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一种增强地方烟草控制项目的新战略规划方法。

A neo-strategic planning approach to enhance local tobacco control programs.

机构信息

Office of the State Epidemiologist.

Office of the Tribal Liaison, Oklahoma State Department of Health, Oklahoma City, Oklahoma.

出版信息

Am J Prev Med. 2015 Jan;48(1 Suppl 1):S13-20. doi: 10.1016/j.amepre.2014.08.027.

DOI:10.1016/j.amepre.2014.08.027
PMID:25528701
Abstract

BACKGROUND

Research in tobacco control demonstrating best practices is widely disseminated; however, application at the local level is often difficult. Translating research into practice requires a concerted effort to develop an understanding of the evidence and how it can be applied within diverse contexts.

PURPOSE

A strategic planning infrastructure was developed to support the translation of evidence-based interventions into community practice. This paper highlights the strategic process of turning "know-what" into "know-how" to facilitate the strategic planning and implementation of tobacco control best practices at the local level.

DESIGN

The purpose, people, process, and product strategies of knowledge management and translation provided a framework for the strategic planning infrastructure. The knowledge translation concepts of audience, motivations, and mechanisms were synergized in the neo-strategic planning component design.

SETTING/PARTICIPANTS: The participants were 20 community coalitions funded to implement local tobacco control programs.

INTERVENTION

From 2004 to 2011, the strategic planners facilitated a cyclical process to translate research into practice using a trio of integrated tools, skill-building workshops on strategic planning, and grantee-driven technical assistance and consultation.

MAIN OUTCOME MEASURES

In the short term, the usefulness of the strategic planning components to the programs was measured. The intermediate outcome was the successful movement of the community programs from the planning stage to the implementation stage. The achievement of community-level changes in planned tobacco control efforts was the overall outcome measure for the success of the local coalitions.

RESULTS

Seventeen of 20 communities that began the planning process implemented strategic plans. All 17 of the programs implemented evidence-based practices, resulting in numerous tobacco-free policies, increased cessation, and increased support from the media and community.

CONCLUSIONS

Bridging the gap between research and practice can enhance the practicality, efficiency, and effectiveness of tobacco control programs at the local level, maximizing the potential positive health impact.

摘要

背景

展示最佳实践的烟草控制研究得到了广泛传播;然而,在地方层面上的应用往往很困难。将研究转化为实践需要共同努力,以了解证据及其如何在不同背景下应用。

目的

开发了战略规划基础设施,以支持将基于证据的干预措施转化为社区实践。本文重点介绍了将“知其然”转化为“知其所以然”的战略过程,以促进地方一级烟草控制最佳实践的战略规划和实施。

设计

知识管理和翻译的目的、人员、过程和产品策略为战略规划基础设施提供了框架。在新的战略规划组件设计中,协同了知识翻译的受众、动机和机制概念。

设置/参与者:20 个社区联盟参与了该项目,这些联盟获得资金以实施地方烟草控制项目。

干预措施

2004 年至 2011 年,战略规划者使用一系列综合工具、战略规划技能建设研讨会以及受赠者驱动的技术援助和咨询,促进了研究向实践的转化。

主要结果测量

短期内,衡量了战略规划组件对项目的有用性。中间结果是社区项目从规划阶段成功过渡到实施阶段。社区一级计划中的烟草控制工作变化是衡量地方联盟成功的总体结果。

结果

在开始规划过程的 20 个社区中,有 17 个实施了战略计划。所有 17 个项目都实施了基于证据的实践,导致了许多无烟政策、戒烟率的提高,以及媒体和社区的更多支持。

结论

缩小研究与实践之间的差距可以提高地方一级烟草控制计划的实用性、效率和效果,最大限度地发挥潜在的积极健康影响。

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