Prevention Research Center in St, Louis, Brown School, Washington University in St, Louis, 621 Skinker Blvd,, St, Louis, MO 63130-4838, USA.
Implement Sci. 2013 Dec 13;8:141. doi: 10.1186/1748-5908-8-141.
Cancer and other chronic diseases reduce quality and length of life and productivity, and represent a significant financial burden to society. Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet, barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing emerging priorities and crises, and limited skill among the public health workforce. The purpose of this study is to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention.
METHODS/DESIGN: This paper describes the methods for a multi-phase dissemination study with a cluster randomized trial component that will evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases. Phase one involves development of measures of practitioner views on and organizational supports for evidence-based public health and data collection using a national online survey involving state health department chronic disease practitioners. In phase two, a cluster randomized trial design will be conducted to test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units will be randomly selected and assigned to intervention or control. State health department staff and the university-based study team will jointly identify, refine, and select dissemination strategies within intervention units. Intervention (dissemination) strategies may include multi-day in-person training workshops, electronic information exchange modalities, and remote technical assistance. Evaluation methods include pre-post surveys, structured qualitative phone interviews, and abstraction of state-level chronic disease prevention program plans and progress reports.
clinicaltrials.gov: NCT01978054.
癌症和其他慢性病会降低生活质量和预期寿命，降低生产力，并给社会带来巨大的经济负担。近几十年来，已经确定了基于证据的公共卫生方法来预防癌症和其他慢性病，这些方法有可能产生重大影响。然而，由于多种因素的存在，包括缺乏组织支持、资源有限、竞争的新出现的优先事项和危机，以及公共卫生劳动力技能有限，实施预防方法的障碍仍然存在。本研究的目的是了解如何最好地促进采用与慢性病预防相关的循证公共卫生实践。
方法/设计：本文描述了一项多阶段传播研究的方法，其中包括一个集群随机试验部分，该研究将评估有关癌症和其他慢性病循证预防的公共卫生知识的传播。第一阶段涉及开发衡量从业者对循证公共卫生的看法和组织支持的措施，并使用涉及州卫生部门慢性病从业者的全国在线调查收集数据。在第二阶段，将进行集群随机试验设计，以测试针对州卫生部门慢性病从业者的传播策略的接受度和有用性，以增强循证慢性病预防的能力和组织支持。将随机选择 12 个州卫生部门慢性病单位并进行分配，分为干预组或对照组。州卫生部门工作人员和大学研究团队将共同确定、改进和选择干预单位内的传播策略。干预（传播）策略可能包括为期多天的面对面培训研讨会、电子信息交流模式以及远程技术援助。评估方法包括前后问卷调查、结构化定性电话访谈以及州级慢性病预防计划和进展报告的摘要。
clinicaltrials.gov：NCT01978054。
