Tools for identifying and prioritizing evidence-based obesity prevention strategies, Colorado.
Tools for identifying and prioritizing evidence-based obesity prevention strategies, Colorado.
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DOI：
10.5888/pcd10.120275
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发表时间：
2013-07-03
影响因子：
5.5
通讯作者：
McDermott KM
中科院分区：
文献类型：
--
作者：
Kaplan GE;Juhl AL;Gujral IB;Hoaglin-Wagner AL;Gabella BA;McDermott KM
自1995年以来，科罗拉多州的成年人肥胖率增加了一倍多，促使其公共卫生和环境部将肥胖列为预防肥胖的首要任务。为了采取全面有效的行动，卫生部使用了布朗森和其他人制定的一个众所周知的循证公共卫生框架。本文描述了在这个框架中进行挑战公共卫生组织的7个阶段中的2个阶段所开发的工具和过程：回顾文献并优先考虑文献中的有效策略。45名部门工作人员参加了密集的文献综述培训，以确定有效解决肥胖问题的体育活动和营养战略，并与外部利益相关者合作，优先考虑国家战略。他们根据公共卫生可以发挥作用的环境分为8个多学科小组，扫描科学文献，以确定实施的潜在战略。这些团队接受培训，使用标准化的工具来评论调查结果，系统地提取关键信息，并对58种确定的策略中的每一种进行证据等级分类。接下来，来自当地公共卫生和非营利卫生机构的部门主题专家和代表选择并应用优先级标准对58项战略进行排名。在优先化阶段使用了团队章程、小组促进工具和2项基于网络的调查。这一过程为工作人员提供了一个共享的经验，以获得实践完成文献综述和选择基于证据的策略，从而加强科罗拉多的肥胖预防工作，提高公共卫生能力。从业人员可以使用这些工具和方法来复制其他卫生优先事项的这一过程。
Colorado’s adult obesity rate has more than doubled since 1995, prompting its Department of Public Health and Environment to list obesity as its top prevention priority. To initiate comprehensive and effective action, the department used a well-known evidence-based public health framework developed by Brownson and others. This article describes the tools and process developed to conduct 2 of the 7 stages in this framework that challenge public health organizations: reviewing the literature and prioritizing effective strategies from that literature. Forty-five department staff participated in an intensive literature review training to identify physical activity and nutrition strategies that effectively address obesity and worked with external stakeholders to prioritize strategies for the state. Divided into 8 multidisciplinary teams organized by the setting where public health could exert leverage, they scanned the scientific literature to identify potential strategies to implement. These teams were trained to use standardized tools to critique findings, systematically abstract key information, and classify the evidence level for each of 58 identified strategies. Next, departmental subject matter experts and representatives from local public health and nonprofit health agencies selected and applied prioritization criteria to rank the 58 strategies. A team charter, group facilitation tools, and 2 web-based surveys were used in the prioritization stage. This process offered the staff a shared experience to gain hands-on practice completing literature reviews and selecting evidence-based strategies, thereby enhancing Colorado’s obesity prevention efforts and improving public health capacity. Practitioners can use these tools and methodology to replicate this process for other health priorities.
影响因子：
5.5
作者：
Kohatsu, ND;Robinson, JG;Torner, JC
通讯作者：
Torner, JC
影响因子：
2.4
作者：
Pawson, Ray;Greenhalgh, Trisha;Walshe, Kieran
通讯作者：
Walshe, Kieran