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Problem-Intervention-Outcome Meta-Model (PIO MM): A Conceptual Meta Model for Intervention Effectiveness Research, Quality Improvement Activities, and Program Evaluation

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Intervention Effectiveness Research: Quality Improvement and Program Evaluation

Abstract

In Chap. 1, we examined conceptualizations at the intersection of intervention effectiveness research, health care quality improvement, and program evaluation. This chapter introduces the Problem-Intervention-Outcome Meta-Model (PIO MM) as a theoretical foundation for a project that aims to demonstrate intervention effectiveness and/or outcomes for a particular population of interest within a given context. The PIO MM is presented with definitions and information about how it will be used throughout this book in the context of intervention effectiveness research, quality improvement activities, and program evaluation. Relationships between PIO MM, study design, change theory, and PICOT Format, are examined.

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References

  1. Gottfredson DC, Cook TD, Gardner FE, Gorman-Smith D, Howe GW, Sandler IN, Zafft KM (2015) Standards of evidence for efficacy, effectiveness, and scale-up research in prevention science: next generation. Prev Sci 16(7):893–926

    Article  PubMed  PubMed Central  Google Scholar 

  2. Conn VS, Ruppar TM, Phillips LJ, Chase JA (2012) Using meta-analyses for comparative effectiveness research. Nurs Outlook 60(4):182–190

    Article  PubMed  PubMed Central  Google Scholar 

  3. Kernler D. Section 1.2: observational studies versus designed experiments [Internet]. [cited 2017 May 12]. Available from: https://faculty.elgin.edu/dkernler/statistics/ch01/1-2.html

  4. Smedley BD, Syme SL (2001) Promoting health: intervention strategies from social and behavioral research. Am J Health Promot 15(3):149–166

    Article  CAS  PubMed  Google Scholar 

  5. Paulus JK, Dahabreh IJ, Balk EM, Avendano EE, Lau J, Ip S (2014) Opportunities and challenges in using studies without a control group in comparative effectiveness reviews. Res Synth Methods 5(2):152–161

    Article  PubMed  Google Scholar 

  6. Astleitner H. A systematic approach on the Theoretical Quality of Educational Intervention Research: The Intervention Theory Questions (ITQ). Paper presented at European Conference on Educational Research (ECER), Istanbul, 11–15 September 2013

    Google Scholar 

  7. Martin KS (2005) The Omaha System: a key to practice, documentation, and information management, reprinted 2nd ed. Health Connections Press, Omaha, NE

    Google Scholar 

  8. dictionary.com. Definition of setting [Internet]. [cited 2017 May 12] Available from: http://www.dictionary.com/browse/setting?s=t

  9. dictionary.com. Definition of time [Internet]. [cited 2017 May 12]. Available from: http://www.dictionary.com/browse/time?s=t

  10. Silverman B, Mai C, Boulet S, O’Leary LLogic models for planning and evaluation. The Division of Birth Defects and Developmental Disabilities (DBDDD), Centers for Disease Control and Prevention (CDC), Atlanta, GA

    Google Scholar 

  11. Krueger RA. Evaluation [Internet]. [cited 2017 May 12]. Available from: http://www.tc.umn.edu/~rkrueger/evaluation.html

  12. Institute for Healthcare Improvement. The science of improvement: how to improve [Internet]. [cited 2017 May 12]. Available from: http://www.ihi.org/resources/pages/howtoimprove/scienceofimprovementhowtoimprove.aspx

  13. Institute for Healthcare Improvement. IHI Open School. PDSA in everyday life [Internet]. [cited 2017 May 12]. Available from: http://www.ihi.org/Documents/OpenSchoolCourseTranscripts/QI102-Lesson5-Transcript1.html

  14. Swisher AK (2010) Yes, exercise is medicine but it is so much more! Cardiopulm Phys Ther J 21(4):4

    Google Scholar 

  15. Gay JM. Clinical epidemiology & evidence-based medicine glossary: experimental design and statistics terminology. Washington State University [Internet], 2010. [cited 2017 May 12]. Available from: http://people.vetmed.wsu.edu/jmgay/courses/GlossExpDesign.htm

  16. DHHS Agency for Healthcare Quality and Research. Practice facilitation handbook, module 7. Measuring and benchmarking clinical performance [Internet]. [cited 2017 May 12]. Available from: https://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod7.html

  17. Kotrlik JW, Williams HA (2003) The incorporation of effect size in information technology, learning, and performance research. Inf Technol Learn Perform 21(1):1–7

    Google Scholar 

  18. Centers for Disease Control and Prevention [US] (1999) Framework for program evaluation in public health. MMWR Recomm Rep 48(RR11):1–40

    Google Scholar 

  19. Freedman DH (2010) Why scientific studies are so often wrong: the streetlight effect. Discover Mag 26

    Google Scholar 

  20. Breuer E, Lee L, De Silva M, Lund C (2016) Using theory of change to design and evaluate public health interventions: a systematic review. Implement Sci 11(1):1

    Google Scholar 

  21. Hardeman W, Johnston M, Johnston D, Bonetti D, Wareham N, Kinmonth AL (2002) Application of the theory of planned behaviour in behaviour change interventions: a systematic review. Psychol Health 17(2):123–158

    Article  Google Scholar 

  22. Skinner CS, Tiro J, Champion VL (2015) The health belief model. In: Health behavior: theory, research, and practice. Wiley, San Francisco, pp 75–94

    Google Scholar 

  23. Glanz K, Bishop DB (2010) The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health 31:399–418

    Article  PubMed  Google Scholar 

  24. Schaefer KM, Pond JB (1991) Levine’s conservation model: a framework of nursing practice. F.A. Davis, Philadelphia, PA

    Google Scholar 

  25. Guyatt G, Drummond R, Meade M, Cook D (2008) The evidence based-medicine working group users’ guides to the medical literature, 2nd edn. McGraw Hill, Chicago, IL

    Google Scholar 

  26. Riva JJ, Malik KMP, Burnie SJ, Endicott AR, Busse JW (2012) What is your research question? An introduction to the PICOT format for clinicians. J Can Chiropr Assoc 56(3):167–171

    PubMed  PubMed Central  Google Scholar 

  27. Stillwell SB, Fineout-Overholt E, Melnyk BM, Williamson KM (2010) Evidence-based practice, step by step: asking the clinical question: a key step in evidence-based practice. Am J Nurs 110(3):58–61

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Nursing, University of Minnesota System School of Nursing, Minneapolis, Minnesota, USA

    Karen A. Monsen

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  1. Karen A. Monsen
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Monsen, K.A. (2018). Problem-Intervention-Outcome Meta-Model (PIO MM): A Conceptual Meta Model for Intervention Effectiveness Research, Quality Improvement Activities, and Program Evaluation. In: Intervention Effectiveness Research: Quality Improvement and Program Evaluation. Springer, Cham. https://doi.org/10.1007/978-3-319-61246-1_2

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  • DOI: https://doi.org/10.1007/978-3-319-61246-1_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61245-4

  • Online ISBN: 978-3-319-61246-1

  • eBook Packages: MedicineMedicine (R0)

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