Applying dissemination and implementation research methods to translate a school-based asthma program.
Applying dissemination and implementation research methods to translate a school-based asthma program.
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DOI：
10.1016/j.jaci.2022.04.029
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发表时间：
2022-09
影响因子：
14.2
通讯作者：
Huebschmann, Amy G.
中科院分区：
文献类型：
--
作者：
Szefler, Stanley J.;Cicutto, Lisa;Brewer, Sarah E.;Gleason, Melanie;McFarlane, Arthur;DeCamp, Lisa Ross;Brinton, John T.;Huebschmann, Amy G.
关键词：
我们的校本哮喘计划减少了丹佛大都市区健康差距较大的年轻人的哮喘恶化，部分原因是解决了健康的社会决定因素(SDOH)，如获得医疗保健和药物的机会。传播和实施(D&I)科学方法加速将循证方案转化为常规实践。为了改善卫生公平，D&I方法正在得到越来越普遍的应用。本出版物的目的是以我们的校本哮喘项目为例，对D&I研究方法进行概述。为了成功地将我们的计划扩展到科罗拉多州，我们正在应用一个D&I框架，该框架指导我们调整现有的实施方法，以更好地满足我们利益相关者的当地背景-探索、准备、实施、持续(EPIS)框架。在一个务实的试验设计中，我们将使用第二个常用的D&I框架-REACH、Efficiency、Adption、Implementation和Maintenance(RE-AIM)来评估在科罗拉多州五个地区实施该计划的结果，并关注健康公平。我们的中心假设是，我们的计划将广泛和公平地惠及符合条件的学生(主要结果)，并将减少哮喘发作和症状。这种D&I方法加速了我们计划的传播，是将其他有效的过敏/哮喘计划转化为解决哮喘和过敏相关差异的适用程序。
Our school-based asthma program has reduced asthma exacerbations for youth with health disparities in the Denver metropolitan area, due partly to addressing social determinants of health (SDOH), such as access to healthcare and medications. Dissemination and implementation (D&I) science approaches accelerate the translation of evidence-based programs into routine practice. D&I methods are being applied more commonly to improve health equity. The purpose of this publication is to give an overview of D&I research methods, using our school-based asthma program as an example. To successfully scale out our program across the state of Colorado, we are applying a D&I framework that guides the adaptation of our existing implementation approach to better meet our stakeholders’ local context – the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. In a pragmatic trial design, we will evaluate the outcomes of implementing the program across five Colorado regions with attention to health equity, using a second commonly used D&I framework — Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM). Our central hypothesis is that our program will have broad and equitable Reach to eligible students (primary outcome) and will reduce asthma attacks and symptoms. This D&I approach accelerates dissemination of our program and is an applicable process for translating other effective allergy/asthma programs to address asthma and allergy related disparities.
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DOI：
10.1016/j.jaci.2014.05.037
发表时间：
2014-09
期刊：
The Journal of allergy and clinical immunology
影响因子：
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作者：
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DOI：
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发表时间：
2016-05-01
影响因子：
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作者：
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