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首页> 外文期刊>International Journal of Qualitative Methods >Developing an Initial Program Theory to Explain How Patient-Reported Outcomes Are Used in Health Care Settings: Methodological Process and Lessons Learned
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Developing an Initial Program Theory to Explain How Patient-Reported Outcomes Are Used in Health Care Settings: Methodological Process and Lessons Learned

机译：制定初步计划理论，解释患者报告的结果如何用于医疗保健环境：方法生过程和经验教训

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A central aspect of any theory-driven realist investigation (synthesis or evaluation) is to develop an initial program theory (IPT). An IPT can be used to frame and understand how, for whom, why, and under what contexts complex interventions work or not. Despite well-established evidence that IPTs are a central aspect to any realist investigation, there is wide variation and a lack of methodological discussion on how to develop an IPT. In this article, we present the approach that we used to develop an IPT of how patient-reported outcomes (PROs) are used in health care settings. Specifically, we completed a systematic review to extract tacit theories reported in the literature. The benefit of this approach was that it provided a rigorous review of the literature in the development of IPTs. The challenges included (1) rediscovering what is already well established in the theoretical literature, (2) generating an overabundance of partial candidate theories, and (3) extensive use of time and resources for what was the first stage to our larger funded research study. Our recommendations to other scholars considering this approach are to ensure that they (1) live within their means and (2) narrow the scope of the research question and/or develop a conceptual framework using middle-range theories. These methodological insights are highly relevant to researchers embarking on a realist investigation, tasked with developing an IPT.
机译：任何理论驱动的现实调查（合成或评估）的中央方面都是制定初始计划理论（IPT）。 IPT可以用来框架，并了解如何，为什么，为什么，为什么，以及在复杂的干预措施工作的情况下。尽管有明确的证据表明IPTS是任何现实主义调查的核心方面，但有广泛的变化和缺乏关于如何开发IPT的方法论讨论。在本文中，我们介绍了我们曾经制定IPT在医疗保健环境中使用患者报告的结果的IPT的方法。具体而言，我们完成了系统审查，以提取文献中报告的默契理论。这种方法的好处是，它为IPTS发展的文献提供了严格的审查。 （1）挑战（1）重新发现在理论文学中已经很好的内容，（2）产生过多的部分候选理论，（3）广泛利用时间和资源，为我们更大资助的研究研究是什么阶段。我们考虑到这种方法的其他学者的建议是确保他们（1）在其手段内生活和（2）缩小研究问题的范围和/或使用中距离理论制定概念框架。这些方法论见解与踏上现实主义调查的研究人员具有高度相关的，任务是开发IPT。

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