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首页> 外文期刊>BMC Health Services Research >Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit
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Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit

机译：使用归一化过程理论评估复杂的干预措施和卫生技术：开发简化方法和基于Web的工具包

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Background Normalization Process Theory (NPT) can be used to explain implementation processes in health care relating to new technologies and complex interventions. This paper describes the processes by which we developed a simplified version of NPT for use by clinicians, managers, and policy makers, and which could be embedded in a web-enabled toolkit and on-line users manual. Methods Between 2006 and 2010 we undertook four tasks. (i) We presented NPT to potential and actual users in multiple workshops, seminars, and presentations. (ii) Using what we discovered from these meetings, we decided to create a simplified set of statements and explanations expressing core constructs of the theory (iii) We circulated these statements to a criterion sample of 60 researchers, clinicians and others, using SurveyMonkey to collect qualitative textual data about their criticisms of the statements. (iv) We then reconstructed the statements and explanations to meet users' criticisms, embedded them in a web-enabled toolkit, and beta tested this 'in the wild'. Results On-line data collection was effective: over a four week period 50/60 participants responded using SurveyMonkey (40/60) or direct phone and email contact (10/60). An additional nine responses were received from people who had been sent the SurveyMonkey form by other respondents. Beta testing of the web enabled toolkit produced 13 responses, from 327 visits to http://www.normalizationprocess.org webcite . Qualitative analysis of both sets of responses showed a high level of support for the statements but also showed that some statements poorly expressed their underlying constructs or overlapped with others. These were rewritten to take account of users' criticisms and then embedded in a web-enabled toolkit. As a result we were able translate the core constructs into a simplified set of statements that could be utilized by non-experts. Conclusion Normalization Process Theory has been developed through transparent procedures at each stage of its life. The theory has been shown to be sufficiently robust to merit formal testing. This project has provided a user friendly version of NPT that can be embedded in a web-enabled toolkit and used as a heuristic device to think through implementation and integration problems.
机译：背景标准化过程理论（NPT）可用于解释与新技术和复杂干预措施有关的卫生保健实施过程。本文介绍了开发NPT简化版本以供临床医生，管理人员和政策制定者使用的过程，这些过程可以嵌入到支持Web的工具包和在线用户手册中。方法2006年至2010年间，我们承担了四个任务。 （i）我们在多个讲习班，研讨会和演讲中向潜在和实际用户介绍了《不扩散核武器条约》。 （ii）利用从这些会议中发现的内容，我们决定创建一组简化的陈述和解释，以表达该理论的核心构造（iii）我们使用SurveyMonkey将这些陈述分发给60名研究人员，临床医生和其他人员的标准样本，收集有关他们对陈述的批评的定性文本数据。 （iv）然后，我们重建了陈述和解释，以满足用户的批评，将其嵌入到支持Web的工具包中，并对其进行了“ Beta测试”。结果在线数据收集是有效的：在四个星期内，有50/60名参与者使用SurveyMonkey（40/60）或直接电话和电子邮件联系（10/60）进行了答复。还收到了其他答复者发送给SurveyMonkey表格的人员的另外9份答复。从327次访问http://www.normalizationprocess.org webcite的访问中，基于Web的工具包的Beta测试产生了13个响应。对这两套答复的定性分析显示了对这些陈述的高度支持，但同时也表明，某些陈述表达的底层构造很差或与其他陈述重叠。这些内容经过重新编写以考虑用户的批评，然后嵌入到支持Web的工具包中。结果，我们能够将核心结构转换为简化的语句集，供非专家使用。结论归一化过程理论是在生命的每个阶段通过透明的程序开发的。该理论已被证明足够强大，值得进行正式测试。该项目提供了NPT的用户友好版本，可以将其嵌入支持Web的工具包中，并用作启发式设备来考虑实施和集成问题。

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