Lund University School of Economics and Management, Department of Business Administration, 220 07 Lund, Sweden.
Implement Sci. 2010 Sep 3;5:67. doi: 10.1186/1748-5908-5-67.
Evaluation of an implementation process and its fidelity can give insight into the 'black box' of interventions. However, a lack of standardized methods for studying fidelity and implementation process have been reported, which might be one reason for the fact that few prior studies in the field of health service research have systematically evaluated interventions' implementation processes.The aim of this project is to systematically evaluate implementation fidelity and possible factors influencing fidelity of complex interventions in health and social care.
A modified version of The Conceptual Framework for Implementation Fidelity will be used as a conceptual model for the evaluation. The modification implies two additional moderating factors: context and recruitment. A systematic evaluation process was developed. Multiple case study method is used to investigate implementation of three complex health service interventions. Each case will be investigated in depth and longitudinally, using both quantitative and qualitative methods.
This study is the first attempt to empirically test The Conceptual Framework for Implementation Fidelity. The study can highlight mechanism and factors of importance when implementing complex interventions. Especially the role of the moderating factors on implementation fidelity can be clarified.
Supported Employment, SE, among people with severe mental illness -- a randomized controlled trial: NCT00960024.
评估实施过程及其保真度可以深入了解干预措施的“黑箱”。然而，据报道，缺乏标准化的方法来研究保真度和实施过程，这可能是健康服务研究领域之前很少有研究系统地评估干预措施实施过程的原因之一。本项目旨在系统地评估复杂干预措施在卫生和社会保健中的实施保真度和可能影响保真度的因素。
将对实施保真度的概念框架的修改版本用作评估的概念模型。该修改意味着增加了两个调节因素：背景和招募。开发了一个系统的评估过程。使用多案例研究方法调查了三种复杂的卫生服务干预措施的实施情况。每个案例都将使用定量和定性方法进行深入和纵向调查。
本研究首次尝试实证检验实施保真度的概念框架。该研究可以突出在实施复杂干预措施时的重要机制和因素。特别是可以阐明调节因素对实施保真度的作用。
支持性就业，SE，针对严重精神疾病患者的随机对照试验：NCT00960024。
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