...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Implementation Science >IMPlementation of A Relatives’ Toolkit (IMPART study): an iterative case study to identify key factors impacting on the implementation of a web-based supported self-management intervention for relatives of people with psychosis or bipolar experiences in a National Health Service: a study protocol
【24h】

IMPlementation of A Relatives’ Toolkit (IMPART study): an iterative case study to identify key factors impacting on the implementation of a web-based supported self-management intervention for relatives of people with psychosis or bipolar experiences in a National Health Service: a study protocol

机译：亲属的工具包的实施（赋予研究）：一个迭代案例研究，以确定影响基于网络的支持自我管理干预的关键因素，以便在国家卫生服务中有精神病或双极经历的亲属：一项研究协议

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Web-based interventions to support people to manage long-term health conditions are available and effective but rarely used in clinical services. The aim of this study is to identify critical factors impacting on the implementation of an online supported self-management intervention for relatives of people with recent onset psychosis or bipolar disorder into routine clinical care and to use this information to inform an implementation plan to facilitate widespread use and inform wider implementation of digital health interventions. A multiple case study design within six early intervention in psychosis (EIP) services in England, will be used to test and refine theory-driven hypotheses about factors impacting on implementation of the Relatives' Education And Coping Toolkit (REACT). Qualitative data including behavioural observation, document analysis, and in-depth interviews collected in the first two EIP services (wave 1) and analysed using framework analysis, combined with quantitative data describing levels of use by staff and relatives and impact on relatives' distress and wellbeing, will be used to identify factors impacting on implementation. Consultation via stakeholder workshops with staff and relatives and co-facilitated by relatives in the research team will inform development of an implementation plan to address these factors, which will be evaluated and refined in the four subsequent EIP services in waves 2 and 3. Transferability of the implementation plan to non-participating services will be explored. Observation of implementation in a real world clinical setting, across carefully sampled services, in real time provides a unique opportunity to understand factors impacting on implementation likely to be generalizable to other web-based interventions, as well as informing further development of implementation theories. However, there are inherent challenges in investigating implementation without influencing the process under observation. We outline our strategies to ensure our design is transparent, flexible, and responsive to the timescales and activities happening within each service whilst also meeting the aims of the project. ISCTRN 16267685 (09/03/2016).
机译：基于网络的干预措施支持人们管理长期健康状况，可有效，但很少用于临床服务。本研究的目的是确定对常规临床护理的近期发病精神病或双相情感疾病的人民对人民亲属实施的关键因素，并使用这些信息通知实施计划促进普遍存在的计划使用并告知更广泛地实施数字健康干预。在英格兰的精神病（EIP）服务中六次干预的多种案例研究设计将用于测试和改进对影响亲属教育和应对工具包（React）实施的因素的理论驱动的假设。在第一个两个EIP服务（波1）中收集的行为观测，文档分析和深入访谈等定性数据，并使用框架分析进行分析，结合描述员工和亲属水平的定量数据以及对亲属遇险的影响幸福，将用于确定对实施的因素。通过员工和亲属的利益攸关方研讨会咨询，研究小组的亲属共同促进，将向发展计划制定解决这些因素，将在波浪2和3中的四个后续EIP服务中进行评估和精炼。将探讨未参与服务的实施计划。在真实的世界临床环境中，在精心采样的服务中观察实施，实时地提供了一个独特的机会，了解对其他基于网络的干预措施更广泛的影响，以了解对其他基于网络的干预措施的影响，以及进一步发展实施理论。然而，在调查实施方面存在固有的挑战，而不会影响观察过程中的过程。我们概述了我们的策略，以确保我们的设计是透明的，灵活性，并响应于每项服务内发生的时间尺度和活动，同时也会符合项目的目标。 ISCTRN 16267685（09/03/2016）。

著录项

相似文献

  • 外文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号