Implementing measurement based care in community mental health: a description of tailored and standardized methods.
Implementing measurement based care in community mental health: a description of tailored and standardized methods.
复制标题
在社区心理健康中实施基于测量的护理：量身定制和标准化方法的描述。
DOI：
10.1186/s13104-018-3193-0
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发表时间：
2018-01-27
影响因子：
1.8
通讯作者：
Kassab H
中科院分区：
文献类型：
--
作者：
Lewis CC;Puspitasari A;Boyd MR;Scott K;Marriott BR;Hoffman M;Navarro E;Kassab H
尽管定制的实现方法被吹捧为优于标准化，但很少有研究人员直接比较这两种方法，也没有关于每种方法的具体细节的指导意见。我们的研究在一项动态整群随机试验中对这些方法进行了比较，以寻求在社区行为健康中优化基于测量的护理(MBC)的实施。这份具体的手稿提供了每一种多方面实施方法的组成部分的详细、可复制的描述。标准化的最佳实践方法包括培训、咨询、临床指南和电子健康记录增强，目的是优化MBC的保真度交付。相反，定制、定制和协作的方法以最新的实施科学进展为依据，并从需求评估开始，然后是向临床医生反馈障碍数据的定制培训、实施团队的组建、临床医生驱动的诊所特定指南以及使用保真度数据来告知实施团队的活动；定制条件的目标是确保干预和实施战略解决背景下的独特因素。这些方法的描述将告知其他寻求实施MBC的人，以及那些计划使用标准化或量身定制的实施方法进行行为健康以外的干预的人。本文的在线版本(10.1186/s13104-0183193-0)包含补充材料，可供授权用户使用。
Although tailored implementation methods are touted as superior to standardized, few researchers have directly compared the two and little guidance regarding the specific details of each method exist. Our study compares these methods in a dynamic cluster randomized trial seeking to optimize implementation of measurement based care (MBC) for depression in community behavioral health. This specific manuscript provides a detailed, replicable account of the components of each multi-faceted implementation method. The standardized best practice method includes training, consultation, a clinical guideline, and electronic health record enhancements with the goal to optimize the delivery of MBC with fidelity. Conversely, the tailored, customized and collaborative method is informed by recent implementation science advancements and begins with a needs assessment, followed by tailored training that feeds back barriers data to clinicians, the formation of an implementation team, a clinician-driven clinic-specific guideline, and the use of fidelity data to inform implementation team activities; the goal of the tailored condition is to ensure the intervention and implementation strategies address unique factors of the context. The description of these methods will inform others seeking to implement MBC, as well as those planning to use standardized or tailored implementation methods for interventions beyond behavioral health. The online version of this article (10.1186/s13104-018-3193-0) contains supplementary material, which is available to authorized users.