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《传播与实施学习中心设计的开发与评估》。

The development and evaluation of the Designing for Dissemination and Implementation Learning Hub.

机构信息

Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care (COIN), VA Eastern Colorado Health Care System, Denver, CO, USA.

College of Nursing, University of Colorado, Aurora, CO, USA.

出版信息

Transl Behav Med. 2024 Nov 16;14(11):653-660. doi: 10.1093/tbm/ibae036.

DOI:10.1093/tbm/ibae036
PMID:39298683
Abstract

There is a growing emphasis on reducing the gap between research and routine practice. Dissemination and Implementation (D&I) science offers theories, models, and frameworks to enhance the implementation, impact, and sustainment of new programs and interventions. Few training opportunities are available that help leaders, researchers, clinicians, and staff (implementers) translate original research into practice settings in a more timely and effective manner without requiring significant time away from their primary clinical duties. To address these needs, we designed a virtual Designing for Dissemination and Implementation (D4D&I) Learning Hub that offered foundational D&I knowledge and opportunities for skill building. We developed the D4D&I Learning Hub curricula to train novice participants in the multicomponent D4D&I implementation strategy bundle when implementing new programs or innovations. The components of the D4D&I strategy bundle include (i) Pre-implementation assessment for proactive planning and multilevel contextual assessment, (ii) Multilevel partner engagement to learn what is important to end-users and obtain buy-in, (iii) Implementation and adaptations guided by a pre-implementation assessment while retaining program fidelity, and (iv) Program evaluation. We utilized a virtual e-learning platform, expert trainers, mentorship, and a Virtual Learning Collaborative to deliver the six-module curricula to support participants' growth and success. We used quantitative and qualitative methods informed by the Kirkpatrick Evaluation Model to evaluate the D4D&I Learning Hub. Thirty-one participants completed the D4D&I Learning Hub across four cohorts. Participants found the D4D&I curricula relevant and favorable, indicating they acquired the intended knowledge and skills. In presentations of their key takeaways, participants cited a greater understanding of how to apply various D&I theories, models, and frameworks to their research, engage multilevel partners during all phases of implementation and evaluation, and assess fidelity and adaptations. Participants planned to incorporate the acquired D&I knowledge and skills in future publications, grant applications, and when implementing new programs and projects in clinical settings. The D4D&I Learning Hub provides foundational education for novice participants of D&I science. It promotes designing, disseminating, implementing, and evaluating effective programs in clinical settings. This article discusses the development and implementation of the D4D&I Learning Hub. In addition, we evaluated the first four cohorts using the Kirkpatrick Evaluation Model.

摘要

越来越强调缩小研究与常规实践之间的差距。传播和实施 (D&I) 科学提供了理论、模型和框架,以提高新计划和干预措施的实施、影响和维持。几乎没有提供培训机会,帮助领导者、研究人员、临床医生和员工(实施者)以更及时、更有效的方式将原始研究转化为实践环境,而无需从主要临床职责中抽出大量时间。为了满足这些需求,我们设计了一个虚拟的传播和实施设计 (D4D&I) 学习中心,提供基础的 D&I 知识和技能培养机会。我们开发了 D4D&I 学习中心课程,以培训新手参与者掌握多组分 D4D&I 实施策略包,以便在实施新计划或创新时。D4D&I 策略包的组成部分包括:(i) 预先实施评估以进行主动规划和多层次背景评估,(ii) 多层次合作伙伴参与,了解最终用户的重要性并获得认可,(iii) 在保留计划保真度的同时,根据预先实施评估进行实施和调整,以及 (iv) 计划评估。我们利用虚拟电子学习平台、专家培训师、指导和虚拟学习协作来提供六模块课程,以支持参与者的成长和成功。我们使用基于柯克帕特里克评估模型的定量和定性方法来评估 D4D&I 学习中心。四个队列中有 31 名参与者完成了 D4D&I 学习中心的学习。参与者认为 D4D&I 课程内容相关且受欢迎,表明他们获得了预期的知识和技能。在介绍他们的主要收获时,参与者表示对如何将各种 D&I 理论、模型和框架应用于他们的研究有了更深入的了解,在实施和评估的所有阶段与多层次合作伙伴合作,并评估保真度和调整。参与者计划将所获得的 D&I 知识和技能应用于未来的出版物、资助申请以及在临床环境中实施新计划和项目中。D4D&I 学习中心为 D&I 科学的新手参与者提供基础教育。它促进在临床环境中设计、传播、实施和评估有效的计划。本文讨论了 D4D&I 学习中心的开发和实施。此外,我们还使用柯克帕特里克评估模型评估了前四个队列。

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