Adoption of Evidence-Based Interventions in Local Health Departments "1-2-3 Pap NC"
Adoption of Evidence-Based Interventions in Local Health Departments "1-2-3 Pap NC"
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DOI：
10.1016/j.amepre.2015.02.024
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发表时间：
2015-08-01
影响因子：
5.5
通讯作者：
Luo, Huabin
中科院分区：
文献类型：
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作者：
Winterbauer, Nancy L.;Bridger, Colleen M.;Luo, Huabin
在地方卫生部门（LHD）采用循证干预措施的障碍和促进因素的描述是有限的。本研究由北卡罗来纳州公共卫生实践为基础的研究网络进行，以确定与采用基于证据的人乳头瘤病毒视频干预相关的因素，“1-2-3 Pap NC”，在北卡罗来纳州LHD。采用序贯混合方法研究设计。来自2013年全国地方卫生部门概况的数据被用来测试LHD特征与干预措施采用之间的关联。与LHD董事的定性、关键利益相关者访谈为定量数据提供了背景。数据收集和分析从2014年3月3日持续到2014年9月15日。总体而言，28%的北卡罗来纳州卫生管辖区（100个县中的33个）实施了干预措施。在用于向客户提供干预的三个渠道中，大多数LHD选择在检查室播放视频（42%），其次是网站/其他社交媒体（36%）和大厅/候诊室的视频循环（22%）。在逻辑回归中，主任的性别（女性）与干预措施的采用显著正相关（AOR = 4.44，p
Descriptions of barriers and facilitators to adoption of evidence-based interventions in local health departments (LHDs) are limited. This study was conducted by the North Carolina Public Health Practice-Based Research Network to identify factors associated with adoption of an evidence-based human papillomavirus video intervention, "1-2-3 Pap NC," in North Carolina LHDs. A sequential mixed-method study design was used. Data from the 2013 National Profile of Local Health Departments were used to test associations between LHD characteristics and adoption of the intervention. Qualitative, key stakeholder interviews with LHD directors provided the context for quantitative data. Data collection and analysis continued from March 3, 2014, to September 15, 2014. Overall, 28% of North Carolina health jurisdictions (33 of 100 counties) implemented the intervention. Of the three channels used to deliver the intervention to clients, most LHDs opted to show the video in the exam room (42%), followed by website/other social media (36%) and video loop in the lobby/waiting room (22%). In logistic regression, gender of the director (female) was significantly and positively associated with adoption of the intervention (AOR = 4.44, p