A qualitative exploration of contextual factors that influence dissemination and implementation of evidence-based chronic disease prevention across four countries.
A qualitative exploration of contextual factors that influence dissemination and implementation of evidence-based chronic disease prevention across four countries.
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DOI：
10.1186/s12913-018-3054-5
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发表时间：
2018-04-02
影响因子：
2.8
通讯作者：
Brownson RC
中科院分区：
文献类型：
--
作者：
Budd EL;deRuyter AJ;Wang Z;Sung-Chan P;Ying X;Furtado KS;Pettman T;Armstrong R;Reis RS;Shi J;Mui T;Saunders T;Becker L;Brownson RC
在美国和其他国家，人们对影响循证慢性病干预措施的背景因素知之甚少。本研究旨在更好地了解影响循证慢性病预防（EBCDP）在澳大利亚，巴西，中国和美国的传播和实施的背景相似性和差异。在2015年2月至7月期间，每个国家的研究人员使用涵盖多个领域（例如，使用和获得EBCDP干预措施，实施EBCDP干预措施的障碍和促进因素）。这四个国家的从业人员报告说，只有少数方案领域在其工作场所使用了EBCDP干预措施。在各国，学术期刊是获取EBCDP干预措施的最常引用的渠道，尽管同行通常被认为是最有用的。缺乏时间和繁重的工作量是澳大利亚和美国从业人员面临的突出个人障碍，而巴西和中国从业人员缺乏制定和实施EBCDP干预措施的专门知识则更为相关。所有四个国家的从业人员都描述了不支持EBCDP的组织文化。巴西、中国和美国的从业人员指出，实施EBCDP干预措施的工作人员支持不足。澳大利亚和中国的一些从业人员表示缺乏证据。伙伴关系被强调为在所有国家执行该方案干预措施的关键促进因素。这项研究是新颖的，在其跨国定性探索的多层次结构EBCDP的传播和实施。访谈产生了丰富的调查结果，与EBCDP的许多背景相似性和差异，可以为跨国和国别研究和实践提供信息，以解决障碍并长期改善四个国家之间的EBCDP实施。
Little is known about the contextual factors affecting the uptake of evidence-based chronic disease interventions in the United States and in other countries. This study sought to better understand the contextual similarities and differences influencing the dissemination and implementation of evidence-based chronic disease prevention (EBCDP) in Australia, Brazil, China, and the United States. Between February and July 2015, investigators in each country conducted qualitative, semi-structured interviews (total N = 50) with chronic disease prevention practitioners, using interview guides that covered multiple domains (e.g., use of and access to EBCDP interventions, barriers and facilitators to the implementation of EBCDP interventions). Practitioners across the four countries reported only a few programmatic areas in which repositories of EBCDP interventions were used within their workplace. Across countries, academic journals were the most frequently cited channels for accessing EBCDP interventions, though peers were commonly cited as the most useful. Lack of time and heavy workload were salient personal barriers among practitioners in Australia and the United States, while lack of expertise in developing and implementing EBCDP interventions was more pertinent among practitioners from Brazil and China. Practitioners in all four countries described an organizational culture that was unsupportive of EBCDP. Practitioners in Brazil, China and the United States cited an inadequate number of staff support to implement EBCDP interventions. A few practitioners in Australia and China cited lack of access to evidence. Partnerships were emphasized as key facilitators to implementing EBCDP interventions across all countries. This study is novel in its cross-country qualitative exploration of multilevel constructs of EBCDP dissemination and implementation. The interviews produced rich findings about many contextual similarities and differences with EBCDP that can inform both cross-country and country-specific research and practice to address barriers and improve EBCDP implementation among the four countries long-term.
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影响因子：
168.9
作者：
Alwan, Ala;MacLean, David R.;Bettcher, Douglas
通讯作者：
Bettcher, Douglas
影响因子：
12.7
作者：
Brownson, Ross C.;Ballew, Paula;Kreuter, Matthew W.
通讯作者：
Kreuter, Matthew W.
DOI：
10.1097/01.phh.0000311891.73078.50
发表时间：
2008-03-01
影响因子：
3.3
作者：
Dreisinger, Mariah;Leet, Terry L.;Brownson, Ross C.
通讯作者：
Brownson, Ross C.
影响因子：
7.2
作者：
Dobbins, Maureen;Robeson, Paula;Mercer, Shawna
通讯作者：
Mercer, Shawna
DOI：
10.1146/annurev.publhealth.25.050503.153933
发表时间：
2004-01-01
影响因子：
20.8
作者：
Briss, PA;Brownson, RC;Zaza, S
通讯作者：
Zaza, S