Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Using intervention mapping to develop and adapt a secondary stroke prevention program in Veterans Health Administration medical centers | Schmid et al. Implementation Science 2010 5 97 http content 5 1 97 IMPLEMENTATION SCIENCE Implementation Science RESEARCH ARTICLE Open Access Using intervention mapping to develop and adapt a secondary stroke prevention program in Veterans Health Administration medical centers Arlene A Schmid1 2 3 4 6 Jane Andersen5 Thomas Kent5 Linda S Williams1 2 6 7 Teresa M Damush1 2 4 6 8 Abstract Secondary stroke prevention is championed by the stroke guidelines however it is rarely systematically delivered. We sought to develop a locally tailored evidence-based secondary stroke prevention program. The purpose of this paper was to apply intervention mapping IM to develop our locally tailored stroke prevention program and implementation plan. We completed a needs assessment and the five Steps of IM. The needs assessment included semi-structured interviews of 45 providers 26 in Indianapolis and 19 in Houston. We queried frontline clinical providers of stroke care using structured interviews on the following topics current provider practices in secondary stroke risk factor management barriers and needs to support risk factor management and suggestions on how to enhance secondary stroke risk factor management throughout the continuum of care. We then describe how we incorporated each of the five Steps of IM to develop locally tailored programs at two sites that will be evaluated through surveys for patient outcomes and medical records chart abstraction for processes of care. Background The development of an implementation intervention is complex and involves many components. Often the outcomes of such interventions are published without the details of how the intervention was developed or from where the components were derived 1 . Intervention mapping IM is a technique used to develop an evidence-based intervention that provides and balances both theoretical and practical strategies while incorporating formative evaluation a needs assessment program
