Department of Emergency Medicine and Emergency Care Research Core, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Department of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
J Am Geriatr Soc. 2022 Dec;70(12):3620-3630. doi: 10.1111/jgs.17993. Epub 2022 Aug 25.
The Institute of Medicine and the National Institute on Aging increasingly understand that knowledge alone is necessary but insufficient to improve healthcare outcomes. Adapting the behaviors of clinicians, patients, and stakeholders to new standards of evidence-based clinical practice is often significantly delayed. In response, over the past twenty years, Implementation Science has developed as the study of methods and strategies that facilitate the uptake of evidence-based practice into regular use by practitioners and policymakers. One important advance in Implementation Science research was the development of Standards for Reporting Implementation Studies (StaRI), which provided a 27-item checklist for researchers to consistently report essential elements of the implementation and intervention strategies. Using StaRI as a framework, this review discusses specific Implementation Science challenges for research with older adults, provides solutions for those obstacles, and opportunities to improve the value of this evolving approach to reduce the knowledge translation losses that exist between published research and clinical practice.
美国医学研究所和国家老龄化研究所越来越认识到，仅仅掌握知识是必要的，但不足以改善医疗保健结果。使临床医生、患者和利益攸关方的行为适应循证临床实践的新标准往往会大大延迟。有鉴于此，在过去的二十年中，实施科学作为一种研究方法和策略不断发展，这些方法和策略有助于将循证实践纳入从业者和政策制定者的常规使用。实施科学研究的一个重要进展是制定实施研究报告标准（StaRI），该标准为研究人员提供了一份 27 项的清单，用于一致报告实施和干预策略的基本要素。本综述以 StaRI 为框架，讨论了针对老年人的研究中具体的实施科学挑战，为这些障碍提供了解决方案，并为改善这种不断发展的方法的价值提供了机会，以减少发表的研究与临床实践之间存在的知识转化损失。
