We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology.

We have the program, what now? Development of an implementation plan to bridge the research-practice gap prevalent in exercise oncology.
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DOI:
10.1186/s12966-020-01032-4
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发表时间:
2020-10-09
期刊:
The international journal of behavioral nutrition and physical activity
影响因子:
--
通讯作者:
Galvão DA
Galvão DA
中科院分区:
其他
文献类型:
--
作者:
Kennedy MA;Bayes S;Newton RU;Zissiadis Y;Spry NA;Taaffe DR;Hart NH;Davis M;Eiszele A;Galvão DA

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运动已成为癌症患者的一种有前途的疗法。新的方案已经开发出将研究转化为实践,然而,实施障碍限制了他们的成功,部分原因是成功的运动肿瘤学研究转化为实践需要具体的实施计划。本研究的目的是采用实施映射协议,制定一个实施计划,以支持规划的一个共同定位的运动诊所和癌症治疗中心。使用了由五个特定迭代任务组成的实现映射协议。一个利益攸关方咨询小组在整个过程中提供咨询。一个全面的需求评估被用来确定该组织的总经理作为程序采用者;肿瘤学家,中心领导人,和各种行政人员作为程序的实施者;和业务经理作为程序的维护者。确定了20个业绩目标。理论领域框架被用来确定可能的变化的决定因素,这为选择8个个人和组织层面的实施战略提供了信息。最后,制定了一项评价计划,用于衡量项目下一阶段执行计划的成功程度。实施映射协议提供了一个路线图,以指导制定一个全面的实施计划,考虑到所有的生态领域,是由理论,并表现出广泛的理解实施环境。强有力的研究人员与从业人员的伙伴关系和利益攸关方的有效参与对于制定该计划至关重要。
Exercise has emerged as a promising therapy for people with cancer. Novel programs have been developed to translate research into practice; however, implementation barriers have limited their success in part because successful translation of exercise oncology research into practice requires context-specific implementation plans. The aim of this study was to employ the implementation mapping protocol to develop an implementation plan to support programming of a co-located exercise clinic and cancer treatment center. The Implementation Mapping protocol, which consists of five specific iterative tasks, was used. A stakeholder advisory group advised throughout the process. A comprehensive needs assessment was used to identify the organization’s general manager as the program adopter; oncologists, center leaders, and various administrative staff as program implementers; and the operations manager as the program maintainer. Twenty performance objectives were identified. The theoretical domains framework was used to identify likely determinants of change, which informed the selection of eight individual implementation strategies across the individual and organizational levels. Finally, an evaluation plan was developed which will be used to measure the success of the implementation plan in the project’s next phase. The Implementation Mapping protocol provided a roadmap to guide development of a comprehensive implementation plan that considered all ecological domains, was informed by theory, and demonstrated an extensive understanding of the implementation context. Strong research-practitioner partnerships and effective stakeholder engagement were critical to development of the plan.
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影响因子: --
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影响因子: 11.4
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DOI: 10.1016/j.eururo.2013.09.041
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作者:
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