Wasmuth Sally, Belkiewitz Johnna, Miech Edward, Li Chih-Ying, Harris Alex, Hernandez Jocelyne, Horsford Caitlin, Smith Carlton, Bravata Dawn
Indiana University, Indianapolis, USA.
University of Texas Medical Branch, Galveston, USA.
OTJR (Thorofare N J). 2025 Apr;45(2):199-208. doi: 10.1177/15394492241260022. Epub 2024 Jul 31.
Identity Development Evolution and Sharing (IDEAS) reduces provider stigma, but few have been trained to implement IDEAS, highlighting a need for implementation strategies that facilitate uptake. We evaluated whether external facilitation successfully supported IDEAS implementation and whether IDEAS reduced provider stigma within and across sites irrespective of implementation barriers and facilitators. Key informants from 10 sites completed interviews and surveys of appropriateness, acceptability, and feasibility. Interviews were analyzed using the Consolidated Framework for Implementation Research guidelines. Intervention effectiveness was measured via paired tests of pre-/post-quantitative data on provider stigma completed by practitioners who attended the training. Ten sites successfully implemented IDEAS via external facilitation; 58 practitioners from nine sites completed pre- and post-surveys. Data showed significant decreases in stigma after the intervention. IDEAS, supported by external facilitation, is a feasible, acceptable, and appropriate means of reducing stigma among occupational therapy practitioners.
身份认同发展、演变与分享（IDEAS）可减少医疗服务提供者的耻辱感，但很少有人接受过实施IDEAS的培训，这凸显了对促进其采用的实施策略的需求。我们评估了外部促进是否成功支持了IDEAS的实施，以及IDEAS是否能减少各站点内部和站点之间医疗服务提供者的耻辱感，而不论实施障碍和促进因素如何。来自10个站点的关键信息提供者完成了关于适宜性、可接受性和可行性的访谈及调查。使用实施研究综合框架指南对访谈进行了分析。通过对参加培训的从业者完成的关于医疗服务提供者耻辱感的定量数据进行前后配对测试来衡量干预效果。10个站点通过外部促进成功实施了IDEAS；来自9个站点的58名从业者完成了前后调查。数据显示干预后耻辱感显著降低。在外部促进的支持下，IDEAS是减少职业治疗从业者耻辱感的一种可行、可接受且适宜的方法。
