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临床实践研究中的实施科学规划:增材和替代沟通示例。

Planning for Implementation Science in Clinical Practice Research: An Augmentative and Alternative Communication Example.

机构信息

The University of New Mexico, Albuquerque.

Central Michigan University, Mount Pleasant.

出版信息

Am J Speech Lang Pathol. 2022 May 10;31(3):1039-1053. doi: 10.1044/2021_AJSLP-21-00085. Epub 2021 Nov 4.

DOI:10.1044/2021_AJSLP-21-00085
PMID:34735294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9567374/
Abstract

PURPOSE

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.

METHOD

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.

CONCLUSIONS

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.

摘要

目的

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。

方法

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。

结论

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。

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本文引用的文献

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Implementation Science Research in Communication Sciences and Disorders: A Scoping Review.传播学与言语病理学中的实施科学研究:范围综述。
Am J Speech Lang Pathol. 2022 May 10;31(3):1054-1083. doi: 10.1044/2021_AJSLP-21-00126. Epub 2022 Feb 1.
2
Using the ImPAACT program with preschoolers with Down syndrome: a hybrid service-delivery model.使用 ImPAACT 项目为唐氏综合征学龄前儿童提供服务:一种混合式服务提供模式。
Augment Altern Commun. 2021 Jun;37(2):113-128. doi: 10.1080/07434618.2021.1921025. Epub 2021 Jul 9.
3
Effectiveness-implementation hybrid type 2 study evaluating an intervention to support 'information work' in dementia care: an implementation study protocol.评价一种干预措施以支持痴呆症护理中“信息工作”的有效性-实施混合类型 2 研究:一项实施研究方案。
BMJ Open. 2020 Dec 8;10(12):e038397. doi: 10.1136/bmjopen-2020-038397.
4
Situating dissemination and implementation sciences within and across the translational research spectrum.将传播与实施科学置于转化研究领域之内及跨领域范畴。
J Clin Transl Sci. 2019 Jul 29;4(3):152-158. doi: 10.1017/cts.2019.392.
5
Tracking Early Sentence-Building Progress in Graphic Symbol Communication.追踪图形符号交流中早期句子构建的进展。
Lang Speech Hear Serv Sch. 2020 Apr 7;51(2):317-328. doi: 10.1044/2019_LSHSS-19-00065.
6
A type II implementation-effectiveness hybrid quasi-experimental pilot study of a clinical intervention to re-engage people living with HIV into care, 'Lost & Found': an implementation science protocol.一项名为“失而复得”的临床干预措施的II型实施-有效性混合准实验性试点研究,该干预措施旨在促使艾滋病毒感染者重新接受治疗:一项实施科学方案。
Pilot Feasibility Stud. 2020 Feb 21;6:29. doi: 10.1186/s40814-020-0559-6. eCollection 2020.
7
National Working Group on the RE-AIM Planning and Evaluation Framework: Goals, Resources, and Future Directions.国家RE-AIM规划与评估框架工作组:目标、资源及未来方向
Front Public Health. 2020 Jan 10;7:390. doi: 10.3389/fpubh.2019.00390. eCollection 2019.
8
An introduction to effectiveness-implementation hybrid designs.有效性-实施混合设计简介。
Psychiatry Res. 2019 Oct;280:112513. doi: 10.1016/j.psychres.2019.112513. Epub 2019 Aug 9.
9
The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions.FRAME:一个扩展的报告基于证据的干预措施的适应性和修改的框架。
Implement Sci. 2019 Jun 6;14(1):58. doi: 10.1186/s13012-019-0898-y.
10
Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs.运用实用、稳健实施和可持续性模型(PRISM),对多层次的背景因素进行定性评估,以帮助规划、实施、评估和传播卫生服务项目。
Transl Behav Med. 2019 Nov 25;9(6):1002-1011. doi: 10.1093/tbm/ibz085.