Data collection plan.

ObjectivesThis participatory, mixed methods study will explore how iHEAL, a woman-led, nurse-delivered health promotion intervention for women who have experienced intimate partner violence (IPV), can be implemented in real-world, community-based health care settings located in 3 Canadian provinces. Grounded in the Active Implementation Frameworks, the study’s primary aim is to identify the processes, resources and supports necessary to implement and sustain this novel program with fidelity while maintaining its benefits for women.Methods/DesignOver 2.5 years, each organization will plan for and deliver the iHEAL program, supported by an iHEAL Consultant. To explore implementation processes and fidelity, successes and challenges, and any value-added of iHEAL to organizations and/or communities, qualitative interviews will be conducted with 3 groups of participants: 1) organizational leaders; 2) implementation/delivery team members (nurses and supervisors); and 3) external stakeholders or agencies supporting iHEAL through referrals or other collaboration. High level notes capturing key issues and decisions at planning meetings will supplement these data. Administrative program data will be collected to assess program reach, participant engagement, and aspects of fidelity. Women participating in iHEAL will also be invited to complete pre/post intervention surveys to assess changes in key outcomes, with a subsample of 60 women to be interviewed about their experiences of iHEAL and suggestions for strengthening the program. Qualitative data will be analyzed using Rapid Team Based Qualitative Analysis and Reflective Thematic Analysis. Quantitative data will be summarized using descriptive statistics; pre-post intervention changes in outcomes collected in women’s surveys will be analyzed using paired t-tests. Ethical approval has been obtained, and all participants will provide informed consent.SignificanceThe findings of this research are expected to yield insights about organizational factors that shape the delivery of iHEAL and support the development of guidance materials for future iHEAL implementation and scale up.研究目标 本项参与式混合方法研究将探索：针对曾遭受亲密伴侣暴力（intimate partner violence, IPV）的女性所开发的、由女性主导且护士实施的健康促进干预方案iHEAL，如何在加拿大3个省份的真实社区医疗场景中落地实施。本研究基于主动实施框架（Active Implementation Frameworks）开展，核心目标是识别在保证方案实施保真度的前提下，推广并持续运行该创新项目所需的流程、资源与支持体系，同时保障该方案为女性群体带来的获益。 研究方法与设计 本研究周期超过2.5年，每家合作机构将在iHEAL顾问的支持下，策划并开展iHEAL项目。为探究项目的实施流程、实施保真度、实施成效与挑战，以及iHEAL为机构和/或社区带来的附加价值，研究将对三类参与者开展定性访谈：1）机构负责人；2）实施/交付团队成员（护士与督导）；3）通过转介或其他协作方式支持iHEAL项目的外部利益相关方或机构。本研究还将收集策划会议中记录的核心议题与决策要点，以补充上述定性访谈数据。同时将收集项目行政数据，用于评估项目覆盖范围、参与者参与度及实施保真度相关指标。此外，参与iHEAL项目的女性将被邀请填写干预前后调查问卷，以评估关键结局指标的变化；研究还将选取60名女性组成子样本，对其开展访谈以了解她们参与iHEAL的体验及优化项目的建议。 定性数据将采用基于团队的快速定性分析与反思性主题分析法进行分析；定量数据将通过描述性统计进行汇总；女性调查问卷中收集的干预前后结局指标变化将采用配对t检验进行统计分析。本研究已获得伦理审批，所有参与者均已签署知情同意书。 研究意义 本研究结果有望揭示影响iHEAL项目落地的机构层面因素，并为未来iHEAL项目的推广与规模化落地提供指导材料的开发依据。