Aligning implementation and user-centered design strategies to enhance the impact of health services: results from a concept mapping study
Aligning implementation and user-centered design strategies to enhance the impact of health services: results from a concept mapping study
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DOI：
10.1186/s43058-020-00020-w
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发表时间：
2020-02-26
影响因子：
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通讯作者：
Lyon, Aaron R.
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作者：
Dopp, Alex R.;Parisi, Kathryn E.;Lyon, Aaron R.
背景需要创新的方法来最大限度地适应循证实践（EBP）的特点，支持EBP使用的实施策略，以及EBP实施的背景。标准的实施方法提供了一些方法来解决这些问题的适合。我们的特点是潜在的合作与专家从相关的互补方法，以用户为中心的设计（UCD），以增加成功的implementation.Method使用有目的的和滚雪球抽样，我们招募了56名专家在实施（n = 34）或UCD（n = 22）。参与者有5年以上的专业经验（M = 10.31），在许多环境中工作（例如，卫生保健、教育、人类服务），大多数是女性（59%）和白色（73%）。每个参与者完成一个基于网络的概念映射结构化概念化任务。他们从建立的编译策略进行排序的实施（36战略）和UCD（30战略）到不同的集群，然后评级的重要性和可行性，每个strategy.Results我们使用多维缩放技术来检查模式的排序策略。基于概念清晰度和与既定实施框架的契合度，我们选择了最终的10个集群（即，战略组），有五个只实施集群，两个只UCD集群，和三个跨学科集群。最优先的活动（即，重要性和可行性高于平均水平）是跨学科群组加上促进变革和监测变革。实施和UCD专家将战略分为类似的集群，但每个人都对自己学科的战略/集群给予了更高的重要性和可行性评级。跨学科集群，它们都被评定为高优先级）和发散（例如，重要性/可行性评级）。结果提供了实施科学和UCD之间的一致性的共同理解，这可以增加EBP实施工作的影响和可持续性。改进实施和UCD专家之间的合作的影响进行了讨论。
Background Innovative approaches are needed to maximize fit between the characteristics of evidence-based practices (EBPs), implementation strategies that support EBP use, and contexts in which EBPs are implemented. Standard approaches to implementation offer few ways to address such issues of fit. We characterized the potential for collaboration with experts from a relevant complementary approach, user-centered design (UCD), to increase successful implementation.Method Using purposive and snowball sampling, we recruited 56 experts in implementation (n = 34) or UCD (n = 22). Participants had 5+ years of professional experience (M = 10.31), worked across many settings (e.g., healthcare, education, human services), and were mostly female (59%) and white (73%). Each participant completed a web-based concept mapping structured conceptualization task. They sorted strategies from established compilations for implementation (36 strategies) and UCD (30 strategies) into distinct clusters, then rated the importance and feasibility of each strategy.Results We used multidimensional scaling techniques to examine patterns in the sorting of strategies. Based on conceptual clarity and fit with established implementation frameworks, we selected a final set of 10 clusters (i.e., groups of strategies), with five implementation-only clusters, two UCD-only clusters, and three trans-discipline clusters. The highest-priority activities (i.e., above-average importance and feasibility) were the trans-discipline clusters plus facilitate change and monitor change. Implementation and UCD experts sorted strategies into similar clusters, but each gave higher importance and feasibility ratings to strategies/clusters from their own discipline.Conclusions In this concept mapping study, experts in implementation and UCD had perspectives that both converged (e.g., trans-discipline clusters, which were all rated as high-priority) and diverged (e.g., in importance/feasibility ratings). The results provide a shared understanding of the alignment between implementation science and UCD, which can increase the impact and sustainability of EBP implementation efforts. Implications for improved collaboration among implementation and UCD experts are discussed.