tailieunhanh - báo cáo khoa học: "Systematic evaluation of implementation fidelity of complex interventions in health and social care Henna Hasson1,2,3"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: systematic evaluation of implementation fidelity of complex interventions in health and social care Henna Hasson1,2,3 | Hasson Implementation Science 2010 5 67 http content 5 1 67 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Systematic evaluation of implementation fidelity of complex interventions in health and social care Henna Hasson1 2 3 Abstract Background Evaluation of an implementation process and its fidelity can give insight into the black box of interventions. However a lack of standardized methods for studying fidelity and implementation process have been reported which might be one reason for the fact that few prior studies in the field of health service research have systematically evaluated interventions implementation processes. The aim of this project is to systematically evaluate implementation fidelity and possible factors influencing fidelity of complex interventions in health and social care. Methods A modified version of The Conceptual Framework for Implementation Fidelity will be used as a conceptual model for the evaluation. The modification implies two additional moderating factors context and recruitment. A systematic evaluation process was developed. Multiple case study method is used to investigate implementation of three complex health service interventions. Each case will be investigated in depth and longitudinally using both quantitative and qualitative methods. Discussion This study is the first attempt to empirically test The Conceptual Framework for Implementation Fidelity. The study can highlight mechanism and factors of importance when implementing complex interventions. Especially the role of the moderating factors on implementation fidelity can be clarified. Trial Registration Supported Employment SE among people with severe mental illness - a randomized controlled trial NCT00960024. Background Health service interventions are often highly complex compared to efforts like drug trials or trials of surgical procedures 1 . Health service interventions consist of a number of components that .