Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
UK Health Forum, Fleetbank House, 2-6 Salisbury Square, London, EC4Y 8JX, UK.
Implement Sci. 2017 Jul 21;12(1):91. doi: 10.1186/s13012-017-0622-8.
Improving mechanisms for knowledge translation (KT) and connecting decision-makers to each other and the information and evidence they consider relevant to their work remains a priority for public health. Virtual communities of practices (CoPs) potentially offer an affordable and flexible means of encouraging connection and sharing of evidence, information and learning among the public health community in ways that transgress traditional geographical, professional, institutional and time boundaries. The suitability of online CoPs in public health, however, has rarely been tested. This paper explores the reasons why particular online CoP for alcohol harm reduction hosted by the UK Health Forum failed to generate sufficient interest from the group of public health professionals at which it was aimed.
The study utilises online web-metrics demonstrating a lack of online activity on the CoP. One hundred and twenty seven responses to an online questionnaire were used to explore whether the lack of activity could be explained by the target audience's existing information and evidence practices and needs. Qualitative interviews with 10 members describe in more detail the factors that shape and inhibit use of the virtual CoP by those at which it was targeted.
Quantitative and qualitative data confirm that the target audience had an interest in the kind of information and evidence the CoP was set up to share and generate discussion about, but also that participants considered themselves to already have relatively good access to the information and evidence they needed to inform their work. Qualitative data revealed that the main barriers to using the CoP were a proliferation of information sources meaning that participants preferred to utilise trusted sources that were already established within their daily routines and a lack of time to engage with new online tools that required any significant commitment.
Specialist online CoPs are competing for space in an already crowded market. A target audience that regards itself as busy and over-supplied is unlikely to commit to a new service without the assurance that the service will provide unique and valuable well-summarised information, which would reduce the need to spend time accessing competing resources.
改进知识转化(KT)机制,将决策者彼此联系起来,并将他们认为与其工作相关的信息和证据联系起来,这仍然是公共卫生的优先事项。实践虚拟社区(CoP)可能提供一种经济实惠且灵活的方式,鼓励公共卫生界在跨越传统地理、专业、机构和时间界限的情况下进行联系和共享证据、信息和学习。然而,在线 CoP 在公共卫生中的适用性很少得到检验。本文探讨了为什么由英国健康论坛主办的特定在线酒精伤害减少 CoP 未能引起其目标公共卫生专业人员群体的足够兴趣。
该研究利用在线网络计量学来证明 CoP 缺乏在线活动。对在线问卷的 127 份回复进行了使用,以探讨缺乏活动是否可以用目标受众现有的信息和证据实践和需求来解释。对 10 名成员的定性访谈更详细地描述了影响目标人群使用虚拟 CoP 的因素。
定量和定性数据证实,目标受众对 CoP 旨在分享和生成讨论的信息和证据类型感兴趣,但参与者也认为自己已经相对较好地获得了他们需要的信息和证据来为他们的工作提供信息。定性数据显示,使用 CoP 的主要障碍是信息来源的扩散,这意味着参与者更愿意使用已经在他们的日常工作中建立的可信来源,以及缺乏时间来使用需要任何重大承诺的新在线工具。
专业的在线 CoP 在已经拥挤的市场中竞争空间。一个认为自己忙碌且供应过剩的目标受众不太可能在没有保证该服务将提供独特且有价值的摘要信息的情况下承诺使用新服务,这将减少他们花费时间访问竞争资源的需求。