TY -的AU -艾伦,斯蒂芬妮AU -布拉德斯特里特,西蒙AU -麦克劳德,哈米什盟——Farhall约翰盟——Lambrou玛丽亚AU -格里森,约翰AU -克拉克,安德里亚盟——Gumley安德鲁PY - 2019 DA - 2019/10/24 TI -发展的预期假设的实现框架使用移动应用程序监控精神病复发的早期迹象:定性研究乔- J地中海互联网Res SP - e14366六世- 21 - 10 KW -精神病KW -自我管理KW -实现科学AB -背景:复发是被诊断为精神病的人的常见经历，这与增加的服务费用和深刻的个人和家庭痛苦有关。EMPOWER(监测早期症状以防止精神病复发并促进健康、参与和康复)是一种由同行工作者支持的数字干预措施，旨在使服务用户能够自我监测其心理健康，目的是鼓励自我管理和共享个人数据，以促进预防复发。数字干预尚未广泛应用于复发预防，因此，目前对其可能的实施知之甚少——无论是在试验中还是在试验之外。目的:在制定有关实施的理论时，建议寻求所有相关利益相关者群体的观点，因为这可以揭示对干预措施是否预期有效以及对谁有效的理解和假设的重要群体差异。然而，大多数干预实施研究都是回顾性的。本研究旨在在测试之前发现和理论框架实现预期，并将这些数据综合成一个框架。方法:为了制定一个假设的实施框架，149名精神卫生专业人员、护理人员和被诊断患有精神病的人参与了澳大利亚和英国的25个焦点小组。根据规范化过程理论制定的访谈计划被用来探讨利益相关者对EMPOWER干预实施的期望。数据采用专题分析方法进行分析，然后采用医学研究理事会指导方针进行理论框架，以理解复杂干预措施的实施。 Results: All groups expected that EMPOWER could be successfully implemented if the intervention generated data that were meaningful to mental health staff, carers, and service users within their unique roles. However, there were key differences between staff, carers, and service users about what facilitators and barriers that stakeholders believe exist for intervention implementation in both the cluster randomized controlled trial stage and beyond. For example, service user expectations mostly clustered around subjective user experiences, whereas staff and carers spoke more about the impact upon staff interactions with service users. Conclusions: A hypothetical implementation framework synthesized from stakeholder implementation expectations provides an opportunity to compare actual implementation data gathered during an ongoing clinical trial, giving valuable insights into the accuracy of these stakeholders’ previous expectations. This is among the first studies to assess and record implementation expectations for a newly developed digital intervention for psychosis in advance of testing in a clinical trial. Trial Registration: ISRCTN Registry ISRCTN99559262; http://www.isrctn.com/ISRCTN99559262 SN - 1438-8871 UR - //www.mybigtv.com/2019/10/e14366 UR - https://doi.org/10.2196/14366 UR - http://www.ncbi.nlm.nih.gov/pubmed/31651400 DO - 10.2196/14366 ID - info:doi/10.2196/14366 ER -