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一种混合方法评估,用于捕捉和分享实践者经验,以改进当地烟草控制策略。

A mixed methods evaluation of capturing and sharing practitioner experience for improving local tobacco control strategies.

机构信息

Propel Centre for Population Health Impact, Faculty of Applied Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, N2L3G1, Canada.

School of Public Health and Health Systems, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Canada.

出版信息

Can J Public Health. 2019 Feb;110(1):103-113. doi: 10.17269/s41997-018-0153-3. Epub 2018 Nov 19.

Abstract

OBJECTIVE

Practitioner experience is one type of evidence that is used in public health planning and action. Yet, methods for capturing and sharing experience are under-developed. We evaluated the reach, uptake and use of an example of capturing and sharing practitioner experience from tobacco control known as documentation of practice (DoP) reports.

METHODS

The participatory, mixed methods approach included the following: a document review to capture data related to the extent and how DoP reports reached the target population; an online survey to assess awareness, use and perceptions about DoP reports; and semi-structured interviews to identify and explore examples of instrumental, conceptual and symbolic use of DoP reports. The samples for the survey and interviews included tobacco control practitioners from public health units in Ontario, Canada.

RESULTS

Seventy-three individuals participated in the survey and 10 were interviewed. Awareness of at least one DoP report was high. The most common way of learning about DoP reports was email. DoP reports focused on policy issues had highest use; these reports were used in conceptual (helped raise awareness), instrumental (directly informed local policy development) and symbolic (confirmed a choice already made) ways. DoP reports may be improved with key messages, shorter development timelines, more relevant topic selection and dissemination to audiences beyond public health.

CONCLUSION

DoP reports are useful to public health practitioners working in tobacco control within Ontario; refinements to development and dissemination processes will enhance use. Future studies and adaptations of DoP reports could help improve use of practitioner experience as one source of evidence informing public health practice.

摘要

目的

从业者经验是用于公共卫生规划和行动的一种证据类型。然而,用于捕捉和共享经验的方法还不够完善。我们评估了一种从烟草控制中捕获和共享从业者经验的方法,即实践记录(DoP)报告的应用范围、采用情况和使用情况。

方法

该参与式、混合方法包括以下内容:文献回顾,以获取与 DoP 报告覆盖范围以及如何覆盖目标人群相关的数据;在线调查,以评估对 DoP 报告的认识、使用和看法;半结构化访谈,以确定和探讨 DoP 报告的工具性、概念性和象征性使用的实例。调查和访谈的样本包括来自加拿大安大略省公共卫生部门的烟草控制从业者。

结果

73 人参加了调查,10 人接受了访谈。至少了解一份 DoP 报告的人很多。了解 DoP 报告的最常见方式是电子邮件。关注政策问题的 DoP 报告使用率最高;这些报告以概念性(帮助提高认识)、工具性(直接为当地政策制定提供信息)和象征性(证实已经做出的选择)的方式使用。通过突出关键信息、缩短开发时间、更有针对性地选择主题以及向公共卫生以外的受众传播,可以改进 DoP 报告。

结论

DoP 报告对安大略省从事烟草控制工作的公共卫生从业者很有用;改进开发和传播过程将提高其使用效果。未来对 DoP 报告的研究和改编可以帮助更好地利用从业者经验作为公共卫生实践的一种证据来源。

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本文引用的文献

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The tobacco endgame: a qualitative review and synthesis.烟草终局:一项定性综述与综合分析
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Monitoring use of knowledge and evaluating outcomes.监测知识的使用并评估结果。
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