Week 1 and 2 fpt

PRECEDE-PROCEED Framework

  • Phase 1: Social Assessment

    • Identifies quality of life issues and social problems.

  • Phase 2: Epidemiologic Assessment

    • Focuses on epidemiological data related to health concerns.

  • Phase 3: Behavioral & Environmental Assessment

    • Assesses health behaviors and environmental factors influencing health.

  • Phase 4: Educational & Ecological Assessment

    • Evaluates predisposing, reinforcing, and enabling factors affecting behavior.

  • Phase 5: Administrative/Policy Assessment

    • Examines policies and interventions that could influence health.

  • Phases 6-9: Implementation and Evaluation

    • Phase 6: Implementation

    • Phase 7: Process Evaluation

    • Phase 8: Impact Evaluation

    • Phase 9: Outcome Evaluation

  • Causal Pathway: Health knowledge directed toward lifestyle and policy adjustments yields health quality improvements and enhances life quality.

NORMALIZATION PROCESS THEORY

  • Main Components:

    • Coherence: Understanding the work and its aims.

    • Cognitive Participation: Who is involved in the work.

    • Collective Action: The method of undertaking the work.

    • Reflexive Monitoring: Assessing and comprehending impact over time.

  • Key Questions:

    • Aims, purpose, ease of description, shared goals, anticipated benefits, participant roles, team dynamics, relationships for collaboration, task organization, implementation compatibility, training needs, resource allocation, impact clarity, monitoring strategies, sustainability modifications.

Theoretical Approaches in Implementation Science

  • Functionality:

    • Describes/guides translating research into practice.

    • Understands/explains what influences implementation outcomes.

    • Evaluates the implementation process.

  • Categories of Theories:

    • Implementation theories: Developed for specific understanding of implementation.

    • Classic theories: Borrowed from external fields like psychology.

    • Process models: Outline stages for effective implementation.

    • Determinant frameworks: Identify factors influencing implementation outcomes.

    • Evaluation frameworks: Assess the effectiveness of implementation efforts.

Barriers and Facilitators to Breaking Up Sitting Time

  • Theoretical Frameworks:

    • TDF (Theoretical Domains Framework) & COM-B Model

    • Relevant TDF Domains: Knowledge, intentions, beliefs, social/professional role, reinforcement.

    • Facilitators: Understanding and awareness of issues, capability for action, motivation, organizational support.

    • Barriers: Competing motivations, inadequate resources, emotional influences, and environment constraints.

Implementation Outcomes Influences

  • Determinant Frameworks:

    • Classification of determinants affecting implementation outcomes.

  • Implementation Theory:

    • Focused on understanding/facilitating the translation of research to practice.

Process Models in Implementation

  • Action Models:

    • Provide guidance for planning and executing implementations.

  • How-to-implement Models:

    • Highlight necessary planning steps.

  • Examples of Models:

    • Stetler Model: Understanding phases from preparation to evaluation.

Overarching Aims of Implementation Science

  • Describing/guiding translation of research.

  • Understanding/explaining influence factors on implementation outcomes.

  • Evaluating implementation processes and practices.

Definitions in Implementation Science

  • Framework: A structure for outlining descriptive categories in research.

  • Model: Simplifies a phenomenon for better understanding.

  • Theory: Analytical principles for explaining observations in the world.

Theoretical Underpinnings in Implementation Research

  • Utilizes theories from psychology, sociology, organizational theory to better explain implementation success or failure.

Implementation Definitions**

  • Diffusion: Passive spread of practices.

  • Dissemination: Active and planned spread to a target audience.

  • Implementation: Integration of new practices into settings.

Important Concepts in Knowledge Translation**

  • Knowledge translation refers to a dynamic process for improving health through the exchange and application of research knowledge.

Models of Practice in Physical Therapy**

  • Medical Model: Focuses on specific aetiology and abnormalities in patients.

  • Holistic Approach: Considers the whole individual beyond just physical symptoms.

Summary of Practice Models**

  • Each model highlights various aspects of patient care, from individual disease focus (Biomedical Model) to a more integrated approach acknowledging physical and psychological elements.