Building the capacity - examining the impact of evidence-based public health trainings in Europe: a mixed methods approach
Building the capacity - examining the impact of evidence-based public health trainings in Europe: a mixed methods approach
复制标题
DOI：
10.1177/1757975918811102
复制
发表时间：
2020-06-01
影响因子：
2
通讯作者：
Brownson, Ross C.
中科院分区：
文献类型：
--
作者：
Serrano, Natalicio;Diem, Gunter;Brownson, Ross C.
目的：自2002年以来，圣路易斯预防研究中心与其他国际组织合作，每年在欧洲开设一门名为《循证公共卫生：非传染性疾病预防课程》的课程。这项培训的核心目的是加强公共卫生专业人员的能力，以便在非传染性疾病预防中应用和调整循证方案。本研究的目的是评估这一EBPH课程的有效性，以便为今后的EBPH培训提供信息和改进。方法：在2007至2016年间，共有208人参加了欧洲EBPH课程。其中，86人(41%)完成了在线调查。衡量的结果包括使用EBPH技能/材料/资源的频率、使用EBPH的好处和使用EBPH的障碍。进行分析，以了解自参加课程以来的时间是否影响EBPH效果。然后，参与者根据EBPH的使用频率(低和高)进行分层，并被要求参加深入的电话采访，以进一步检查课程的长期影响(n=11(6低使用，5高使用))。调查结果：参与者中最常见的好处包括：获得新学科的知识(95%)，在自己的工作中看到这些知识的应用(84%)，以及成为促进循证决策的更好领导者(82%)。此外，没有足够的资金继续进行EBPH培训(44%)，没有接受EBPH培训的同事(33%)，以及没有足够的时间实施EBPH方法(30%)是使用EBPH最常见的障碍。访谈表明，工作场所和领导支持对于促进EBPH的使用很重要。结论：尽管EBPH课程有效地使参与者受益，但在广泛实施循证方法方面仍然存在障碍。与那些担任领导职务的人接触并进行沟通，可能会促进EBPH在各国的增长。
Objective: Since 2002, a course entitled 'Evidence-Based Public Health (EBPH): A Course in Noncommunicable Disease (NCD) Prevention' has been taught annually in Europe as a collaboration between the Prevention Research Center in St Louis and other international organizations. The core purpose of this training is to strengthen the capacity of public health professionals, in order to apply and adapt evidence-based programmes in NCD prevention. The purpose of the present study is to assess the effectiveness of this EBPH course, in order to inform and improve future EBPH trainings. Methods: A total of 208 individuals participated in the European EBPH course between 2007 and 2016. Of these, 86 (41%) completed an online survey. Outcomes measured include frequency of use of EBPH skills/materials/resources, benefits of using EBPH and barriers to using EBPH. Analysis was performed to see if time since taking the course affected EBPH effectiveness. Participants were then stratified by frequency of EBPH use (low v. high) and asked to participate in in-depth telephone interviews to further examine the long-term impact of the course (n= 11 (6 low use, 5 high use)). Findings: The most commonly reported benefits among participants included: acquiring knowledge about a new subject (95%), seeing applications for this knowledge in their own work (84%), and becoming a better leader to promote evidence-based decision-making (82%). Additionally, not having enough funding for continued training in EBPH (44%), co-workers not having EBPH training (33%) and not having enough time to implement EBPH approaches (30%) were the most commonly reported barriers to using EBPH. Interviews indicated that work-place and leadership support were important in facilitating the use of EBPH. Conclusion: Although the EBPH course effectively benefits participants, barriers remain towards widely implementing evidence-based approaches. Reaching and communicating with those in leadership roles may facilitate the growth of EBPH across countries.