The University of New Mexico, Albuquerque.
Central Michigan University, Mount Pleasant.
Am J Speech Lang Pathol. 2022 May 10;31(3):1039-1053. doi: 10.1044/2021_AJSLP-21-00085. Epub 2021 Nov 4.
Most evidence-based clinical research findings in communication sciences and disorders never achieve full implementation by practicing clinicians. To address this almost universal problem, this tutorial focuses on the initial planning steps of including implementation methodologies as part of clinical practice research programs. Integrating the principles and methodologies of implementation science can shift the current reality, leading to better uptake of evidence-based interventions.
A step-by-step approach to integrating implementation science into new or existing research projects is provided, including the construction of a logic model, the selection of an implementation framework, and the selection of research methodologies. A detailed example of an augmentative and alternative communication research program is provided to illustrate the process.
Readily available online tools can help researchers start the process of integrating implementation science into clinical practice research, and existing frameworks can assist with developing and guiding research programs to ensure maximal impact. If the ultimate goal is to improve the daily lives of individuals with communication disorders through the use of evidence-based practices, clinical practice researchers must integrate these approaches into their research programs.
沟通科学与障碍领域的大多数循证临床研究结果从未被执业临床医生完全实施。为了解决这个几乎普遍存在的问题,本教程重点介绍了将实施方法纳入临床实践研究计划的初始规划步骤。整合实施科学的原则和方法可以改变当前的现实,从而更好地采用基于证据的干预措施。
提供了将实施科学纳入新的或现有的研究项目的逐步方法,包括构建逻辑模型、选择实施框架和选择研究方法。提供了一个详细的辅助和替代沟通研究计划的例子来说明这个过程。
现成的在线工具可以帮助研究人员开始将实施科学纳入临床实践研究的过程,并且现有的框架可以帮助制定和指导研究计划,以确保最大的影响。如果最终目标是通过使用基于证据的实践来改善有沟通障碍的人的日常生活,临床实践研究人员必须将这些方法纳入他们的研究计划。