Applications of research evidence during processes to acquire approvals for syringe services program implementation in rural counties in Kentucky.
Applications of research evidence during processes to acquire approvals for syringe services program implementation in rural counties in Kentucky.
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DOI：
10.1080/07853890.2022.2028001
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发表时间：
2022-12
影响因子：
4.4
通讯作者：
Sherman SG
中科院分区：
文献类型：
--
作者：
Allen ST;Grieb SM;Glick JL;White RH;Puryear T;Smith KC;Weir BW;Sherman SG
尽管美国和国际上数十年的实证研究记录了实施注射器服务计划(SSP)的好处，但它们的实施在许多司法管辖区可能是有争议的。更好地了解在SSP实施过程中如何应用研究证据，可能使公共卫生工作人员能够倡导扩大项目规模。这项研究探索了研究证据在肯塔基州农村县获得实施SSP批准的过程中的应用。对参与肯塔基州农村实施SSP的18个利益相关者(如卫生部门主任、SSP经营者)进行了深入访谈。利益攸关方被要求描述围绕实施SSP进程的背景情况。访谈被转录和分析，以应用于研究证据。随后根据Weiss等人开发的研究证据应用的类型学对与研究证据相关的引用进行了分类。(工具性、概念性和符号性)，第四类是没有使用研究证据的情况。研究证据的工具性应用发生在个人内部和人际层面，以消除对战略优先事项的担忧，并形成执行支助的基础。SSP的支持者以概念性的方式使用研究证据来处理不以证据为基础的基本态度和信念。参与者报告了象征性的研究证据应用，以证明先前存在的关于满足注射吸毒者公共卫生需求的态度和信念是合理的。最后，在某些情况下，研究证据受到怀疑，不愿考虑其是非曲直。在肯塔基州农村地区实施SSP审批过程中，研究证据的应用本质上是不同的。研究证据的工具性应用发生在个人内部和人际层面，以消除对战略优先事项的担忧，并形成执行支助的基础。SSP的支持者以概念性的方式使用研究证据来处理不以证据为基础的基本态度和信念。在肯塔基州农村地区实施SSP审批过程中，研究证据的应用本质上是不同的。更好地了解在实施SSP过程中可能采用的研究证据的多样性，可能有助于努力改善注射吸毒者的公共健康。
Despite decades of empirical research in the US and internationally documenting the benefits of implementing syringe services programs (SSPs), their implementation may be controversial in many jurisdictions. Better understanding how research evidence is applied during SSP implementation processes may enable the public health workforce to advocate for program scale up. This study explores applications of research evidence during processes to acquire approvals for SSP implementation in rural counties in Kentucky. In-depth interviews were conducted among eighteen stakeholders (e.g. health department directors, SSP operators) involved in SSP implementation in rural Kentucky counties. Stakeholders were asked to describe the contexts surrounding SSP implementation processes. Interviews were transcribed and analysed for applications of research evidence. Research evidence-related quotes were subsequently categorised based on the typologies for applications of research evidence developed by Weiss et al. (instrumental, conceptual, and symbolic) and a fourth category for instances when research evidence was not used. Instrumental applications of research evidence occurred at the intrapersonal and interpersonal levels to dispel concerns about SSPs and formed the basis for implementation support. SSP proponents used research evidence in a conceptual manner to address underlying attitudes and beliefs that were not evidence-based. Participants reported symbolic research evidence applications to justify pre-existing attitudes and beliefs about meeting the public health needs of people who inject drugs. Lastly, in some instances, research evidence was met with scepticism and an unwillingness to consider its merits. Applications of research evidence during SSP implementation approval processes in rural Kentucky counties were heterogeneous in nature. Instrumental applications of research evidence occurred at the intrapersonal and interpersonal levels to dispel concerns about SSPs and formed the basis for implementation support. SSP proponents used research evidence in a conceptual manner to address underlying attitudes and beliefs that were not evidence-based. Applications of research evidence during SSP implementation approval processes in rural Kentucky counties were heterogeneous in nature. Better understanding the diversity of ways in which research evidence may be employed during SSP implementation processes may support efforts to improve the public health of people who inject drugs.
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