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首页> 外文期刊>BMC Women s Health >When user-centered design meets implementation science: integrating provider perspectives in the development of an intimate partner violence intervention for women treated in the United States’ largest integrated healthcare system
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When user-centered design meets implementation science: integrating provider perspectives in the development of an intimate partner violence intervention for women treated in the United States’ largest integrated healthcare system

机译：当用户中心的设计符合实施科学时：将提供商视角整合在发展美国最大的综合医疗保健系统中妇女的亲密合作伙伴暴力干预方面

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Intimate partner violence (IPV) against women is a global health problem that is a substantial source of human suffering. Within the United States (US), women veterans are at high risk for experiencing IPV. There is an urgent need for feasible, acceptable, and patient-centered IPV counseling interventions for the growing number of women treated in the US’s largest integrated healthcare system, the Veterans Health Administration (VHA). Implementation science and user-centered-design (UCD) can play an important role in accelerating the research-to-practice pipeline. Recovering from IPV through Strengths and Empowerment (RISE) is a flexible, patient-centered, modular-based program that holds promise as a brief counseling intervention for women veterans treated in VHA. We utilized a UCD approach to develop and refine RISE (prior to formal effectiveness evaluations) by soliciting early feedback from the providers where the intervention will ultimately be implemented. The current study reports on the feedback from VHA providers that was used to tailor and refine RISE. We conducted and analyzed semi-structured, key-informant interviews with VHA providers working in clinics relevant to the delivery of IPV interventions (n?=?23) at two large medical centers in the US. Participants’ mean age was 42.6?years (SD?=?11.6), they were predominately female (91.3%) and from a variety of relevant disciplines (39.1% psychologists, 21.7% social workers, 17.4% physicians, 8.7% registered nurses, 4.3% psychiatrists, 4.3% licensed marriage and family therapists, 4.3% peer specialists). We conducted rapid content analysis using a hybrid inductive-deductive approach. Providers perceived RISE as highly acceptable and feasible, noting strengths including RISE’s structure, patient-centered agenda, and facilitation of provider comfort in addressing IPV. Researchers identified themes related to content and context modifications, including requests for additional safety check-ins, structure for goal-setting, and suggestions for how to develop and implement RISE-specific trainings. These findings have guided refinements to RISE prior to formal effectiveness testing in VHA. We discuss implications for the use of UCD in intervention development and refinement for interventions addressing IPV and other trauma in health care settings globally. ClinicalTrials.gov identifier: NCT03261700; Date of registration: 8/25/2017, date of enrollment of first participant in trial: 10/22/2018. Unique Protocol ID: IIR 16–062.
机译：对妇女的亲密合作伙伴暴力（IPV）是一个全球健康问题，是人类痛苦的重要来源。在美国（美国）内，妇女退伍军人遭受IPV的高风险。迫切需要对美国最大的综合医疗保健系统，退伍军人健康管理局（VHA）养成越来越多的妇女的可行性，可接受和患者为中心的IPV咨询干预措施。实施科学和用户中心设计（UCD）可以在加速研究到实践管道方面发挥重要作用。从IPV通过优势和赋权（上升）从IPV恢复（上升）是一种灵活，患者以患者为中心的模块化计划，该计划将承担承担妇女退伍军人的简要辅导干预。我们利用UCD方法通过征求最终将实施干预的提供者提前反馈来发展和精炼在正式效力评估之前（在正式的有效性评估）。目前的研究报告了VHA提供者的反馈，用于量身定制和精致上升。我们进行了半结构化，关键信息，与VHA供应商在美国的两个大型医疗中心的IPV干预（n？= 23）中有关的诊所。与会者的平均年龄是42.6？年（SD？= 11.6），它们主要是女性（91.3％）和来自各种相关学科（39.1％的心理学家，21.7％的社会工作者，17.4％的医师，8.7％的注​​册护士，8.7％的注​​册护士， 4.3％的精神科医生，4.3％的许可婚姻和家庭治疗师，4.3％的同行专家）。我们使用混合电感 - 演绎方法进行了快速的内容分析。提供者认为高度可接受和可行，注意力，包括崛起的结构，患者为中心的议程，以及在寻址IPV的提供者舒适度。研究人员确定了与内容和上下文修改有关的主题，包括额外安全签入的请求，目标设置的结构以及如何开发和实施特定于上升特定培训的建议。这些发现在VHA中正式有效性测试之前具有导向的改进。我们讨论在全球卫生保健环境中解决IPV和其他创伤的干预开发和精炼中使用UCD的影响。 ClinicalTrials.gov标识符：NCT03261700;日期（注册日期）：2017年8月28日，审判中首次参与者的注册日期：10/22/2018。唯一协议ID：IIR 16-062。

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