基于实施障碍的实施策略开发方法:CFIR-ERIC匹配工具

A Method for Developing Implementation Strategies to Address Implementation Barriers: the CFIR-ERIC Matching Tool

  • 摘要: 实施策略是一种针对性较强的干预措施,旨在促进研究成果或循证实践在日常医疗保健实践中被采纳、实施和维持。若实施策略能够精准匹配实施的障碍因素和促进因素,那么实施成功的可能性更高。实施性研究综合框架(consolidated framework for implementation research,CFIR)-实施变革专家共识(expert recommendations for implementing change,ERIC) 匹配工具可根据CFIR障碍因素匹配对应的ERIC实施策略,是一种方便、直接的实施策略开发工具。本文详细介绍CFIR-ERIC匹配工具的起源与发展,阐述其内容和使用方法,并以简短戒烟干预项目为例介绍如何应用CFIR-ERIC匹配工具开发实施策略,最后讨论应用该工具开发实施策略的优势和局限性,以期为相关研究者开发实施策略提供方法学参考。

     

    Abstract: Implementation strategies are targeted interventions aimed at promoting the adoption, implementation, and sustainment of research findings or evidence-based practices in routine healthcare. If implementation strategies can precisely match implementation barriers and facilitators, the likelihood of successful implementation will increase. The CFIR-ERIC matching tool, which can match corresponding ERIC implementation strategies based on CFIR barriers, is a convenient and direct tool for developing implementation strategies. This paper provides a detailed overview of the origins and development of the CFIR-ERIC matching tool, outlines its contents and usage, and illustrates how to apply the tool to develop implementation strategies by using a brief smoking cessation intervention project as an example. The paper also discusses the advantages and limitations of using this tool for developing implementation strategies, with the aim of providing methodological reference for other researchers.

     

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