实施科学理论、模型与框架概述

Introduction to Implementation Science Theories, Models, and Frameworks

  • 摘要: 实施科学作为一门跨学科领域,致力于系统研究如何将基于证据的研究成果有效转化为实践与应用。在健康相关领域,实施科学聚焦于提升医疗服务效率及质量,推动科学证据向实践转化。本文围绕健康相关实施科学中的理论、模型与框架(theories, models, and frameworks, TMF)展开论述,明确其基本概念与分类,并阐述其在指导实施干预过程中的作用。分别从TMF的组成要素、应用实践及未来发展方向三个方面,对现有研究进行梳理与展望,重点分析5个具有代表性的框架,包括实施性研究综合框架(Consolidated Framework for Implementation Research,CFIR framework)、PRISM(Practical Robust Implementation and Sustainability Model,PRISM)模型、EPIS(Exploration, Preparation, Implementation, Sustainment,EPIS)框架、行为改变轮(Behavior Change Wheel,BCW)以及常态化过程理论(Normalization Process Theory,NPT)。同时,介绍了传播与实施模型网站工具和理论比较与选择工具,以协助研究者根据项目需求选择合适的TMF。

     

    Abstract: Implementation Science is an interdisciplinary field dedicated to systematically studying how to effectively translate evidence-based research findings into practical application and implementation. In the health-related context, it focuses on enhancing the efficiency and quality of healthcare services, thereby facilitating the transition from scientific evidence to real-world practice. This article elaborates on Theories, Models, and Frameworks (TMF) within health-related Implementation Science, clarifying their basic concepts and classifications, and discussing their roles in guiding implementation processes. Furthermore, it reviews and prospects current research from three aspects: the constituent elements of TMF, their practical applications, and future directions. Five representative frameworks are emphasized, including the Consolidated Framework for Implementation Research (CFIR), the Practical Robust Implementation and Sustainability Model (PRISM), the Exploration, Preparation, Implementation, Sustainment (EPIS)framework, the Behavior Change Wheel (BCW), and the Normalization Process Theory (NPT). Additionally, resources such as the Dissemination & Implementation Models Webtool and the T-CaST tool are introduced to assist researchers in selecting appropriate TMFs based on project-specific needs.

     

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