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首页> 外文期刊>JMIR Research Protocols >Implementation Science Research Examining the Integration of Evidence-Based Practices Into HIV Prevention and Clinical Care: Protocol for a Mixed-Methods Study Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) Model
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Implementation Science Research Examining the Integration of Evidence-Based Practices Into HIV Prevention and Clinical Care: Protocol for a Mixed-Methods Study Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) Model

机译：实施科学研究，研究将循证实践整合到HIV预防和临床护理中：使用探索，准备，实施和维持（EPIS）模型进行混合方法研究的协议

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Background The Exploration, Preparation, Implementation, and Sustainment (EPIS) model is an implementation framework for studying the integration of evidence-based practices (EBPs) into real-world settings. The EPIS model conceptualizes implementation as a process starting with the earliest stages of problem recognition (Exploration) through the continued use of an EBP in a given clinical context (Sustainment). This is the first implementation science (IS) study of the integration of EBPs into adolescent HIV prevention and care settings. Objective This protocol (ATN 153 EPIS) is part of the Scale It Up program, a research program administered by the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN), described in this issue by Naar et al. The EPIS study is a descriptive study of the uptake of 4 EBPs within the Scale It Up program. The goal of EPIS is to understand the barriers and facilitators associated with the Preparation, Implementation, and Sustainment of EBPs into HIV prevention and clinical care settings. Methods The EPIS study is a convergent parallel mixed-methods IS study. Key implementation stakeholders, that is, clinical care providers and leaders, located within 13 ATN sites across the United States will complete a qualitative interview conducted by telephone and Web-based surveys at 3 key implementation stages. The Preparation assessment occurs before EBP implementation, Implementation occurs immediately after sites finish implementation activities and prepare for sustainment, and Sustainment occurs 1 year postimplementation. Assessments will examine stakeholders’ perceptions of the barriers and facilitators to EBP implementation within their clinical site as outlined by the EPIS framework. Results The EPIS baseline period began in June 2017 and concluded in May 2018; analysis of the baseline data is underway. To date, 153 stakeholders have completed qualitative interviews, and 91.5% (140/153) completed the quantitative survey. Conclusions The knowledge gained from the EPIS study will strengthen the implementation and sustainment of EBPs in adolescent prevention and clinical care contexts by offering insights into the barriers and facilitators of successful EBP implementation and sustainment in real-world clinical contexts.
机译：背景技术探索，准备，实施和维持（EPIS）模型是用于研究将基于证据的实践（EBP）集成到实际环境中的实施框架。 EPIS模型将实施概念化为一个过程，该过程从问题识别的最早阶段（探索）开始，通过在给定的临床环境中继续使用EBP（可持续性）来实现。这是首次将EBP纳入青少年HIV预防和护理环境的实施科学（IS）研究。目的该方案（ATN 153 EPIS）是“规模扩大”计划的一部分，该计划是由青少年医学试验网络针对HIV / AIDS干预（ATN）管理的一项研究计划，Naar等人在本期杂志中对此进行了描述。 EPIS研究是Scale It Up计划中4种EBP吸收的描述性研究。 EPIS的目标是了解与EBP的准备，实施和维持有关的障碍和促进者，这些障碍和促进者进入了HIV预防和临床护理环境。方法EPIS研究是一种收敛的并行混合方法IS研究。位于美国13个ATN站点内的关键实施利益相关者，即临床护理提供商和领导者，将在三个关键实施阶段完成通过电话和基于Web的调查进行的定性采访。准备评估在EBP实施之前进行，实施在站点完成实施活动并为维持做准备后立即进行，而维持在实施后1年进行。评估将检查利益相关者对EPIS框架概述的在其临床部位实施EBP的障碍和促进者的看法。结果EPIS基线期始于2017年6月，并于2018年5月结束;基线数据的分析正在进行中。迄今为止，已有153位利益相关者完成了定性访谈，而91.5％（140/153）完成了定量调查。结论从EPIS研究中获得的知识将通过提供在现实世界临床环境中成功实施和维持EBP的障碍和促进因素的见解，从而加强在青少年预防和临床护理环境中EBP的实施和维持。

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