摘要
实施策略是一种针对性较强的干预措施,旨在促进研究成果或循证实践在日常医疗保健实践中被采纳、实施和维持。若实施策略能够精准匹配实施的障碍因素和促进因素,那么实施成功的可能性更高。实施性研究综合框架(consolidated framework for implementation research,CFIR)⁃实施变革专家共识(expert recommendations for implementing change,ERIC)匹配工具可根据CFIR障碍因素匹配对应的ERIC实施策略,是一种方便、直接的实施策略开发工具。本文详细介绍CFIR⁃ERIC匹配工具的起源与发展,阐述其内容和使用方法,并以简短戒烟干预项目为例介绍如何应用CFIR⁃ERIC匹配工具开发实施策略,最后讨论应用该工具开发实施策略的优势和局限性,以期为相关研究者开发实施策略提供方法学参考。
Implementation strategies are targeted interventions aimed at promoting the adoption,implementation,and sustainment of research findings or evidence⁃based practices in routine healthcare.If implementation strategies can precisely match implementation barriers and facilitators,the likelihood of successful implementation will increase.The CFIR⁃ERIC matching tool,which can match corresponding ERIC implementation strategies based on CFIR barriers,is a convenient and direct tool for developing implementation strategies.This paper provides a detailed overview of the origins and development of the CFIR⁃ERIC matching tool,outlines its contents and usage,and illustrates how to apply the tool to develop implementation strategies by using a brief smoking cessation intervention project as an example.The paper also discusses the advantages and limitations of using this tool for developing implementation strategies,with the aim of providing methodological reference for other researchers.
作者
黄婉晴
钟冬梅
刘思源
谢昀筠
陈江芸
徐东
HUANG Wanqing;ZHONG Dongmei;LIU Siyuan;XIE Yunyun;CHEN Jiangyun;XU Dong(Acacia Lab for Implementation Science,Department of Health Management,School of Health Management,Southern Medical University,Guangzhou 510515,China;Center for World Health Organization Studies,Southern Medical University,Guangzhou 510515,China;School of Public Health,Southern Medical University,Guangzhou 510515,China;Southern Medical University Institute for Global Health(SIGHT),Dermatology Hospital of Southern Medical University,Guangzhou 510091,China)
出处
《协和医学杂志》
CSCD
北大核心
2024年第5期1182-1191,共10页
Medical Journal of Peking Union Medical College Hospital
基金
国家自然科学基金(72204107)
瑞士国际发展和合作署(SDC)国际课题项目(81067392)。
关键词
实施科学
实施性研究
CFIR⁃ERIC匹配工具
实施障碍
实施策略
implementation science
implementation research
CFIR⁃ERIC matching tool
implementation barriers
im⁃plementation strategies