The effect of disseminating evidence-based interventions that promote physical activity to health departments
The effect of disseminating evidence-based interventions that promote physical activity to health departments
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DOI：
10.2105/ajph.2006.090399
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发表时间：
2007-10-01
影响因子：
12.7
通讯作者：
Kreuter, Matthew W.
中科院分区：
文献类型：
--
作者：
Brownson, Ross C.;Ballew, Paula;Kreuter, Matthew W.
目标.我们探讨了传播循证指南，促进身体活动对美国卫生部门在美国的组织实践的影响。我们实施了一个准实验设计，以检查在传播的建议指导方针，以促进身体活动（社区预防服务指南）在8个研究国家的变化，其余国家和维尔京群岛作为对照组。通过讲习班、持续的技术援助和分发指导性CD-ROM来传播指南。主要的评估工具是对州和地方卫生部门工作人员进行的传播前和传播后调查（基线n = 154;随访n = 124）。在通过讲习班传播准则后，从基线到后续行动，11个干预相关特征的知识和技能有所增加。当地受访者的认识，相关特征往往比国家参与者更多。干预措施的采用和实施显示出国家从业者的增长模式，但结果是混合在当地的受访者。我们的探索性研究提供了几种传播方法，从业者应该考虑，因为他们寻求促进他们所服务的人群的身体活动。
Objectives. We explored the effect of disseminating evidence-based guidelines that promote physical activity on US health department organizational practices in the United States.Methods. We implemented a quasi-experimental design to examine changes in the dissemination of suggested guidelines to promote physical activity (The Guide to Community Preventive Services) in 8 study states; the remaining states and the Virgin Islands served as the comparison group. Guidelines were disseminated through workshops, ongoing technical assistance, and the distribution of an instructional CD-ROM. The main evaluation tool was a pre- and postdissemination survey administered to state and local health department staffs (baseline n = 154; follow-up n = 124).Results. After guidelines were disseminated through workshops, knowledge of and skill in 11 intervention-related characteristics increased from baseline to follow-up. Awareness, related characteristics tended to increase more among local respondents than among state participants. Intervention adoption and implementation showed a pattern of increase among state practitioners but findings were mixed among local respondents.Conclusions. Our exploratory study provides several dissemination approaches that should be considered by practitioners as they seek to promote physical activity in the populations they serve.