Intervention Effectiveness Research: Quality Improvement and Program Evaluation

Lýsing:
Do interventions improve health outcomes? This volume provides a model and road map to answer clinical questions related to intervention effectiveness research, quality improvement, and program evaluations. It offers clear and simple guidance for all phases of a clinical inquiry projects from planning through dissemination and communication of results and findings. The book emphasizes the value and importance of leveraging existing data to advance research, practice, and quality improvement efforts.
Intervention and Effectiveness Research is a practical guide for organizing and navigating the intersections of research and practice. Structure, process and outcome worksheets for every step are provided together with examples from diverse settings and populations to lead readers through the process of implementing their own projects. The author guides readers through the process of designing, implementing, and evaluating projects.
Annað
- Höfundur: Karen A. Monsen
- Útgáfudagur: 2017-09-14
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- Format:Page Fidelity
- ISBN 13: 9783319612461
- Print ISBN: 9783319612454
- ISBN 10: 3319612468
Efnisyfirlit
- Foreword
- Preface
- Abbreviations
- Contents
- Part I: Introduction to Intervention Effectiveness Research, Quality Improvement, and Program Evalua
- 1: Key Concepts, Definitions, and Frameworks
- 1.1 Introduction
- 1.2 Definitions and Descriptions of Intervention Effectiveness Research, Quality Improvement, and
- 1.2.1 What Is Quality Improvement?
- 1.2.2 What Is Program Evaluation?
- 1.3 How Intervention Effectiveness Research, Quality Improvement Activities, and Program Evaluatio
- 1.4 How Intervention Effectiveness Research, Quality Improvement, and Outcome Evaluation Are Diffe
- 1.4.1 Translational Research
- 1.4.2 Quality Improvement (QI)
- 1.4.3 Six Sigma Quality Improvement
- 1.4.4 Health Services Research
- 1.4.5 Big Data in Health Care Research
- 1.4.6 Program Evaluation
- 1.4.7 Implementation Research
- 1.5 Definitions of Similar Sounding Terms and What This Book Does Not Attempt
- 1.5.1 Comparative Effectiveness Research
- 1.5.2 Implementation Science Research
- 1.5.3 Dissemination Science
- 1.6 Frameworks to Support Intervention Effectiveness Research, Quality Improvement Activities, and
- 1.6.1 Theory
- 1.6.2 Logic Models
- 1.6.3 Theoretical Framework
- 1.6.4 Conceptual Framework
- References
- 2: Problem-Intervention-Outcome Meta-Model (PIO MM): A Conceptual Meta Model for Intervention Ef
- 2.1 Introduction to the Problem-Intervention-Outcome Meta-Model (PIO MM)
- 2.2 PIO MM and the CDC Logic Model
- 2.3 PIO MM and the IHI Quality Improvement Model
- 2.4 Using the PIO MM
- 2.5 Operationalizing the PIO MM
- 2.6 PIO MM Relationship to Change Theory
- 2.7 PIO MM Relationship to PICOT
- References
- 3: Problem-Intervention-Outcome Meta-Model Project Design
- 3.1 Design for Intervention Effectiveness Research, Quality Improvement Activities, and Program E
- 3.1.1 Observational Design
- 3.1.2 Retrospective Design
- 3.1.3 Prospective Design
- 3.2 Intervention and Measurement Timing
- 3.3 PIO MM and Research Design
- 3.4 Benefits and Challenges of the Single Group Before and After Design
- 3.4.1 Threats to Internal Validity
- 3.4.2 Enhancing Before and After Design Using Comparisons
- 3.4.3 Considerations for Prospective Data Collection
- 3.5 Comparisons Using PIO MM Variables
- 3.5.1 Problem
- 3.5.2 Intervention
- 3.5.3 Interventionist
- 3.5.4 Outcome
- 3.5.5 Population (Individual Characteristics)
- 3.5.6 Setting
- 3.5.7 Time
- 3.6 Mixed Methods: Qualitative Evaluation
- References
- 3.1 Design for Intervention Effectiveness Research, Quality Improvement Activities, and Program E
- 4: Tools for Intervention Effectiveness Research, Quality Improvement Activities, and Program Eval
- 4.1 Data Sources
- 4.2 Checklists for Obtaining New or Existing Data for Operationalizing the PIO MM
- 4.3 Electronic Health Record Data
- 4.4 Nursing-Specific Data
- 4.5 Omaha System
- 4.5.1 Problem Classification Scheme
- 4.5.2 Intervention Scheme
- 4.5.3 Problem Rating Scale for Outcomes
- 4.6 Analysis Software and Techniques
- 4.7 Power Analysis
- 4.8 Software for Descriptive and Inferential Statistical Methods and for Creating Graphs/Charts
- 4.8.1 Microsoft Excel
- 4.8.2 R
- 4.8.3 SAS
- 4.9 Big Data (Pattern Detection) Methods
- 4.9.1 Clustering
- 4.9.2 Visualization
- 4.10 Team Approach
- References
- 5: Descriptive Analysis and Interpretation
- 5.1 Introduction
- 5.2 Data Cleaning
- 5.2.1 Screening Phase
- 5.2.2 Diagnostic Phase
- 5.2.3 Treatment Phase
- 5.2.4 Missing Data
- 5.3 Pre-Processing
- 5.3.1 Transforming and Recoding
- 5.3.2 Identification and Labeling of Clusters Within a Sample
- 5.4 Descriptive Statistics
- 5.4.1 Frequency
- 5.4.2 Cross Tabulation (Cross Tab) Matrix
- 5.4.3 Rank
- 5.4.4 Measures of Central Tendency
- 5.4.5 Measures of Distribution
- References
- 6: Inferential Analysis and Interpretation
- 6.1 About Inferential Statistics
- 6.2 Comparisons and Statistical Significance
- 6.2.1 Comparisons of Sample Characteristics
- 6.2.2 Outcomes as Measured by Before and After Comparison
- 6.2.3 Benchmarking
- 6.2.4 The P-Value in Large Dataset Research
- 6.3 Clinical or Practical Significance
- 6.3.1 Effect Size (Clinical or Practical Significance of Pchange = PTime2 − PTime1)
- 6.3.2 Interpretation of Effect Size (Clinical or Practical Significance)
- 6.4 Associations
- 6.4.1 Correlation
- 6.4.2 Regression
- 6.4.3 Interpretation of Correlations
- 6.4.4 Survival Analysis (PTime1, PTime2, … PTimeX)
- 6.4.5 Cross Tabs and Chi-Square (χ2)
- 6.5 Generalizability
- References
- 7: Exploratory Data Analysis
- 7.1 The Development of Exploratory Data Analysis
- 7.2 Interpretation of Exploratory Data Analysis
- 7.3 Visualization Techniques
- 7.3.1 Heat Map
- 7.3.2 Line Graph
- Line Graph with Trend Line
- Parallel Coordinates
- References
- 1: Key Concepts, Definitions, and Frameworks
- 8: Ethical Considerations
- 8.1 Minimal Risk
- 8.2 Institutional Review
- 8.2.1 Where and How to Access an IRB
- 8.2.2 When a Project May Be Exempt from IRB Review
- 8.2.3 The Special Case of Quality Improvement
- 8.2.4 Minimal Risk and IRB Review
- 8.2.5 The Special Case of Program Evaluation
- 8.3 Informed Consent
- 8.3.1 What Is Informed Consent?
- 8.3.2 Informed Consent Processes in the Context of Existing Data
- 8.4 Data Privacy and Security
- References
- 9: Use the Worksheets and PIO MM Figure
- 9.1 Review of Part I
- 9.2 Overview of Part II
- 9.2.1 Examples of Projects
- 9.3 Starting the Process
- 9.3.1 Worksheet Review
- 9.3.2 Complete the PIO MM Diagram
- References
- 10: Know the Literature (Worksheet A)
- 10.1 Preparing to Complete Worksheet A
- 10.2 Step-by Step Instructions for Completing Worksheet A
- 10.2.1 Population of Interest
- 10.2.2 Problem Addressed
- 10.2.3 Measure(s) of Outcome
- 10.2.4 Intervention(s) Used
- 10.2.5 Measures of Intervention
- 10.2.6 Measure of Intervention Fidelity
- 10.2.7 Demographic Characteristics of a Sample
- 10.2.8 Contextual Factors
- 10.2.8.1 Contextual Factors – Interventionist
- 10.2.9 Analysis Methods
- 10.2.10 Comments
- 10.2.11 Complete Reference
- 10.3 Sources of Information for the PIO MM Matrix
- References
- 11: Define the Problem (Worksheet B)
- 11.1 Preparing to Complete Worksheet B
- 11.2 Step-by Step Instructions for Completing Worksheet B
- 11.2.1 Problem
- 11.2.2 Definition of the Problem
- 11.2.3 Population of Interest
- 11.2.4 Background
- 11.2.5 Problem Measurement Instrument/Scale
- 11.2.6 Anticipated Outcome and Rationale
- 11.2.7 What is Not Known/Gap in Knowledge
- References
- 12: Describe the Intervention (Worksheet C)
- 12.1 Preparing to Complete Worksheet C
- 12.2 Step-by Step Instructions for Completing Worksheet C
- 12.2.1 Describe the Intervention
- 12.2.2 Expected Effectiveness
- 12.2.3 Theoretical Framework
- 12.2.4 Intervention Content and Essential Core Components
- 12.2.5 Describe Intervention Measurement: Amount, Type, Fidelity, Quality
- 12.2.6 Describe Interventionist Characteristics: Qualifications, Training, Demographics
- References
- 13: Define the Outcome (Worksheet D)
- 13.1 Preparing to Complete Worksheet D
- 13.2 Step-by-Step Instructions for Completing Worksheet D
- References
- 14: Plan the Analysis (Worksheet E)
- 14.1 Preparing to Complete Worksheet E
- 14.1.1 Step 1. Review Project Statements
- 14.1.2 Step 2. Select Statements That Are Most Applicable to the Project and Discipline
- 14.1.3 Step 3. Review Design Options
- 14.1.4 Step 4. State the Design
- 14.1.5 Step 5. Review Variables
- 14.1.6 Step 6. Plan for Creating New Variables
- 14.2 Step-by-Step Instructions for Completing Worksheet E
- 14.2.1 Exploratory Data Analysis
- 14.2.2 Sample
- 14.2.3 Intervention
- 14.2.4 Outcome
- 14.2.5 Relationships Among Variables
- References
- 14.1 Preparing to Complete Worksheet E
- 15: Interpret the Results (Worksheet F)
- 15.1 Preparing to Complete Worksheet F
- 15.2 Results Statements and Presentation
- 15.2.1 Presenting the Results
- 15.2.2 Description of Sample Characteristics
- 15.2.3 Description of Interventions
- 15.2.4 Description of Outcomes
- 15.2.5 Description of Benchmark Attainment
- 15.2.6 Correlations Between Interventions and Outcomes
- 15.3 Results Interpretation
- 15.3.1 Theoretical Framework-Related Interpretation
- 15.3.2 Temporality-Related Interpretation
- 15.3.3 Give Alternative Explanations for the Findings
- References
- 16: Disseminate the Findings
- 16.1 Why Dissemination Matters
- 16.2 Getting the Most Benefit from This Chapter
- 16.3 Iterative Interpretation and Explication of the Overall Story
- 16.4 Drafting the Abstract: Summarize the Story in Brief
- 16.5 Develop and Display Results
- 16.6 Adding Meaningful Interpretation to the Results
- 16.7 Limitations
- 16.8 The Methods Section
- 16.9 The Purpose Statement
- 16.10 Background to Set the Stage for the Purpose
- 16.11 The Gap in Knowledge
- 16.12 Title, Abstract, and Conclusion
- 16.13 Rewrite the Abstract
- 16.14 Write the Conclusions Section
- 16.15 Polishing Tips
- 16.16 Styles and Author Guidelines
- References
- 17: Synthesis, Next Steps, and Epilogue
- 17.1 Planning Next Steps
- 17.2 Questions to Inspire Next Steps
- 17.3 Building Evidence on Evidence
- References
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