CFIR 纸牌游戏：一种与实施团队合作以识别挑战和策略的新方法。
The CFIR Card Game: a new approach for working with implementation teams to identify challenges and strategies.
作者信息
Piat Myra, Wainwright Megan, Sofouli Eleni, Albert Hélène, Casey Regina, Rivest Marie-Pier, Briand Catherine, Kasdorf Sarah, Labonté Lise, LeBlanc Sébastien, O'Rourke Joseph J
机构信息
Department of Psychiatry, McGill University, Douglas Hospital Research Centre, Montreal, Quebec, Canada.
Department of Anthropology, Durham University, Durham, UK.
出版信息
Implement Sci Commun. 2021 Jan 7;2(1):1. doi: 10.1186/s43058-020-00099-1.
BACKGROUND
The Consolidated Framework for Implementation Research (CFIR) and the ERIC compilation of implementation strategies are key resources for identifying implementation barriers and strategies. However, their respective density and complexity make their application to implementation planning outside of academia challenging. We developed the CFIR Card Game as a way of working with multi-stakeholder implementation teams that were implementing mental health recovery into their services, to identify barriers and strategies to overcome them. The aim of this descriptive evaluation is to describe how the game was prepared, played, used and received by teams and researchers and their perception of the clarity of the CFIR constructs.
METHODS
We used the new CFIR-ERIC Matching Tool v.1 to design the game. We produced a deck of cards with each of the CFIR-ERIC Matching Tool barrier narratives representing all 39 CFIR constructs. Teams played the game at the pre-implementation stage at a time when they were actively engaged in a planning process for implementing their selected recovery-oriented innovation. The teams placed each card in either the YES or NO column of the board in response to whether they anticipated experiencing this barrier in their setting. Teams were also asked about the clarity of the barrier narratives and were provided with plain language versions if unclear. Researchers completed a reflection form following the game, and participants completed an open-added questionnaire that included questions specific to the CFIR Card Game. We applied a descriptive coding approach to analysis.
RESULTS
Four descriptive themes emerged from this analysis: (1) the CFIR Card Game as a useful and engaging process, (2) difficulties understanding CFIR construct barrier narratives, (3) strengths of the game's design and structure and room for improvement and (4) mediating factors: facilitator preparation and multi-stakeholder dynamics. Quantitative findings regarding the clarity of the barrier narratives were integrated with qualitative data under theme 2. Only seven of the 39 original barrier narratives were judged to be clear by all teams.
CONCLUSIONS
The CFIR Card Game can be used to enhance implementation planning. Plain language versions of CFIR construct barrier narratives are needed. Our plain language versions require further testing and refining.
背景
实施研究综合框架（CFIR）和实施策略的ERIC汇编是识别实施障碍和策略的关键资源。然而，它们各自的密度和复杂性使得它们在学术界以外的实施规划中的应用具有挑战性。我们开发了CFIR纸牌游戏，作为与将心理健康康复纳入其服务的多利益相关方实施团队合作的一种方式，以识别障碍和克服这些障碍的策略。这项描述性评估的目的是描述该游戏是如何被团队和研究人员准备、玩、使用和接受的，以及他们对CFIR构建的清晰度的看法。
方法
我们使用新的CFIR-ERIC匹配工具v.1来设计游戏。我们制作了一副纸牌，每张纸牌上都有代表所有39个CFIR构建的CFIR-ERIC匹配工具障碍叙述。团队在实施前阶段玩这个游戏，当时他们正积极参与实施其选定的以康复为导向的创新的规划过程。团队根据他们是否预计在自己的环境中会遇到这个障碍，将每张卡片放在棋盘的“是”或“否”列中。还询问了团队障碍叙述的清晰度，如果不清楚则提供通俗易懂的版本。研究人员在游戏结束后填写一份反思表，参与者填写一份开放式问卷，其中包括针对CFIR纸牌游戏的特定问题。我们采用描述性编码方法进行分析。
结果
该分析产生了四个描述性主题：（1）CFIR纸牌游戏是一个有用且引人入胜的过程，（2）理解CFIR构建障碍叙述存在困难，（3）游戏设计和结构的优点及改进空间，（4）调解因素：主持人准备和多利益相关方动态。关于障碍叙述清晰度的定量结果与主题2下的定性数据相结合。39个原始障碍叙述中只有7个被所有团队判定为清晰。
结论
CFIR纸牌游戏可用于加强实施规划。需要CFIR构建障碍叙述的通俗易懂版本。我们的通俗易懂版本需要进一步测试和完善。
Zotero 插件