Adopting an Evidence-Based Lifestyle Physical Activity Program: Dissemination Study Design and Methods.

Adopting an Evidence-Based Lifestyle Physical Activity Program: Dissemination Study Design and Methods.
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DOI:
10.1007/s13142-011-0063-x
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发表时间:
2012-06
影响因子:
3.6
通讯作者:
Bettinghaus, Erwin P.
Bettinghaus, Erwin P.
中科院分区:
医学3区
文献类型:
--
作者:
Dunn, Andrea L.;Buller, David B.;Dearing, James W.;Cutter, Gary;Guerra, Michele;Wilcox, Sara;Bettinghaus, Erwin P.

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有一个稀缺的研究,研究了学术-商业伙伴关系,以传播基于证据的体育活动计划。了解这种传播方法至关重要,因为学术-商业伙伴关系越来越普遍。私营公司利用传播渠道和战略的程度是学术界所没有的,而资源的减少要求学术界探索这些伙伴关系。本文描述了一个回顾性病例对照研究设计,包括方法,人口统计学,组织决策,实施率,和营销策略的积极生活每一天(ALED),循证生活方式的身体活动计划,自2001年以来已上市。基于证据的公共卫生促进方案依赖于组织和目标部门来传播这些方案,尽管对导致其采用和实施的组织一级和部门一级的影响知之甚少。病例(n=154)符合条件,如果他们签署了ALED许可协议与人类动力学(香港),出版商的计划的教科书和辅导员手册,在2001年和2008年之间。将两种类型的对照进行匹配(2:2:1)并按部门和地区分层。主动对照(对照1; n=319)是联系HK考虑采用ALED的组织。被动对照组(对照组2; n=328)是收到主动提供的营销材料且未主动与HK联系的组织。我们使用创新扩散理论(DIT)的结构为基础,发展调查的情况和控制。采用Dillman推荐的多方法策略,共调查了801例病例和对照。大多数组织来自健身部门,其次是医疗,非政府,政府,教育,工作场所和其他部门,政府,教育和医疗部门的响应率显着高于健身和其他部门(p=0.02)。更多的病例报告参与了采用ALED的决定(p<0.0001)。数据表明,尽管反复进行营销并提供其他类型的身体活动计划和服务,但只有很低比例的对照组听说过ALED。最后,略超过一半的采用者报告说,他们实际上已经实施了ALED计划。传播研究需要新的视角和设计,以便对传播工作的结果产生有效的见解。这项研究的设计,调查方法和基于理论的问题可以作为一个有用的模型,为其他循证公共卫生干预措施,是由商业出版商销售,以更好地了解有关采用和实施循证方案的关键问题。
There is a scarcity of research studies that have examined academic-commercial partnerships to disseminate evidence-based physical activity programs. Understanding this approach to dissemination is essential because academic-commercial partnerships are increasingly common. Private companies have used dissemination channels and strategies to a degree that academicians have not, and declining resources require academicians to explore these partnerships. This paper describes a retrospective case-control study design including the methods, demographics, organizational decision-making, implementation rates, and marketing strategy for Active Living Every Day (ALED), an evidence-based lifestyle physical activity program that has been commercially available since 2001. Evidence-based public health promotion programs rely on organizations and targeted sectors to disseminate these programs although relatively little is known about organizational-level and sector-level influences that lead to their adoption and implementation. Cases (n=154) were eligible if they had signed an ALED license agreement with Human Kinetics (HK), publisher of the program’s textbooks and facilitator manuals, between 2001 and 2008. Two types of controls were matched (2:2:1) and stratified by sector and region. Active controls (Control 1; n=319) were organizations that contacted HK to consider adopting ALED. Passive controls (Control 2; n=328) were organizations that received unsolicited marketing materials and did not initiate contact with HK. We used Diffusion of Innovations Theory (DIT) constructs as the basis for developing the survey of cases and controls. Using the multi-method strategy recommended by Dillman, a total of n=801 cases and controls were surveyed. Most organizations were from the fitness sector followed by medical, nongovernmental, governmental, educational, worksite and other sectors with significantly higher response rates from government, educational and medical sectors compared with fitness and other sectors, (p=0.02). More cases reported being involved in the decision to adopt ALED (p<0.0001). Data indicate that a low percentage of controls had ever heard of ALED despite repeated marketing and offering other types of physical activity programs and services. Finally, slightly over half of the adopters reported they had actually implemented the ALED program. Dissemination research requires new perspectives and designs to produce valid insights about the results of dissemination efforts. This study design, survey methods and theoretically-based questions can serve as a useful model for other evidence-based public health interventions that are marketed by commercial publishers to better understand key issues related to adoption and implementation of evidence-based programs.
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