Methods Core

摘要 未能将技术支持服务从研究转向真实的可持续实施 世界背景是对我们研究方法的控诉。到目前为止，大多数TES都集中在大部分 设计工作仅涉及技术，没有充分考虑利益相关者的意见， 并在其预期部署的医疗保健系统之外进行评估。而且我们的 评估方法可能很长，导致在多阶段结束时技术过时 评价为了解决这些问题，方法核心将应用并改进我们的加速从 可持续发展（Sustainability，简称SDSS）研究方法。为了实现中心的目标，核心方法将侧重于 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环境需求。从一开始，我们就把关键 在综合设计过程中，与多个层面的利益攸关方合作， 技术、服务协议和实施计划。然后，与利益相关者反复完善该计划 直到创建TES原型（技术，服务）和实施计划。然后，TES 通过快速试验进行评估，评估有效性，获得实施信息， 允许持续的质量改进。该模型是快速的，加速评估过程， 将优化纳入对有效性和执行情况的同时评价。行为 该模型也是响应式的，从一开始就吸引了关键利益相关者，并使他们参与到 在整个设计和评估阶段的迭代改进过程。鉴于高水平的 跨研究项目（RP）的整合，无论是在概念上还是在工作新奇， 在大部分工作中，方法核心将提供几乎所有必要的研究基础设施， 三个研究项目的成功。它将包括一个高度跨学科的团队在人类计算机 交互、实施科学、心理学、公共卫生、软件工程、生物统计学、生物医学 信息学和试验方法学。除了对RP的研究支持外，方法核心还有3个 科学目标：（1）评估关键结果和RP的实验治疗模型，以改善我们的 了解对工商业污水附加费使用和结果的参与。(2)制定一份初步指导文件， 描述了通过在RP中的应用而改进的可重构模型研究过程。(3)开发一个 TES特征的分类，包括技术、服务协议和相关的组织因素 这将代表通过RP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.