The updated Consolidated Framework for Implementation Research based on user feedback.
The updated Consolidated Framework for Implementation Research based on user feedback.
复制标题
根据用户反馈更新的执行研究综合框架。
DOI：
10.1186/s13012-022-01245-0
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发表时间：
2022-10-29
影响因子：
7.2
通讯作者：
Lowery, Julie
中科院分区：
文献类型：
--
作者：
Damschroder, Laura J.;Reardon, Caitlin M.;Widerquist, Marilla A. Opra;Lowery, Julie
关键词：
即使有高度发达的执行计划，许多实施工作也会失败，因为背景因素可能是现实世界中阻碍实施的强大力量。实施研究综合框架（CFIR）是评估这些背景因素最常用的决定性框架之一；然而，它已经出版十多年了，需要更新。该项目的目的是征求经验丰富的 CFIR 用户的反馈，以通知框架的更新。用户反馈来自两个来源：（1）系统检索的文献综述； (2) 对在已发表的研究中使用 CFIR 的作者进行的调查。合并两个来源的数据并进行审查以确定主题；采用共识方法最终确定所有 CFIR 更新。 VA Ann Arbor 医疗保健系统 IRB 宣布本研究免除基于类别 2 的 38 CFR 16 的要求。系统检索产生了 376 篇在标题和/或摘要中包含 CFIR 的文章，以及 334 名具有联系信息的独特作者； 59 篇文章包含对 CFIR 的反馈。百分之四十 (n = 134/334) 的作者完成了调查。 CFIR 对大多数框架敏感性项目（例如适用性、可用性）都给予了积极评价，但受访者也提供了变更建议。总体而言，CFIR 的更新包括对现有域和结构的修订以及结构的添加、删除或重新定位。这些变化解决了对 CFIR 的重要批评，包括更好地集中创新接受者并增加实施公平性的决定因素。 CFIR 中的更新反映了不断增长的 CFIR 用户社区的反馈。尽管有很多更新，但结构可以映射回原始 CFIR 以确保纵向一致性。我们鼓励用户继续批评 CFIR，随着实施科学的进步促进框架的发展。在线版本包含可在 10.1186/s13012-022-01245-0 获取的补充材料。
Many implementation efforts fail, even with highly developed plans for execution, because contextual factors can be powerful forces working against implementation in the real world. The Consolidated Framework for Implementation Research (CFIR) is one of the most commonly used determinant frameworks to assess these contextual factors; however, it has been over 10 years since publication and there is a need for updates. The purpose of this project was to elicit feedback from experienced CFIR users to inform updates to the framework. User feedback was obtained from two sources: (1) a literature review with a systematic search; and (2) a survey of authors who used the CFIR in a published study. Data were combined across both sources and reviewed to identify themes; a consensus approach was used to finalize all CFIR updates. The VA Ann Arbor Healthcare System IRB declared this study exempt from the requirements of 38 CFR 16 based on category 2. The systematic search yielded 376 articles that contained the CFIR in the title and/or abstract and 334 unique authors with contact information; 59 articles included feedback on the CFIR. Forty percent (n = 134/334) of authors completed the survey. The CFIR received positive ratings on most framework sensibility items (e.g., applicability, usability), but respondents also provided recommendations for changes. Overall, updates to the CFIR include revisions to existing domains and constructs as well as the addition, removal, or relocation of constructs. These changes address important critiques of the CFIR, including better centering innovation recipients and adding determinants to equity in implementation. The updates in the CFIR reflect feedback from a growing community of CFIR users. Although there are many updates, constructs can be mapped back to the original CFIR to ensure longitudinal consistency. We encourage users to continue critiquing the CFIR, facilitating the evolution of the framework as implementation science advances. The online version contains supplementary material available at 10.1186/s13012-022-01245-0.
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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
影响因子：
4
作者：
Bragge, Peter;Grimshaw, Jeremy M.;Colquhoun, Heather
通讯作者：
Colquhoun, Heather
影响因子：
11.3
作者：
Damschroder, Laura J.
通讯作者：
Damschroder, Laura J.
影响因子：
2.8
作者：
Albers, Bianca;Metz, Allison;Burke, Katie
通讯作者：
Burke, Katie
DOI：
10.1186/1748-5908-8-52
发表时间：
2013-05-16
期刊：
Implementation science : IS
影响因子：
--
作者：
Albrecht L;Archibald M;Arseneau D;Scott SD
通讯作者：
Scott SD