Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component.
Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component.
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DOI：
10.1186/1748-5908-8-141
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发表时间：
2013-12-13
期刊：
影响因子：
--
通讯作者：
Brownson RC
中科院分区：
文献类型：
--
作者：
Allen P;Sequeira S;Jacob RR;Hino AA;Stamatakis KA;Harris JK;Elliott L;Kerner JF;Jones E;Dobbins M;Baker EA;Brownson RC
癌症和其他慢性疾病降低了生命质量、寿命和生产力，给社会带来了巨大的经济负担。近几十年来，已经确定了预防癌症和其他慢性病的循证公共卫生方法，并有可能产生很大的影响。然而，由于缺乏组织支持、资源有限、新出现的优先事项和危机相互竞争以及公共卫生工作人员技能有限等多种因素，实施预防办法的障碍依然存在。这项研究的目的是了解如何最好地促进采用与慢性病预防相关的循证公共卫生实践。本文描述了一项多阶段传播研究的方法，该研究将评估癌症和其他慢性病循证预防方面的公共卫生知识的传播情况。第一阶段涉及制定从业者对循证公共卫生的看法和组织支持的衡量标准，并利用国家卫生部门慢性病从业者参与的全国在线调查收集数据。在第二阶段，将进行整群随机试验设计，以测试针对州卫生部门慢性病从业者的传播策略的接受性和有用性，以增强循证慢性病预防的能力和组织支持。将随机抽取12个州卫生部门慢性病单位进行干预或对照。国家卫生部门工作人员和大学研究小组将共同确定、完善和选择干预单位内的传播策略。干预(传播)战略可包括为期数天的面对面培训讲习班、电子信息交流方式和远程技术援助。评估方法包括事后调查、结构化的定性电话采访，以及对州级慢性病预防计划和进展报告的摘要。临床试验网站：NCT01978054。
Cancer and other chronic diseases reduce quality and length of life and productivity, and represent a significant financial burden to society. Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet, barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing emerging priorities and crises, and limited skill among the public health workforce. The purpose of this study is to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention. This paper describes the methods for a multi-phase dissemination study with a cluster randomized trial component that will evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases. Phase one involves development of measures of practitioner views on and organizational supports for evidence-based public health and data collection using a national online survey involving state health department chronic disease practitioners. In phase two, a cluster randomized trial design will be conducted to test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units will be randomly selected and assigned to intervention or control. State health department staff and the university-based study team will jointly identify, refine, and select dissemination strategies within intervention units. Intervention (dissemination) strategies may include multi-day in-person training workshops, electronic information exchange modalities, and remote technical assistance. Evaluation methods include pre-post surveys, structured qualitative phone interviews, and abstraction of state-level chronic disease prevention program plans and progress reports. clinicaltrials.gov: NCT01978054.
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DOI：
10.1186/1748-5908-4-61
发表时间：
2009-09-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Dobbins M;Hanna SE;Ciliska D;Manske S;Cameron R;Mercer SL;O'Mara L;DeCorby K;Robeson P
通讯作者：
Robeson P
影响因子：
5.5
作者：
Brownson, Ross C.;Ballew, Paula;Myers, Bradford A.
通讯作者：
Myers, Bradford A.
影响因子：
12.7
作者：
Brownson, Ross C.;Ballew, Paula;Kreuter, Matthew W.
通讯作者：
Kreuter, Matthew W.
影响因子：
9.7
作者：
Bodenheimer, Thomas;Chen, Ellen;Bennett, Heather D.
通讯作者：
Bennett, Heather D.
影响因子：
5.5
作者：
Brownson, Ross C.;Allen, Peg;Duggan, Kathleen;Stamatakis, Katherine A.;Erwin, Paul C.
通讯作者：
Erwin, Paul C.