Institute on Development and Disability, Department of Pediatrics, Oregon Health & Science University, Portland.
Community Outreach, Research, and Engagement, Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland.
Am J Speech Lang Pathol. 2022 May 10;31(3):1095-1113. doi: 10.1044/2021_AJSLP-21-00100. Epub 2022 Jan 10.
Barriers to implementing evidence-based practices occur at various levels. Stakeholder input is required to identify challenges specific to clinical practice settings, client populations, and service delivery approaches. The purpose of this project was to solicit feedback from stakeholders on the telepractice service delivery and implementation strategies proposed for a future study of enhanced milieu teaching (EMT) in rural counties.
A Community Engagement Studio was conducted with 11 caregivers of children with language delays living in rural counties. Caregivers and the researchers discussed early intervention service delivery for children with language delays in rural Oregon and the proposed telepractice EMT procedures. Researchers gathered feedback on three intervention components: session frequency and schedule, implementation strategies to encourage caregivers' use of EMT, and performance feedback techniques to teach caregivers.
Findings from the Community Engagement Studio led to four primary modifications to the telepractice EMT study protocol. The principal investigator increased available days and times for intervention sessions and added text-message reminders for parents. A survey was also added for caregivers to identify their preferences for additional implementation strategies (e.g., tip sheets, checklist, e-mailed session summaries) and graphic representations of performance feedback (e.g., bar graph, radial graph, mountain climber infographic).
Community Engagement Studios are a promising method for increasing community engagement in clinical research and soliciting stakeholder feedback on evidence-based intervention adaptations.
实施循证实践的障碍发生在各个层面。需要利益相关者的投入来确定特定于临床实践环境、客户群体和服务提供方法的挑战。本项目的目的是征求利益相关者对未来农村地区强化环境教学(EMT)研究中提出的远程实践服务交付和实施策略的反馈。
在农村县生活的有语言障碍儿童的 11 名照顾者进行了社区参与工作室。照顾者和研究人员讨论了农村俄勒冈州语言障碍儿童的早期干预服务交付以及拟议的远程 EMT 程序。研究人员收集了有关三个干预组件的反馈:会议频率和时间表、鼓励照顾者使用 EMT 的实施策略以及教授照顾者的绩效反馈技术。
社区参与工作室的结果导致远程 EMT 研究方案进行了四项主要修改。首席研究员增加了干预会议的可用天数和时间,并为父母添加了短信提醒。还为照顾者添加了一份调查,以确定他们对额外实施策略的偏好(例如,提示表、检查表、电子邮件会话摘要)和绩效反馈的图形表示(例如,条形图、径向图、登山者信息图)。
社区参与工作室是一种很有前途的方法,可以增加社区对临床研究的参与,并征求利益相关者对循证干预措施调整的反馈。