Vejnoska Sarah F, Mettert Kayne, Lewis Cara C
UC Davis MIND Institute, Sacramento, CA, USA.
Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Implement Res Pract. 2022 Apr 4;3:26334895221086271. doi: 10.1177/26334895221086271. eCollection 2022 Jan-Dec.
Implementation mechanisms are defined as processes or events through which implementation strategies operate to affect one or more implementation outcomes. Understanding the mechanisms through which implementation strategies work is critical to understanding how and why implementation efforts are successful, and to matching, tailoring, and optimizing implementation strategies. This study examined the content of abstracts included in the program for the 2019 Society for Implementation Research Collaboration (SIRC) conference to characterize the presence of data related to implementation strategy mechanisms and their larger causal pathways. Trained coders reviewed all 205 accepted abstracts and extracted information regarding discrete implementation strategies, determinants of implementation, implementation mechanisms, service outcomes, and implementation outcomes. Theoretical articles were omitted from further analyses due to their inability to offer data related to implementation mechanisms. Of the 151 empirical studies included, only 11 (7.28%) reported studying mechanisms. Mechanisms were examined in projects utilizing 14 different implementation strategies. We were able to construct implementation causal pathways for just two implementation strategies, "assess for readiness and identify determinants," representing information pulled from four different abstracts, and "create a learning collaborative," with data pulled from just one abstract. These findings indicate that, at least based on SIRC conference abstracts, the empirical investigation of implementation mechanisms remains understudied, highlighting the need for focused research on the study of mechanisms. Understanding the mechanisms through which implementation strategies work is critical to understanding how and why implementation efforts are successful. The study of implementation mechanisms may be used to optimize implementation strategy decisions. Investigations to date have not established causal pathways linking implementation strategies, mechanisms, barriers, and outcomes. This study examined abstracts included in the program for the 2019 Society for Implementation Research Collaboration (SIRC) conference. Trained coders reviewed all 205 accepted abstracts and extracted information to characterize the presence of data related to implementation strategy causal pathways. A minority of abstracts reported studying mechanisms. We were able to construct implementation causal pathways for just two implementation strategies, representing information pulled from five different abstracts all together. This highlights the need for focused research on the study of mechanisms.
实施机制被定义为实施策略借以运作以影响一个或多个实施结果的过程或事件。理解实施策略发挥作用的机制对于理解实施工作如何以及为何取得成功，以及匹配、调整和优化实施策略至关重要。本研究考察了2019年实施研究协作协会（SIRC）会议议程中所包含摘要的内容，以描述与实施策略机制及其更大因果路径相关的数据的存在情况。经过培训的编码员审查了所有205篇被接受的摘要，并提取了有关离散实施策略、实施决定因素、实施机制、服务结果和实施结果的信息。由于理论文章无法提供与实施机制相关的数据，因此被排除在进一步分析之外。在纳入的151项实证研究中，只有11项（7.28%）报告了对机制的研究。在使用14种不同实施策略的项目中对机制进行了考察。我们仅能为两种实施策略构建实施因果路径，“评估准备情况并确定决定因素”（代表从四篇不同摘要中提取的信息）以及“创建学习协作组”（仅从一篇摘要中提取数据）。这些发现表明，至少基于SIRC会议摘要，对实施机制的实证研究仍未得到充分研究，凸显了对机制研究进行重点研究的必要性。理解实施策略发挥作用的机制对于理解实施工作如何以及为何取得成功至关重要。实施机制的研究可用于优化实施策略决策。迄今为止的调查尚未建立起将实施策略、机制、障碍和结果联系起来的因果路径。本研究考察了2019年实施研究协作协会（SIRC）会议议程中所包含的摘要。经过培训的编码员审查了所有205篇被接受的摘要，并提取信息以描述与实施策略因果路径相关的数据的存在情况。少数摘要报告了对机制的研究。我们仅能为两种实施策略构建实施因果路径，总共代表从五篇不同摘要中提取的信息。这凸显了对机制研究进行重点研究的必要性。
