Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study.
Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study.
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DOI：
10.1186/s13012-015-0295-0
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发表时间：
2015-08-07
期刊：
影响因子：
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通讯作者：
Kirchner JE
中科院分区：
文献类型：
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作者：
Waltz TJ;Powell BJ;Matthieu MM;Damschroder LJ;Chinman MJ;Smith JL;Proctor EK;Kirchner JE
执行科学中核心概念的术语一致性差已被广泛认为是有效荟萃分析的障碍。这种不一致性也是那些在制定和规划实施举措时寻求研究文献指导的人的障碍。实施变革的专家建议（ERIC）研究旨在解决术语不一致的一个领域：涉及用于支持实践变革的一个过程或行动的离散实施战略。本报告是关于环境、资源和信息中心项目第二阶段的报告，重点是对第一阶段确定的73项执行战略的汇编进行初步验证。目的抽样被用来招募一个专家小组在实施科学和临床实践（N = 35）。这些主要利益攸关方利用概念摸底、分类和评级活动，将73项执行战略归入类似的组，并对每项战略的相对重要性和可行性进行评级。多维尺度分析提供了一个定量表示的策略之间的关系，其中所有，但其中一个被发现是从概念上不同于其他。层次聚类分析支持将73种策略分为9类。评级数据反映了被认为最重要和最可行的战略。这项研究提供了初步验证的ERIC汇编内的实施策略是概念上不同的。对战略的重要性和可行性进行分类和评级，有助于寻找和选择最适合特定环境下执行工作的战略。本文的在线版本（doi：10.1186/s13012-015-0295-0）包含补充材料，可供授权用户使用。
Poor terminological consistency for core concepts in implementation science has been widely noted as an obstacle to effective meta-analyses. This inconsistency is also a barrier for those seeking guidance from the research literature when developing and planning implementation initiatives. The Expert Recommendations for Implementing Change (ERIC) study aims to address one area of terminological inconsistency: discrete implementation strategies involving one process or action used to support a practice change. The present report is on the second stage of the ERIC project that focuses on providing initial validation of the compilation of 73 implementation strategies that were identified in the first phase. Purposive sampling was used to recruit a panel of experts in implementation science and clinical practice (N = 35). These key stakeholders used concept mapping sorting and rating activities to place the 73 implementation strategies into similar groups and to rate each strategy’s relative importance and feasibility. Multidimensional scaling analysis provided a quantitative representation of the relationships among the strategies, all but one of which were found to be conceptually distinct from the others. Hierarchical cluster analysis supported organizing the 73 strategies into 9 categories. The ratings data reflect those strategies identified as the most important and feasible. This study provides initial validation of the implementation strategies within the ERIC compilation as being conceptually distinct. The categorization and strategy ratings of importance and feasibility may facilitate the search for, and selection of, strategies that are best suited for implementation efforts in a particular setting. The online version of this article (doi:10.1186/s13012-015-0295-0) contains supplementary material, which is available to authorized users.