Methods Core

摘要 未能将技术支持的服务(TESS)从研究转移到可持续实施 世界环境是对我们研究方法的控诉。到目前为止，苔丝的大多数人都把大部分时间 仅在技术上的设计工作，包括不充分的利益相关者输入，并被开发 并在计划部署它们的医疗保健系统之外进行评估。此外，我们的 评估方法可能很长，导致在多阶段结束时过时的技术 评估。为了解决这些问题，核心方法将应用和改进我们加速的创建到- 维持(ACTS)研究方法。为了实现中心的目标，核心将专注于以下方法 方法创新，包括建立一个快速和反应迅速的总体研究框架 满足关键利益相关者的医疗保健环境的需求。从一开始，我们就与Key合作 在一个全面的设计过程中的多个层面的利益相关者，以产生一个完整的蓝图 技术、服务协议和实施计划。然后与利益相关者反复改进该计划 直到创建了TES原型(技术、服务)和实施计划。然后是工商业污水附加费 通过评估有效性的快速试验进行评估，获得有关实施的信息，以及 允许持续的质量改进。ACTS模型非常快速，通过以下方式加快了评估过程 把优化融入成效和落实的同步评估中。《行为》 模型也具有响应性，从一开始就吸引关键利益相关者参与，并保持他们的参与度 整个设计和评估阶段的迭代改进过程。考虑到高水平的 在概念上和工作方面跨研究项目(RP)的集成，以及 大部分工作，方法核心将提供几乎所有必要的研究基础设施来支持 三个研究项目的成功。它将包括一个高度跨学科的人类计算机团队 交互作用、实施科学、心理学、公共卫生、软件工程、生物统计学、生物医学 信息学和试验方法论。除了对RPS的研究支持外，方法核心还有3个 科学目标：(1)评估RPS的关键结果和实验治疗模式，以改善我们的 了解TES使用和结果方面的参与情况。(2)制定初步指导文件， 描述了ACTS模型研究过程，通过在RPS中的应用进行了改进。(3)发展 TES功能的分类，包括相关的技术、服务协议和组织因素 到实施，这将代表通过RPS获得的设计和实施知识。

Abstract The failure to move technology-enabled services (TESs) from research to sustainable implementation in real world settings is an indictment of our research methods. To date, the majority of TESs have focused most of the design efforts solely on the technology, have included inadequate stakeholder input, and were developed and evaluated outside of the healthcare systems where they are intended to be deployed. Furthermore, our evaluation methods can be long, resulting in technologies that are obsolete by the end of a multiphase evaluation. To address these problems, the Methods Core will apply and refine our Accelerated Create-to- Sustainment (ACTS) research method. To achieve the Center’s goal, the Methods Core will focus on methodological innovations, including creating an overarching research framework that is rapid and responsive to the needs of key stakeholders’ healthcare environment. From the very beginning, we engage key stakeholders at multiple levels in a comprehensive design process to produce an integrated blueprint for the technologies, service protocol, and implementation plan. This plan is then iteratively refined with stakeholders until a TES prototype (technologies, services) and an implementation plan is created. The TES is then evaluated through a rapid trial that evaluates the effectiveness, obtains information on implementation, and allows for continuous quality improvement. The ACTS model is rapid, accelerating the evaluation process by integrating optimization into the simultaneous evaluation of both effectiveness and implementation. The ACTS model is also responsive, engaging key stakeholders from the very beginning, and keeping them engaged in an iterative improvement process throughout the design and evaluation phases. Given the high level of integration across the research projects (RPs), both conceptually and in terms of work, and the novelty of much of the work, the Methods Core will provide almost all of the research infrastructure necessary to support the success of the three Research Projects. It will include a highly interdisciplinary team in human computer interaction, implementation science, psychology, public health, software engineering, biostatistics, biomedical informatics, and trial methodology. In addition to research support to the RPs, the Methods core also has 3 scientific aims: (1) Evaluate key outcomes and the experimental therapeutics model across RPs to improve our understanding of engagement on TES use and outcomes. (2) Develop an initial guideline document that describes the ACTS model research processes, refined through application across the RPs. (3) Develop an taxonomy of the TES features, including the technology, service protocols, and organizational factors relevant to implementation, which will represent the design and implementation knowledge acquired through the RPs.