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利益相关者参与采用、实施和维持一项基于证据的干预措施,以提高低收入妇女的乳房 X 光检查依从性。

Stakeholder Engagement in Adoption, Implementation, and Sustainment of an Evidence-Based Intervention to Increase Mammography Adherence Among Low-Income Women.

机构信息

Department of Management, Policy and Community Health, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, USA.

Department of Epidemiology, Human Genetics and Environmental Sciences, The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, USA.

出版信息

J Cancer Educ. 2022 Oct;37(5):1486-1495. doi: 10.1007/s13187-021-01988-2. Epub 2021 Mar 22.

Abstract

Multi-level organizational stakeholder engagement plays an important role across the research process in a clinical setting. Stakeholders provide organizational specific adaptions in evidence-based interventions to ensure effective adoption, implementation, and sustainability. Stakeholder engagement strategies involve building mutual trust, providing clear communication, and seeking feedback. Using constructs from the Consolidated Framework for Implementation Research and The International Association for Public Participation spectrum, a conceptual framework was created to guide stakeholder engagement in an evidence-based intervention to increase mammography appointment adherence in underserved and low-income women. A document review was used to explore the alignment of the conceptual framework with intervention activities and stakeholder engagement strategies. The results indicate an alignment with the conceptual framework constructs and a real-world application of stakeholder engagement in a mammography evidence-based intervention. The conceptual framework and stakeholder engagement strategies can be applied across a range of community-based cancer programs and interventions, organizations, and clinical settings.

摘要

多层次的组织利益相关者参与在临床环境中的研究过程中起着重要作用。利益相关者为基于证据的干预措施提供组织特定的适应性调整,以确保有效的采用、实施和可持续性。利益相关者参与策略包括建立相互信任、提供清晰的沟通和寻求反馈。使用实施研究的综合框架和公众参与范围的结构,创建了一个概念框架来指导基于证据的干预措施中的利益相关者参与,以增加服务不足和低收入妇女的乳房 X 光检查预约率。采用文件审查的方法来探索概念框架与干预活动和利益相关者参与策略的一致性。结果表明,该概念框架与利益相关者参与的结构框架一致,并在乳房 X 光检查基于证据的干预措施中进行了实际应用。该概念框架和利益相关者参与策略可以应用于一系列基于社区的癌症计划和干预措施、组织和临床环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01d8/9550737/fe7028e5073e/13187_2021_1988_Fig1_HTML.jpg

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