![]() ![]() To do this, the field of implementation science is in need of methods for assessing context and using that information to improve implementation. Understanding these factors upfront can allow us to adapt interventions to better suit context (e.g., tailoring intervention content to patients’ needs), change context to make it more ready for implementation (e.g., changing provider workflow to accommodate an intervention), and anticipate strategies that may be needed to implement an intervention (e.g., delivering training on the intervention to providers). For example, implementation may be influenced by contextual factors such as patient/provider beliefs about an intervention, budget constraints, leadership buy-in, an organization’s readiness to change, and many others. To accomplish this integration, it is important to understand the contexts into which interventions are being implemented. The field of implementation science studies how to better integrate research evidence into practice. Embedding ethnographic methods within a user-centered design approach can help us to tailor interventions and implementation strategies to their contexts of use to promote implementation. Other methods from user-centered design (i.e., translation tables and a design team prototyping workshop) allowed us to translate that information into specifications for NA-SB delivery and a plan for implementation. Our ethnographic contextual inquiry yielded a rich understanding of local implementation context and contextual variation across potential scale-up contexts. In this paper, we describe the user-centered design process that we used to anticipate context modifications needed to deliver NA-SB and implementation strategies needed to facilitate its implementation. We developed a patient-reported outcome measure-based clinical intervention to assess and address the pervasive unmet needs of young adults with cancer: the Needs Assessment & Service Bridge (NA-SB). In the case example presented in this paper, we embedded an ethnographic assessment of context within a user-centered design approach to describe implementation context and apply that information to promote implementation. To be useful for improving implementation, though, methods are needed to apply contextual information during implementation. Moreover, many studies assess context without subsequently using contextual information to enhance implementation. Thus, in-depth and multilevel approaches are needed to meaningfully describe the contexts into which interventions will be implemented. Existing approaches for describing context (e.g., surveys, interviews) may be narrow in scope or superficial in their elicitation of contextual data. The results showed that 1) compared with a teacher-dominated approach for CG, internet-based language laboratory with KWL plus model of meta-cognitive writing strategy instruction for EG did a better job in enhancing students’ writing skills 2) there were significant differences between males in CG and EG, and females in CG and EG 3) students in EG held the positive response for the combined instruction.Despite pervasive findings pointing to its inextricable role in intervention implementation, context remains poorly understood in implementation science. Subjects in this study consisted of 92 non-English-majored college students in the control group (CG) and 91 non-English-majored college students in the experimental group (EG). KWL Plus Model, Writing Strategy Instruction, Internet-Based Language LaboratoryĪBSTRACT: This paper reviewed a one-term experiment on integrating internet-based language laboratory (IBLL) in teaching writings kills with the know-want-learn (KWL) plus model to second-year non-English-majored college students from Yangtze University. Improving Non-English-Majored College Students’ Writing Skills: Combining a Know-Want-Learn Plus Model of Meta-Cognitive Writing Strategy Instruction and Internet-Based Language Laboratory SupportĪUTHORS: Yougen Lou, Liansong Wu, Honglian Liu, Liyou Chen (2009) Eating Contexts for Inquiry: From KWL to PRC2.
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