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Developing a targeted theory-informed implementation intervention using two theoretical frameworks to address health professional and organisational factors: a case study to improve the management of mild traumatic brain injury in the emergency department

机译:使用两个理论框架开发有针对性的有理论根据的实施干预措施以解决卫生专业人员和组织因素:改善急诊科中轻度颅脑损伤管理的案例研究

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摘要

BackgroundDespite the availability of evidence-based guidelines for the management of mild traumatic brain injury in the emergency department (ED), variations in practice exist. Interventions designed to implement recommended behaviours can reduce this variation. Using theory to inform intervention development is advocated; however, there is no consensus on how to select or apply theory. Integrative theoretical frameworks, based on syntheses of theories and theoretical constructs relevant to implementation, have the potential to assist in the intervention development process. This paper describes the process of applying two theoretical frameworks to investigate the factors influencing recommended behaviours and the choice of behaviour change techniques and modes of delivery for an implementation intervention.
机译:背景技术尽管急诊科(ED)可以使用基于证据的轻度创伤性脑损伤治疗指南,但实践上存在差异。旨在实现建议行为​​的干预措施可以减少这种变化。提倡使用理论为干预发展提供信息;但是,关于如何选择或应用理论尚无共识。基于理论和与实施相关的理论构架的综合理论框架,有可能在干预发展过程中提供帮助。本文介绍了应用两个理论框架来调查影响推荐行为的因素以及实施干预措施的行为改变技术和交付方式选择的过程。

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