背景:调查驱动的研究是进行大规模数据收集的可靠方法。采用混合模式调查设计的调查人员报告了调查研究的好处,包括更大的参与度,改善调查访问,和更高的反应率。混合模式调查设计结合了2个或更多的数据收集模式,包括网络,电话,面对面,和邮件。混合模式调查设计的类型包括同时(即,并发),顺序,延迟并发,和适应性。本文介绍了一种使用混合模式调查设计的研究协议,以探索管理员和护士从业人员(NP)报告的健康IT(HIT)成熟度和护理环境,分别,在美国疗养院(NHs)。
目的:本研究的目的是使用2种调查工具在研究中使用混合模式调查设计来描述研究方案,以探索美国NHs的HIT成熟度和NP护理环境。
方法:我们正在对1400个NH管理员和NP进行全国性调查。两个数据集(即,护理比较和IQVIA)用于随机识别符合条件的设施。该协议包含2项调查,以探索HIT成熟度(由管理员收集的调查1)如何影响NPs工作的护理环境(由NPs收集的调查2)。管理员收集的更高的HIT成熟度表明IT能力更强,使用,并融入住院医师护理,临床支持,和行政活动。NP护理环境调查测量关系,独立实践,资源可用性,和能见度。研究小组进行了3个迭代焦点小组,包括14名临床医生(NP和NH专家)和来自2个国家调查小组的招聘人员,这些小组在使用混合模式设计方面取得了共识。在焦点小组中,我们确定了在这些设置中使用混合模式设计的利弊。我们确定,具有定期跟进呼叫的2种混合模式设计(延迟并发模式和顺序模式)对于招募NH管理员是有效的,而并发混合模式设计对于招募NP是最好的。
结果:该项目的参与者招募于2023年6月开始。截至2024年4月22日,共返回了98个HIT成熟度调查和81个NP调查。预计到2025年7月招聘NH管理员和NP。大约71%的HIT成熟度调查是使用电子链接提交的,23%是在向管理员发送QR码后提交的。大约95%的NP调查是通过电子调查链接返回的。
结论:团队确定的NH研究的混合模式设计的优点是延迟并发,并发,与单一模式交付方法相比,向潜在参与者提供调查的顺序混合模式方法节省了招聘时间。单模式策略的一个缺点是降低了多功能性和对不同组织能力的适应性(例如,访问电子邮件和防火墙),这可能会降低反应率。
■DERR1-10.2196/56170。
BACKGROUND: Survey-driven research is a reliable method for large-scale data collection. Investigators incorporating mixed-mode survey designs report benefits for survey research including greater engagement, improved survey access, and higher response rate. Mix-mode survey designs combine 2 or more modes for data collection including web, phone, face-to-face, and mail. Types of mixed-mode survey designs include simultaneous (ie, concurrent), sequential, delayed concurrent, and adaptive. This paper describes a research protocol using mixed-mode survey designs to explore health IT (HIT) maturity and care environments reported by administrators and nurse practitioners (NPs), respectively, in US nursing homes (NHs).
OBJECTIVE: The aim of this study is to describe a research protocol using mixed-mode survey designs in research using 2 survey tools to explore HIT maturity and NP care environments in US NHs.
METHODS: We are conducting a national survey of 1400 NH administrators and NPs. Two data sets (ie, Care Compare and IQVIA) were used to identify eligible facilities at random. The protocol incorporates 2 surveys to explore how HIT maturity (survey 1 collected by administrators) impacts care environments where NPs work (survey 2 collected by NPs). Higher HIT maturity collected by administrators indicates greater IT capabilities, use, and integration in resident care, clinical support, and administrative activities. The NP care environment survey measures relationships, independent practice, resource availability, and visibility. The research team conducted 3 iterative focus groups, including 14 clinicians (NP and NH experts) and recruiters from 2 national survey teams experienced with these populations to achieve consensus on which mixed-mode designs to use. During focus groups we identified the pros and cons of using mixed-mode designs in these settings. We determined that 2 mixed-mode designs with regular follow-up calls (Delayed Concurrent Mode and Sequential Mode) is effective for recruiting NH administrators while a concurrent mixed-mode design is best to recruit NPs.
RESULTS: Participant recruitment for the project began in June 2023. As of April 22, 2024, a total of 98 HIT maturity surveys and 81 NP surveys have been returned. Recruitment of NH administrators and NPs is anticipated through July 2025. About 71% of the HIT maturity surveys have been submitted using the electronic link and 23% were submitted after a QR code was sent to the administrator. Approximately 95% of the NP surveys were returned with electronic survey links.
CONCLUSIONS: Pros of mixed-mode designs for NH research identified by the team were that delayed concurrent, concurrent, and sequential mixed-mode methods of delivering surveys to potential participants save on recruitment time compared to single mode delivery methods. One disadvantage of single-mode strategies is decreased versatility and adaptability to different organizational capabilities (eg, access to email and firewalls), which could reduce response rates.
UNASSIGNED: DERR1-10.2196/56170.