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利用实施科学框架衡量向雇主推广干预措施的努力产生的影响。

Leveraging an Implementation Science Framework to Measure the Impact of Efforts to Scale Out a Intervention to Employers.

机构信息

Center for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E. 17th Pl., 3rd Floor, Mail Stop B119, Aurora, CO 80045, USA.

Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E. 17th Pl., 3rd Floor, Mail Stop B119, Aurora, CO 80045, USA.

出版信息

Int J Environ Res Public Health. 2022 Jan 26;19(3):1372. doi: 10.3390/ijerph19031372.

DOI:10.3390/ijerph19031372
PMID:35162408
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8834848/
Abstract

The role of dissemination and implementation (D&I) science is critical to the translation of into practice and to the success of interventions in addressing current and future implications for worker safety, health, and well-being. D&I frameworks can guide researchers to design ("TWH") delivery approaches that use flexible implementation strategies to implement the core components of programs for employers with varying contextual factors, including small/mid/large-sized businesses and different industry types. To date, there have been very few examples of applying implementation frameworks for the translation and delivery of interventions into organizational settings that require adoption and implementation at the business level to benefit the working individuals. We present a TWH case study, Health Links™, to illustrate an approach to applying an existing implementation framework, RE-AIM, to plan, design, build, and then evaluate TWH implementation strategies. Our case study also highlights key concepts for scaling-out TWH evidence-based interventions where they are implemented in new workplace settings, new delivery systems, or both. Our example provides strong support of key implementation planning constructs including early and consistent stakeholder engagement, tailored messaging and marketing, flexibility, and adaptations in implementation strategies to maximize adoption, implementation, and maintenance among participating businesses.

摘要

传播和实施(D&I)科学对于将转化为实践以及干预措施的成功解决当前和未来工人安全、健康和福祉的影响至关重要。D&I 框架可以指导研究人员设计“转化为实践”(TWH)的交付方法,这些方法采用灵活的实施策略,根据雇主的不同背景因素(包括小型/中型/大型企业和不同行业类型)实施计划的核心组件。迄今为止,将干预措施转化和交付到需要在业务层面采用和实施以造福于员工的组织环境中,应用实施框架的例子非常少。我们提出了一个 TWH 案例研究,Health Links™,来说明应用现有的实施框架 RE-AIM 来规划、设计、构建和评估 TWH 实施策略的方法。我们的案例研究还突出了在新的工作场所环境或新的交付系统中实施 TWH 循证干预措施的关键概念。我们的例子为关键的实施规划结构提供了有力支持,包括早期和持续的利益相关者参与、量身定制的信息传递和营销、灵活性以及实施策略的调整,以最大限度地提高参与企业的采用、实施和维护。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/24511d960711/ijerph-19-01372-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/75d00855fc11/ijerph-19-01372-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/eaa7d96b2f3e/ijerph-19-01372-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/24511d960711/ijerph-19-01372-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/75d00855fc11/ijerph-19-01372-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/eaa7d96b2f3e/ijerph-19-01372-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e085/8834848/24511d960711/ijerph-19-01372-g003.jpg

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本文引用的文献

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Intermediary Perspectives on Total Worker Health in Small Businesses.中小企业全员健康的中介视角。
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3
Profiles of total worker health® in United States small businesses.
美国小企业中的整体员工健康状况概览。
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4
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J Occup Environ Med. 2021 Aug 1;63(8):657-664. doi: 10.1097/JOM.0000000000002212.
5
Ten recommendations for using implementation frameworks in research and practice.在研究与实践中使用实施框架的十条建议。
Implement Sci Commun. 2020 Apr 30;1:42. doi: 10.1186/s43058-020-00023-7. eCollection 2020.
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Making Implementation Science More Rapid: Use of the RE-AIM Framework for Mid-Course Adaptations Across Five Health Services Research Projects in the Veterans Health Administration.加快实施科学进程:在退伍军人健康管理局的五个卫生服务研究项目中运用RE-AIM框架进行中期调整
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Clarity out of chaos: Use of theory in implementation research.从混沌中理清头绪:在实施研究中运用理论。
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