Process Evaluation and Lessons Learned From Engaging Local Policymakers in the B'More Healthy Communities for Kids Trial.
Process Evaluation and Lessons Learned From Engaging Local Policymakers in the B'More Healthy Communities for Kids Trial.
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DOI：
10.1177/1090198118778323
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发表时间：
2019-03
期刊：
影响因子：
--
通讯作者：
Gittelsohn J
中科院分区：
文献类型：
--
作者：
Nam CS;Ross A;Ruggiero C;Ferguson M;Mui Y;Lee BY;Gittelsohn J
将研究人员与决策过程联系起来的伙伴关系可以有效地加强沟通和支持卫生政策。然而，这些政策伙伴关系很少进行过程评价。政策工作组（政策工作组）是多层次B'More Healthy Communities for Kids（BHCK）试验的政策层面干预。该小组寻求协调当地政策制定者的利益，为当地粮食和营养政策提供信息，向政策制定者介绍新的模拟模型，并维持BHCK的干预水平。我们在2013年7月至2016年5月期间对政策工作组进行了评估。我们评估了覆盖范围、剂量传递和保真度的过程指标，并制定了SWOT（优势、劣势、机会和威胁）分析。政策干预的实施具有高覆盖率和剂量传递。随着时间的推移，忠诚度指标从中等提高到接近高。决策者议程上的卫生相关问题数量从头两年的50%增加到第三年高标准的150%。SWOT分析结合了利益相关者的反馈调查，以考虑优势，劣势，机会和威胁。虽然模型的保真度较低，仅为高标准的37%，但利益相关者表示，模拟模型应成为政策干预的主要目的。结果表明，过程评价和SWOT分析是有用的，跟踪政策干预的进展，在多层次的试验，并可用于监测与决策者建立伙伴关系的进展。
Partnerships linking researchers to the policymaking process can be effective in increasing communication and supporting health policy. However, these policy partnerships rarely conduct process evaluation. The Policy Working Group (Policy WG) was the policy-level intervention of the multilevel B’More Healthy Communities for Kids (BHCK) trial. The group sought to align interests of local policymakers, inform local food and nutrition policy, introduce policymakers to a new simulation modeling, and sustain intervention levels of BHCK. We conducted an evaluation on the Policy WG between July 2013 and May 2016. We evaluated process indicators for reach, dose-delivered, and fidelity and developed a SWOT (strengths, weaknesses, opportunities, and threats) analysis. The policy intervention was implemented with high reach and dose-delivered. Fidelity measures improved from moderate to nearly high over time. The number of health-related issues on policymakers’ agenda increased from 50% in the first 2 years to 150% of the high standard in Year 3. SWOT analysis integrated a stakeholder feedback survey to consider areas of strength, weakness, opportunity, and threats. Although the fidelity of the modeling was low at 37% of the high standard, stakeholders indicated that the simulation modeling should be a primary purpose for policy intervention. Results demonstrate that process evaluation and SWOT analysis is useful for tracking the progress of policy interventions in multilevel trials and can be used to monitor the progress of building partnerships with policymakers.
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7.1
作者：
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通讯作者：
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影响因子：
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影响因子：
5.5
作者：
Lee BY;Ferguson MC;Hertenstein DL;Adam A;Zenkov E;Wang PI;Wong MS;Gittelsohn J;Mui Y;Brown ST
通讯作者：
Brown ST