Use of Implementation Mapping With Community-Based Participatory Research: Development of Implementation Strategies of a New Goal Setting and Goal Management Intervention System.
Use of Implementation Mapping With Community-Based Participatory Research: Development of Implementation Strategies of a New Goal Setting and Goal Management Intervention System.
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DOI：
10.3389/fpubh.2022.834473
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发表时间：
2022
影响因子：
5.2
通讯作者：
Foster, Erin R.
中科院分区：
文献类型：
--
作者：
Kang, Eunyoung;Foster, Erin R.
关键词：
本研究旨在利用社区参与式研究原则，运用实施地图，为新的康复目标设定与目标管理干预系统(MyGoals)确定实施决定因素、行动机制、实施策略及实施结果评估计划。作为由MyGoals目标实施者(职业治疗师(OTS)、MyGoals干预目标客户(患有慢性病的成年人)和研究团队)组成的规划团队，我们完成了实施映射任务1至4。我们目前正在进行测绘任务5。这些过程是在实施研究综合框架、社会认知理论、行为改变方法的分类和Proctor的实施研究框架的指导下进行的。我们确定了干预水平的决定因素(MyGoals的证据强度和质量、相对优势)和OT水平的决定因素(知识、意识、技能、自我效能、结果预期)。我们选择了MyGoals的实施结果(OTS将完整而有能力地交付MyGoals)、结果变量(可接受性、适当性、可行性、保真度)和过程结果。我们还确定了三个绩效目标(例如，OTS将提供所有MyGoal干预组件)和15个变更目标(例如，OTS将展示交付所有MyGoal干预组件的技能)。根据确定的结果、目标和决定因素，我们指定了改变的机制(例如，主动学习)。为了解决这些决定因素并实现实施结果，我们制定了两个量身定制的MyGoals实施战略：MyGoals临床医生教育和MyGoals临床医生审计和反馈。我们制定了评估计划，以探索和评估这两个MyGoals实施战略如何执行，使用OT-客户DYAD的混合方法研究。我们利用以社区为基础的参与性研究原则，利用实施图，为康复目标设定和目标管理干预制定了量身定制的实施战略。MyGoals实施战略可以帮助OTS实施高质量的目标设定和目标管理实践，从而有助于弥合当前研究与实践之间的差距。我们的发现可以为如何在康复中应用实施科学来改进循证干预措施的开发和翻译提供洞察力，以增强患有慢性病的成年人的健康。
This study aims to identify implementation determinants, mechanisms of action, implementation strategies, and implementation outcome evaluation plans for a new theory-based rehabilitation goal setting and goal management intervention system, called MyGoals, using Implementation Mapping with community-based participatory research principles. We completed Implementation Mapping tasks 1 to 4 as a planning team consisting of MyGoals target implementers (occupational therapists (OTs), MyGoals intervention target clients (adults with chronic conditions), and the research team. We are currently conducting mapping task 5. These processes were guided by the Consolidated Framework for Implementation Research, social cognitive theory, the taxonomy of behavior change methods, and Proctor's implementation research framework. We identified intervention-level determinants (MyGoals' evidence strength & quality, relative advantages) and OT-level determinants (knowledge, awareness, skills, self-efficacy, outcome expectancy). We selected the MyGoals implementation outcome (OTs will deliver MyGoals completely and competently), outcome variables (acceptability, appropriateness, feasibility, fidelity), and process outcomes. We also determined three performance objectives (e.g., OTs will deliver all MyGoals intervention components) and 15 change objectives (e.g., OTs will demonstrate skills for delivering all MyGoals intervention components). Based on the identified outcomes, objectives, and determinants, we specified the mechanisms of change (e.g., active learning). To address these determinants and achieve the implementation outcomes, we produced two tailored MyGoals implementation strategies: MyGoals Clinician Education and MyGoals Clinician Audit & Feedback. We developed evaluation plans to explore and evaluate how these two MyGoals implementation strategies perform using a mixed-methods study of OT-client dyads. We produced tailored implementation strategies for a rehabilitation goal setting and goal management intervention by using Implementation Mapping with community-based participatory research principles. The MyGoals implementation strategies may help OTs implement high-quality goal setting and goal management practice and thus contribute to bridging current research-practice gaps. Our findings can provide insight on how to apply implementation science in rehabilitation to improve the development and translation of evidence-based interventions to enhance health in adults with chronic conditions.
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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
DOI：
10.1186/s13012-015-0242-0
发表时间：
2015-04-21
期刊：
Implementation science : IS
影响因子：
--
作者：
Nilsen P
通讯作者：
Nilsen P
影响因子：
3
作者：
Stevens, Anita;Beurskens, Anna;van der Weijden, Trudy
通讯作者：
van der Weijden, Trudy
影响因子：
3
作者：
Rosewilliam, Sheeba;Sintler, Carron;Roskell, Carolyn A.
通讯作者：
Roskell, Carolyn A.
影响因子：
3.5
作者：
Anderson RM;Funnell MM
通讯作者：
Funnell MM