综合癌症控制项目中基于证据的实践和资源的使用情况。
Use of Evidence-Based Practices and Resources Among Comprehensive Cancer Control Programs.
作者信息
Steele C Brooke, Rose John M, Chovnick Gary, Townsend Julie S, Stockmyer Chrisandra K, Fonseka Jamila, Richardson Lisa C
机构信息
Division of Cancer Prevention and Control (Dr Steele, Ms Townsend, and Ms Fonseka), Division of Population Health (Ms Stockmyer), and Division of Blood Disorders (Dr Richardson), Centers for Disease Control and Prevention, Atlanta, Georgia; and Health and Analytics Group, Battelle Memorial Institute, Columbus, Ohio (Drs Rose and Chovnick).
出版信息
J Public Health Manag Pract. 2015 Sep-Oct;21(5):441-8. doi: 10.1097/PHH.0000000000000053.
CONTEXT
While efforts to promote use of evidence-based practices (EBPs) for cancer control have increased, questions remain whether this will result in widespread adoption of EBPs (eg, Guide to Community Preventive Services interventions) by comprehensive cancer control (CCC) programs.
OBJECTIVE
To examine use of EBPs among CCC programs to develop cancer control plans and select interventions.
DESIGN
Conducted Web-based surveys of and telephone interviews with CCC program staff between March and July 2012.
SETTING
CCC programs funded by the Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program (NCCCP).
PARTICIPANTS
Sixty-one CCC program directors.
MAIN OUTCOME MEASURES
- Use of and knowledge/attitudes about EBPs and related resources and 2) EBP-related technical assistance needs.
RESULTS
Seventy-five percent of eligible program directors reported use of EBPs to a moderate or great extent to address program objectives. Benefits of using EBPS included their effectiveness has been proven, they are an efficient use of resources, and they lend credibility to an intervention. Challenges to using EBPs included resource limitations, lack of culturally appropriate interventions, and limited skills adapting EBPs for local use. Most respondents had heard of and used Web sites for The Guide to Community Preventive Services (95% and 91%, respectively) and Cancer Control P.L.A.N.E.T. (98% and 75%, respectively). Training needs included how to adapt an EBP and its materials for cultural appropriateness (state 78%, tribe 86%, territory 80%) and how to maintain the fidelity of an EBP (state 75%, tribe 86%, territory 60%).
CONCLUSIONS
While awareness, knowledge, and use of EBPs and related resources are high, respondents identified numerous challenges and training needs. The findings from this study may be used to enhance technical assistance provided to NCCCP grantees related to selecting and implementing EBPs.
背景
虽然为促进基于证据的实践（EBPs）用于癌症控制所做的努力有所增加，但对于这是否会导致综合癌症控制（CCC）项目广泛采用EBPs（如《社区预防服务指南》中的干预措施）仍存在疑问。
目的
研究CCC项目在制定癌症控制计划和选择干预措施时对EBPs的使用情况。
设计
2012年3月至7月间，对CCC项目工作人员进行了基于网络的调查和电话访谈。
地点
由疾病控制和预防中心的国家综合癌症控制项目（NCCCP）资助的CCC项目。
参与者
61名CCC项目主任。
主要观察指标
1）EBPs及相关资源的使用情况、知识/态度；2）与EBP相关的技术援助需求。
结果
75%符合条件的项目主任报告在很大程度或一定程度上使用EBPs来实现项目目标。使用EBPs的好处包括其有效性已得到证明、资源利用高效以及能为干预措施增添可信度。使用EBPs的挑战包括资源限制、缺乏文化适宜的干预措施以及将EBPs因地制宜应用的技能有限。大多数受访者听说过并使用过《社区预防服务指南》网站（分别为95%和91%）以及癌症控制行星计划网站（分别为98%和75%）。培训需求包括如何使EBP及其材料在文化上更适宜（州78%、部落86%、领地80%）以及如何保持EBP的保真度（州75%、部落86%、领地60%）。
结论
虽然对EBPs及相关资源的认识、知识和使用程度较高，但受访者指出了诸多挑战和培训需求。本研究结果可用于加强向NCCCP受资助者提供的与选择和实施EBPs相关的技术援助。
Zotero 插件