Garcia Antonio R, Kim Minseop, Palinkas Lawrence A, Snowden Lonnie, Landsverk John
School of Social Policy and Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA, 19104-6214, USA.
School of Social Work, University of Southern California, 669 W. 34th Street, Los Angeles, CA, 90089-0411, USA.
Adm Policy Ment Health. 2016 Jul;43(4):569-78. doi: 10.1007/s10488-015-0640-2.
Recent efforts have been devoted to understanding the conditions by which research evidence use (REU) is facilitated from the perspective of system leaders in the context of implementing evidence-based child mental health interventions. However, we have limited understanding of the extent to which outer contextual factors influence REU. Outer contextual factors for 37 counties in California were gathered from public records in 2008; and child welfare, juvenile justice, and mental health system leaders' perceptions of their REU were measured via a web-based survey from 2010 to 2012. Results showed that leaders with higher educational attainment and in counties with lower expenditures on inpatient mental health services were significantly associated with higher REU. Positive relationships between gathering research evidence and racial minority concentration and poverty at the county level were also detected. Results underscore the need to identify the organizational and socio-political factors by which mental health services and resources meet client demands that influence REU, and to recruit and retain providers with a graduate degree to negotiate work demands and interpret research evidence.
最近的研究致力于从实施循证儿童心理健康干预背景下的系统领导者角度，去理解促进研究证据应用（REU）的条件。然而，我们对外部背景因素在多大程度上影响研究证据应用的了解有限。2008年从公共记录中收集了加利福尼亚州37个县的外部背景因素；2010年至2012年通过网络调查测量了儿童福利、青少年司法和心理健康系统领导者对其研究证据应用情况的看法。结果显示，教育程度较高的领导者以及住院心理健康服务支出较低的县，与较高的研究证据应用显著相关。在县级层面，还发现收集研究证据与少数族裔集中度和贫困之间存在正相关关系。结果强调，需要确定心理健康服务和资源满足影响研究证据应用的客户需求的组织和社会政治因素，并招募和留住拥有研究生学位的提供者，以应对工作需求并解读研究证据。
