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实施科学与儿科糖尿病:文献综述及未来研究建议。

Implementation Science and Pediatric Diabetes: A Scoping Review of the State of the Literature and Recommendations for Future Research.

机构信息

Center for Healthcare Delivery Science Sidney Kimmel Medical College, Nemours Children's Health, Thomas Jefferson University, Rockland Center I, 1600 Rockland Road, Wilmington, DE, 19803, United States.

School of Social Work, University of Michigan, Michigan, United States.

出版信息

Curr Diab Rep. 2024 Oct 29;25(1):2. doi: 10.1007/s11892-024-01561-3.

Abstract

PURPOSE OF REVIEW

This scoping review aimed to identify implementation science (IS) research in pediatric diabetes, report integration of IS theory and terminology, and offer guidance for future research.

RECENT FINDINGS

Of 23 papers identified, 19 were published since 2017 and 21 focused on type 1 diabetes. Most involved medical evidence-based practices (EBPs; n = 15), whereas fewer focused on psychosocial (n = 7) and diabetes education (n = 2). The majority either identified barriers and facilitators of implementing an EBP (n = 11) or were implementation trials (n = 11). Fewer studies documented gaps in EBP implementation in standard care (n = 7) or development of implementation strategies (n = 1). Five papers employed IS theories and two aimed to improve equity. There is a paucity of IS research in pediatric diabetes care literature. Few papers employed IS theory, used consistent IS terminology, or described IS strategies or outcomes. Guidance for future research to improve IS research in pediatric diabetes is offered.

摘要

目的综述

本范围综述旨在确定儿科糖尿病领域的实施科学(IS)研究,报告 IS 理论和术语的整合,并为未来的研究提供指导。

最近的发现

在确定的 23 篇论文中,19 篇发表于 2017 年之后,21 篇聚焦于 1 型糖尿病。大多数研究涉及医疗基于证据的实践(EBP;n=15),而较少涉及心理社会(n=7)和糖尿病教育(n=2)。大多数研究要么确定实施 EBP 的障碍和促进因素(n=11),要么是实施试验(n=11)。较少的研究记录了标准护理中 EBP 实施的差距(n=7)或实施策略的制定(n=1)。五篇论文采用了 IS 理论,两篇旨在提高公平性。儿科糖尿病护理文献中 IS 研究较少。很少有论文采用 IS 理论,使用一致的 IS 术语,或描述 IS 策略或结果。为提高儿科糖尿病中 IS 研究提供了未来研究的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/125f/11522144/757922599b9d/11892_2024_1561_Fig1_HTML.jpg

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