Building implementation science capacity among practitioners of cancer control: development of a pilot training curriculum.

Building implementation science capacity among practitioners of cancer control: development of a pilot training curriculum.
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DOI:
10.1007/s10552-022-01604-8
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发表时间:
2022-09
影响因子:
2.3
通讯作者:
Pratt-Chapman, Mandi L.
Pratt-Chapman, Mandi L.
中科院分区:
医学4区
文献类型:
--
作者:
Astorino, Joseph A.;Kerch, Sarah;Pratt-Chapman, Mandi L.

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癌症控制干预措施很难忠实地实施,同时根据具体情况进行调整。建议采取多种办法促进公平。在执行过程中需要实地从业人员与研究小组合作,但在设计培训时很少考虑到他们。癌症控制实施科学大本营(CCISBC)的创建是为了提高癌症控制从业人员在特定情况下实施循证癌症筛查计划时的能力。课程的开发包括:1)进行文献综述评估现存的课程,2)比较这些课程的能力,3)以用户为中心的设计,4)制作学习材料,5)招募两个团队测试试点,6)运行试点和7)评估结果。在这项研究中,四个课程之间有九种能力重叠,所有这些能力都是学习目标的基础。从设计会议中出现的原则包括:保持术语清晰,支持知识的经纪,重新构建理论,模型和框架作为工具,并在一切中包括公平。试点测试显示,平均学习者在实施循证癌症筛查方面的知识增加了74.5%,信心增加了75%。有证据表明,培训提高了从健康公平透镜角度实施循证干预措施的技能。为了扩大基于实践的证据,从业人员将需要参与。当从业人员接受培训,在实施研究方面进行合作时,这种参与就会得到优化。CCISBC是一个可行的计划,以发展从业者在综合癌症控制方面的能力,以优化根据具体情况定制的EBI。
Cancer control interventions are difficult to implement with fidelity, while tailoring to fit contexts. Engaged approaches are suggested to advance equity. On-the-ground practitioners are needed to serve as collaborators in the implementation process with research teams, but few trainings are designed with them in mind. The Cancer Control Implementation Science Base Camp (CCISBC) was created to improve capacity among cancer control practitioners when implementing evidence-based cancer screening programs in specific contexts. Development of the curriculum included: 1) performing a literature review assessing extant curricula, 2) comparing competencies of these curricula, 3) user-centered design, 4) producing learning materials, 5) recruiting two teams to test a pilot, 6) running the pilot and 7) evaluating results. Nine competencies overlapped between four of the curricula scanned in this study, all of which served as the basis for learning objectives. Principles that emerged from design sessions included: staying clear about terminology, supporting the brokerage of knowledge, reframing theories, models, and frameworks as tools, and including equity in everything. Pilot testing showed that the average learner increased 74.5% in knowledge and 75% in confidence regarding implementing evidence-based cancer screening. Evidence suggests that the training increased the skill of implementing evidence-based interventions (EBIs) with a health equity lens. In order to scale practice-based evidence, practitioners will need to be engaged. This engagement is optimized when practitioners are trained to collaborate on implementation research. The CCISBC is a feasible program to develop capacity among practitioners in comprehensive cancer control in order to optimize EBIs tailored to context.
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发表时间: 2022-12
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DOI: 10.1007/s10552-018-1124-y
发表时间: 2018-12-01
影响因子: 2.3
作者:
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通讯作者: Pratt-Chapman, Mandi