Evaluating a train-the-trainer approach for improving capacity for evidence-based decision making in public health.
Evaluating a train-the-trainer approach for improving capacity for evidence-based decision making in public health.
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DOI：
10.1186/s12913-015-1224-2
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发表时间：
2015-12-12
影响因子：
2.8
通讯作者：
Brownson RC
中科院分区：
文献类型：
--
作者：
Yarber L;Brownson CA;Jacob RR;Baker EA;Jones E;Baumann C;Deshpande AD;Gillespie KN;Scharff DP;Brownson RC
循证公共卫生为公共卫生从业人员提供了根据最佳和最新证据做出选择所需的工具。圣路易斯预防研究中心1997年开发的循证公共卫生培训课程由一个跨学科小组多次讲授，取得了积极成果。为了扩大循证做法，2010年启动了培训员培训举措。本研究探讨了由训练有素的国家级教师领导的课程的参与者之间取得的成果。来自四个州（印第安纳州、科罗拉多、内布拉斯加州和堪萨斯）的学员主导课程的参与者被要求完成一项为期三年的在线调查。曾试图联系317名过去的参与者。144名（50.9%）可联系参与者被纳入分析。衡量的结果包括使用材料的频率，资源，以及课程中的其他技能或工具;不使用材料和资源的原因;以及参加课程的好处。调查答复制成表格，并使用卡方检验进行比较。在最常报告的好处中，88%的受访者同意他们获得了有关新学科的知识，85%的人看到了知识在工作中的应用，78%的人同意该课程还提高了在工作中做出科学决策的能力。最常报告的未按预期使用课程内容的原因包括没有足够的时间实施循证方法（42%）;其他工作人员/同行缺乏培训（34%）;以及没有足够的资金进行继续培训（34%）。研究结果表明，利用课程材料和教学仍然相对较高的从业者群体，无论他们是由原来的培训师或国家为基础的培训师教。本研究的结果表明，培训师是一种有效的方法，广泛传播以证据为基础的公共卫生原则。培训培训员的费用低于传统方法，而且可以针对当地问题开设课程，从而使其成为传播和推广新的公共卫生做法的一个可行办法。本文的在线版本（doi：10.1186/s12913-015-1224-2）包含补充材料，可供授权用户使用。
Evidence-based public health gives public health practitioners the tools they need to make choices based on the best and most current evidence. An evidence-based public health training course developed in 1997 by the Prevention Research Center in St. Louis has been taught by a transdisciplinary team multiple times with positive results. In order to scale up evidence-based practices, a train-the-trainer initiative was launched in 2010. This study examines the outcomes achieved among participants of courses led by trained state-level faculty. Participants from trainee-led courses in four states (Indiana, Colorado, Nebraska, and Kansas) over three years were asked to complete an online survey. Attempts were made to contact 317 past participants. One-hundred forty-four (50.9 %) reachable participants were included in analysis. Outcomes measured include frequency of use of materials, resources, and other skills or tools from the course; reasons for not using the materials and resources; and benefits from attending the course. Survey responses were tabulated and compared using Chi-square tests. Among the most commonly reported benefits, 88 % of respondents agreed that they acquired knowledge about a new subject, 85 % saw applications for the knowledge to their work, and 78 % agreed the course also improved abilities to make scientifically informed decisions at work. The most commonly reported reasons for not using course content as much as intended included not having enough time to implement evidence-based approaches (42 %); other staff/peers lack training (34 %); and not enough funding for continued training (34 %). The study findings suggest that utilization of course materials and teachings remains relatively high across practitioner groups, whether they were taught by the original trainers or by state-based trainers. The findings of this study suggest that train-the-trainer is an effective method for broadly disseminating evidence-based public health principles. Train-the-trainer is less costly than the traditional method and allows for courses to be tailored to local issues, thus making it a viable approach to dissemination and scale up of new public health practices. The online version of this article (doi:10.1186/s12913-015-1224-2) contains supplementary material, which is available to authorized users.
影响因子：
5.5
作者：
Kaplan GE;Juhl AL;Gujral IB;Hoaglin-Wagner AL;Gabella BA;McDermott KM
通讯作者：
McDermott KM