The Double-Edged Sword of Translational Research: Stakeholder Perspectives of the Enablers and Challenges Implementing Anorexia Nervosa Treatment in Rural Health Settings

IF 1.9 4区 医学 Q2 NURSING
Ashlea Hambleton, Verusha Kandar, Jane Miskovic-Wheatley, Sabina Vatter, Daniel Le Grange, Stephen Touyz, Sarah Maguire
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引用次数: 0

Abstract

Objective

To explore the translational research processes that emerged at the early phase of the implementation of telehealth-delivered family-based therapy (FBT) for young people with anorexia nervosa (AN) attending Australian rural health services.

Setting

Commencing mid-2019, five rural health districts across New South Wales (NSW) participated in the study.

Participants

Nine stakeholders, including study coordinators, clinicians and eating disorder coordinators, participated in a semi-structured interview during the early implementation of telehealth-delivered FBT.

Design

Inductive thematic analysis methodology was used to identify key research factors that enabled and challenged the implementation.

Results

The translational research improved patient access to evidence-based care, afforded health services access to clinical expertise, workforce training and supervision and assisted with meeting government directives of improving care pathways. However, the study and intervention implementation were challenged by research-related factors, including ethical and clinical dilemmas, the burden of stakeholders holding multiple roles and general challenges associated with integrating research into non-academic health services.

Conclusion

To optimise implementation and to bridge the access gaps particularly felt by rural families and health settings, translational studies ought to consider the enablers and challenges identified by the stakeholders.

Trial Registration

ACTRN12620001107910

转化研究的双刃剑:在农村卫生机构实施神经性厌食症治疗的推动者和挑战的利益相关者观点
目的探讨在澳大利亚农村卫生服务机构对青少年神经性厌食症(AN)实施远程医疗家庭治疗(FBT)早期阶段出现的转化研究过程。从2019年年中开始,新南威尔士州(NSW)的五个农村卫生区参与了这项研究。包括研究协调员、临床医生和饮食失调协调员在内的9名利益攸关方在早期实施远程保健提供的FBT期间参加了半结构化访谈。设计采用归纳主题分析方法来确定能够实现和挑战实施的关键研究因素。结果转化研究改善了患者对循证护理的可及性,为卫生服务机构提供了临床专业知识、劳动力培训和监督,并协助满足政府改善护理途径的指示。然而,研究和干预措施的实施受到了与研究相关因素的挑战,包括伦理和临床困境、扮演多种角色的利益相关者的负担以及将研究纳入非学术卫生服务的一般挑战。结论:为了优化实施并弥合农村家庭和卫生机构尤其感受到的获取差距,转化研究应考虑利益攸关方确定的推动因素和挑战。试验注册ACTRN12620001107910
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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