Development of an Implementation Intervention Using Intervention Mapping to Increase Mammography Among Low Income Women.

Development of an Implementation Intervention Using Intervention Mapping to Increase Mammography Among Low Income Women.
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DOI:
10.3389/fpubh.2018.00300
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发表时间:
2018
影响因子:
5.2
通讯作者:
Eldridge-Bartholomew LK
Eldridge-Bartholomew LK
中科院分区:
医学3区
文献类型:
--
作者:
Highfield L;Valerio MA;Fernandez ME;Eldridge-Bartholomew LK

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背景:尽管许多工作已经开始阐明影响实施的环境因素,但在临床环境中促进和阻碍采用、实施和维持循证干预措施(ebi)的具体过程仍然知之甚少。干预绘图(IM)是一个系统的过程,有助于在实践中规划和设计ebi的传播、实施和维护。IM已被用于指导许多卫生干预措施的设计,重点是方案的实施。较少的研究是它的使用,以适应和规模筛选干预在医疗保健诊所设置。本文描述了使用IM的实施干预的发展,以促进EBI的采用、实施和维护,EBI旨在提高医疗保健诊所的乳房x光检查依从性,即经过调整的心灵平静计划(PMP)。方法:采用第5步IM框架指导实施干预计划。IM指导了具体采用、实现和维护性能目标的识别。我们成立了一个实施干预计划小组,由学术团队成员、我们的社区合作伙伴和社区卫生工作者(chw)组成,他们在联邦合格的卫生中心(FQHCs)和慈善诊所从事乳房x光检查项目的工作经验丰富。结果:结果由步骤5(计划实施计划)的干预测绘任务呈现。我们描述了实施研究的综合框架(CFIR)如何在最终实施干预中为绩效目标、决定因素、方法和实际应用的选择提供信息。结论:本文提供了一个使用干预映射步骤5和CFIR来创建实施干预的例子,以支持特定环境下基于证据的乳房x光检查干预的EBI规模。临床试验注册号:NCT02296177
Background: Although much work has begun to elucidate contextual factors influencing implementation, the specific processes that facilitate and hinder adoption, implementation, and maintenance of evidence-based interventions (EBIs) in clinical settings remains poorly understood. Intervention Mapping (IM) is a systematic process that facilitates planning and design for dissemination, implementation and maintenance of EBIs in practice. IM has been used to guide the design of many health interventions, focusing on program implementation. Less studied is its use to adapt and scale screening interventions within the healthcare clinic setting. This paper describes the development of an implementation intervention using IM to facilitate the adoption, implementation, and maintenance of an EBI designed to increase mammography adherence in healthcare clinics, the adapted Peace of Mind Program (PMP). Methods: IM framework, Step 5, was used to guide the implementation intervention planning. IM guided identification of specific adoption, implementation, and maintenance performance objectives. We formed an implementation intervention planning group consisting of members of the academic team, our community partner and community health workers (CHWs) with substantial experience working on mammography screening programs in federally qualified health centers (FQHCs) and charity clinics. Results: Results are presented by Intervention Mapping task for Step 5 (Program Implementation Plan). We describe how the consolidated framework for implementation research (CFIR) informed the selection of performance objectives, determinants, methods, and practical applications in the final implementation intervention. Conclusions: This paper provides an example of the use of Intervention Mapping Step 5 and CFIR to create an implementation intervention to support EBI scale up of an evidence-based mammography intervention within a specific setting. Clinical trials registration number: NCT02296177
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发表时间: 2009-08-07
期刊: Implementation science : IS
影响因子: --
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