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实施科学与雇主残疾实践:将实施因素纳入研究设计

Implementation Science and Employer Disability Practices: Embedding Implementation Factors in Research Designs.

作者信息

Main Chris J, Nicholas Michael K, Shaw William S, Tetrick Lois E, Ehrhart Mark G, Pransky Glenn

机构信息

Arthritis Care UK Primary Care Center, Keele University, North Staffordshire, UK.

Pain Management Research Institute, Sydney Medical School - Northern, Royal North Shore Hospital, St. Leonards, NSW, 2065, Australia.

出版信息

J Occup Rehabil. 2016 Dec;26(4):448-464. doi: 10.1007/s10926-016-9677-7.

Abstract

Purpose For work disability research to have an impact on employer policies and practices it is important for such research to acknowledge and incorporate relevant aspects of the workplace. The goal of this article is to summarize recent theoretical and methodological advances in the field of Implementation Science, relate these to research of employer disability management practices, and recommend future research priorities. Methods The authors participated in a year-long collaboration culminating in an invited 3-day conference, "Improving Research of Employer Practices to Prevent Disability", held October 14-16, 2015, in Hopkinton, MA, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a question/answer session with a special panel of knowledge experts with direct employer experience. Results A 4-phase implementation model including both outer and inner contexts was adopted as the most appropriate conceptual framework, and aligned well with the set of process evaluation factors described in both the work disability prevention literature and the grey literature. Innovative interventions involving disability risk screening and psychologically-based interventions have been slow to gain traction among employers and insurers. Research recommendations to address this are : (1) to assess organizational culture and readiness for change in addition to individual factors; (2) to conduct process evaluations alongside controlled trials; (3) to analyze decision-making factors among stakeholders; and (4 ) to solicit input from employers and insurers during early phases of study design. Conclusions Future research interventions involving workplace support and involvement to prevent disability may be more feasible for implementation if organizational decision-making factors are imbedded in research designs and interventions are developed to take account of these influences.

摘要

目的 为使工作残疾研究对雇主政策和实践产生影响,此类研究认识并纳入工作场所的相关方面非常重要。本文的目的是总结实施科学领域最近的理论和方法进展,将这些进展与雇主残疾管理实践研究联系起来,并推荐未来的研究重点。方法 作者参与了为期一年的合作,最终于2015年10月14日至16日在美国马萨诸塞州霍普金顿举行了一次为期3天的受邀会议“改进雇主预防残疾实践的研究”。该合作包括对文献的专题综述、确定关键领域和挑战的小组电话会议、初始文件的起草、行业出版物的审查,以及一次会议展示,其中包括同行研究人员的反馈以及与具有直接雇主经验的知识专家特别小组的问答环节。结果 采用了一个包括外部和内部背景的四阶段实施模型作为最合适的概念框架,该框架与工作残疾预防文献和灰色文献中描述的过程评估因素集非常契合。涉及残疾风险筛查和基于心理的干预等创新干预措施在雇主和保险公司中获得认可的速度一直较慢。针对此提出的研究建议是:(1)除了评估个体因素外,还要评估组织文化和变革准备情况;(2)在进行对照试验的同时进行过程评估;(3)分析利益相关者之间的决策因素;(4)在研究设计的早期阶段征求雇主和保险公司的意见。结论 如果将组织决策因素纳入研究设计,并在开发干预措施时考虑到这些影响,那么未来涉及工作场所支持和参与以预防残疾的研究干预措施可能在实施上更可行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db1b/5104783/aa92d0017941/10926_2016_9677_Fig1_HTML.jpg

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