Operationalizing the 'pragmatic' measures construct using a stakeholder feedback and a multi-method approach.

Operationalizing the 'pragmatic' measures construct using a stakeholder feedback and a multi-method approach.
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DOI:
10.1186/s12913-018-3709-2
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发表时间:
2018-11-22
影响因子:
2.8
通讯作者:
Lewis CC
Lewis CC
中科院分区:
医学3区
文献类型:
--
作者:
Stanick CF;Halko HM;Dorsey CN;Weiner BJ;Powell BJ;Palinkas LA;Lewis CC

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利益相关者很少使用实施科学措施来告知和加强临床项目的改变。对于社区环境中实施措施的实用性(即实用性),人们知之甚少;因此,本研究的目标是产生临床利益相关者驱动的实用措施构建的可操作性。务实措施的构建是通过以下方式定义的:1) 使用 PsycINFO 和 PubMed 数据库进行系统文献综述,以确定该构建的维度;2) 对国际利益相关者小组 (N = 7) 进行访谈,询问他们对务实措施的看法。系统文献综述和利益相关者访谈的综合结果显示了 47 条描述务实措施的简短陈述(例如,可行、低成本、简短)的最终清单,这将允许对务实措施构建进行严格的、利益相关者驱动的概念化。结果显示,现有文献和利益相关者访谈中与实用主义结构相关的术语之间存在显着重叠。然而,每种方法的许多术语都是独特的。这强调了理解利益相关者对衡量务实结构标准的看法的重要性。这些结果将用于为项目的未来阶段提供信息,利益相关者将确定务实结构每个维度的相对重要性和清晰度,以及务实维度的优先级。总而言之,这些结果将被纳入现有实施科学措施的务实评级系统中,以支持实施科学和实践。
Implementation science measures are rarely used by stakeholders to inform and enhance clinical program change. Little is known about what makes implementation measures pragmatic (i.e., practical) for use in community settings; thus, the present study’s objective was to generate a clinical stakeholder-driven operationalization of a pragmatic measures construct. The pragmatic measures construct was defined using: 1) a systematic literature review to identify dimensions of the construct using PsycINFO and PubMed databases, and 2) interviews with an international stakeholder panel (N = 7) who were asked about their perspectives of pragmatic measures. Combined results from the systematic literature review and stakeholder interviews revealed a final list of 47 short statements (e.g., feasible, low cost, brief) describing pragmatic measures, which will allow for the development of a rigorous, stakeholder-driven conceptualization of the pragmatic measures construct. Results revealed significant overlap between terms related to the pragmatic construct in the existing literature and stakeholder interviews. However, a number of terms were unique to each methodology. This underscores the importance of understanding stakeholder perspectives of criteria measuring the pragmatic construct. These results will be used to inform future phases of the project where stakeholders will determine the relative importance and clarity of each dimension of the pragmatic construct, as well as their priorities for the pragmatic dimensions. Taken together, these results will be incorporated into a pragmatic rating system for existing implementation science measures to support implementation science and practice.
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