprehensive snapshot of the research questions being addressed by existing implementation outcomes literature and reveals the need for rigorous, analytic research and tests of strategies for attaining implementation outcomes in the next 10 years of outcomes research. The online version contains supplementary material available at 10.1186/s13012-023-01286-z.
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发表时间：
2009-08-07
期刊：
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影响因子：
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影响因子：
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影响因子：
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