Gunn Christine M, Sprague Martinez Linda S, Battaglia Tracy A, Lobb Rebecca, Chassler Deborah, Hakim Dema, Drainoni Mari-Lynn
Women's Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA.
Boston University School of Public Health, Department of Health Law, Policy and Management, Boston, MA, USA.
J Clin Transl Sci. 2022 Aug 1;6(1):e107. doi: 10.1017/cts.2022.433. eCollection 2022.
This special communication provides an approach for applying implementation science frameworks to a Clinical and Translational Science Institutes (CTSIs) community engagement (CE) program that measures the use of implementation strategies and outcomes that promote the uptake of CE in research. Using an iterative multi-disciplinary group process, we executed a four-phased approach to developing an evaluation plan: 1) creating an model adapted from Proctor's conceptual model of implementation research; 2) mapping implementation strategies to CTSI CE program interventions that support change in research practice; 3) identifying and operationalizing measures for each strategy; and 4) conducting an evaluation. Phase 2 employed 73 implementation strategies across 9 domains generated by the Expert Recommendations for Implementing Change project. The nine domains were used to classify each CE program implementation strategy. In Phase 3, the group used the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework to define measures for each individual strategy. Phase 4 demonstrates the application of this framework and measures Year 1 outcomes for the strategy , which we implemented using a centralized consultation model. This approach can support the CTSA program in operationalizing CE program measurement to demonstrate which activities and strategies may lead to benefits derived by the program, institution, and community.
本专题交流提供了一种方法,用于将实施科学框架应用于临床与转化科学研究所(CTSI)的社区参与(CE)项目,该项目衡量促进研究中社区参与采用的实施策略和成果的使用情况。通过一个迭代的多学科小组过程,我们执行了一个四阶段的方法来制定评估计划:1)创建一个改编自普罗克特实施研究概念模型的模型;2) 将实施策略映射到支持研究实践变革的CTSI CE项目干预措施;3) 确定并实施每个策略的测量方法;4) 进行评估。第二阶段采用了由实施变革专家建议项目生成的9个领域中的73种实施策略。这九个领域用于对每个CE项目实施策略进行分类。在第三阶段,该小组使用“覆盖范围、有效性、采用率、实施和维持”(RE-AIM)框架为每个单独的策略定义测量方法。第四阶段展示了该框架的应用,并对我们使用集中咨询模型实施的该策略的第一年成果进行了测量。这种方法可以支持CTSA项目对CE项目测量进行操作化,以证明哪些活动和策略可能会给项目、机构和社区带来益处。