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The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation

Identifying an intervention's core components is indispensable to gauging whether an intervention is implemented with fidelity and/or is modified; it is often a multi-stage process, starting with the first stage of identifying an initial set of core components that are gradually refined. This f...

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Autores principales: Kalver, Emily H., McInnes, D. Keith, Yakovchenko, Vera, Hyde, Justeen, Petrakis, Beth Ann, Kim, Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012682/
https://www.ncbi.nlm.nih.gov/pubmed/36926486
http://dx.doi.org/10.3389/frhs.2021.752177
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author Kalver, Emily H.
McInnes, D. Keith
Yakovchenko, Vera
Hyde, Justeen
Petrakis, Beth Ann
Kim, Bo
author_facet Kalver, Emily H.
McInnes, D. Keith
Yakovchenko, Vera
Hyde, Justeen
Petrakis, Beth Ann
Kim, Bo
author_sort Kalver, Emily H.
collection PubMed
description Identifying an intervention's core components is indispensable to gauging whether an intervention is implemented with fidelity and/or is modified; it is often a multi-stage process, starting with the first stage of identifying an initial set of core components that are gradually refined. This first stage of identifying initial core components has not been thoroughly examined. Without a clear set of steps to follow, interventions may vary in the rigor and thought applied to identifying their initial core components. We devised the CORE (Consensus on Relevant Elements) approach to synthesize opinions of intervention developers/implementers to identify an intervention's initial core components, particularly applicable to innovative interventions. We applied CORE to a peer-based intervention that aids military veterans with post-incarceration community reintegration. Our CORE application involved four intervention developers/implementers and two moderators to facilitate the seven CORE steps. Our CORE application had two iterations, moving through Steps 1 (individual core component suggestions) through 7 (group discussion for consensus), then repeating Steps 4 (consolidation of component definitions) through 7. This resulted in 18 consensus-reached initial core components of the peer-based intervention, down from the 60 that the developers/implementers individually suggested at Step 1. Removed components were deemed to not threaten the intervention's effectiveness even if absent. CORE contributes to filling a critical gap regarding identifying an intervention's initial core components (so that the identified components can be subsequently refined), by providing concrete steps for synthesizing the knowledge of an intervention's developers/implementers. Future research should examine CORE's utility across various interventions and implementation settings.
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spelling pubmed-100126822023-03-15 The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation Kalver, Emily H. McInnes, D. Keith Yakovchenko, Vera Hyde, Justeen Petrakis, Beth Ann Kim, Bo Front Health Serv Health Services Identifying an intervention's core components is indispensable to gauging whether an intervention is implemented with fidelity and/or is modified; it is often a multi-stage process, starting with the first stage of identifying an initial set of core components that are gradually refined. This first stage of identifying initial core components has not been thoroughly examined. Without a clear set of steps to follow, interventions may vary in the rigor and thought applied to identifying their initial core components. We devised the CORE (Consensus on Relevant Elements) approach to synthesize opinions of intervention developers/implementers to identify an intervention's initial core components, particularly applicable to innovative interventions. We applied CORE to a peer-based intervention that aids military veterans with post-incarceration community reintegration. Our CORE application involved four intervention developers/implementers and two moderators to facilitate the seven CORE steps. Our CORE application had two iterations, moving through Steps 1 (individual core component suggestions) through 7 (group discussion for consensus), then repeating Steps 4 (consolidation of component definitions) through 7. This resulted in 18 consensus-reached initial core components of the peer-based intervention, down from the 60 that the developers/implementers individually suggested at Step 1. Removed components were deemed to not threaten the intervention's effectiveness even if absent. CORE contributes to filling a critical gap regarding identifying an intervention's initial core components (so that the identified components can be subsequently refined), by providing concrete steps for synthesizing the knowledge of an intervention's developers/implementers. Future research should examine CORE's utility across various interventions and implementation settings. Frontiers Media S.A. 2021-11-16 /pmc/articles/PMC10012682/ /pubmed/36926486 http://dx.doi.org/10.3389/frhs.2021.752177 Text en Copyright © 2021 Kalver, McInnes, Yakovchenko, Hyde, Petrakis and Kim. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
Kalver, Emily H.
McInnes, D. Keith
Yakovchenko, Vera
Hyde, Justeen
Petrakis, Beth Ann
Kim, Bo
The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation
title The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation
title_full The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation
title_fullStr The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation
title_full_unstemmed The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation
title_short The CORE (Consensus on Relevant Elements) Approach to Determining Initial Core Components of an Innovation
title_sort core (consensus on relevant elements) approach to determining initial core components of an innovation
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012682/
https://www.ncbi.nlm.nih.gov/pubmed/36926486
http://dx.doi.org/10.3389/frhs.2021.752177
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