Finger Lakes Law and Social Policy Center, Inc., Ithaca, NY, USA.
Am J Community Psychol. 2012 Dec;50(3-4):415-27. doi: 10.1007/s10464-012-9526-6.
Bringing evidence based programs to scale was a major initial impetus for the development of the Interactive Systems Framework for Dissemination and Implementation (ISF). The ISF demonstrates the importance of the Support System in facilitating the uptake of innovations in the community (the Delivery System). Two strategies that members of the Support System commonly use are training-of-trainers (TOT) models and technical assistance (TA). In this article, we focus on the role of the Support System in bringing evidence-based programs (EBPs) to scale in the Delivery System using a case example, with special attention on two strategies employed by Support Systems-training-of-trainers (TOT) and proactive technical assistance. We then report on findings from a case example from the Promoting Science Based Approaches to Teen Pregnancy Prevention project that furthers our conceptualization of these strategies and the evidence base for them. We also report on the limitations in the literature regarding research on TOTs and proactive TA and provide suggestions for future research on TOTs and proactive TA that will enhance the science and practice of support in the ISF.
将基于证据的项目推广到更大规模是开发交互式传播和实施框架（ISF）的主要初始动力。ISF 展示了支持系统在促进社区创新（即交付系统）采用方面的重要性。支持系统成员通常使用的两种策略是培训师培训（TOT）模式和技术援助（TA）。在本文中，我们将通过案例研究重点关注支持系统在通过交付系统将基于证据的项目（EBPs）推广到更大规模方面的作用，特别关注支持系统采用的两种策略——培训师培训（TOT）和主动技术援助。然后，我们将报告促进基于科学的青少年怀孕预防项目中的一个案例研究结果，该研究进一步深化了我们对这些策略及其证据基础的概念化。我们还报告了文献中关于 TOT 和主动 TA 研究的局限性，并为未来关于 TOT 和主动 TA 的研究提供了建议，这将增强 ISF 中的支持科学和实践。
