Homel Ross, Branch Sara, Freiberg Kate
Creating Pathways to Child Wellbeing Research Team, Griffith Criminology Institute, Griffith University, Mt Gravatt Campus, 176 Messines Ridge Road, Mount Gravatt, Brisbane, QLD, 4111, Australia.
J Prim Prev. 2019 Feb;40(1):143-148. doi: 10.1007/s10935-019-00541-8.
The measurement and monitoring of implementation fidelity or of adaptations to interventions in the ways described by the innovative papers in this special issue implies the need for an 'implementation infrastructure' to help assure the quality and hence impact of prevention delivery systems. In our work in Australia through schools and government-funded community services in socially disadvantaged communities we have begun to build such an infrastructure, which we call a Prevention Translation and Support System (PTSS). We offer our methodologies not as a template but as an illustration of one approach, designed for use with community coalitions. We aim to work in respectful partnerships with frontline professionals to construct, test, modify, and implement measurement tools and other electronic resources that can facilitate data-driven decision making and evidence-based practice, and generally promote the translation of prevention science into routine practice. The development and use of these technological resources are supported by community workers called Collective Change Facilitators, who act as a 'human bridge' between the worlds of research and practice. They serve as a critical friend to community coalitions, while also translating the needs of service deliverers back to the researchers and practitioners building the PTSS. One example of this engagement was the development and use of a multidimensional measure of coalition function, the Coalition Wellbeing Survey, that helps coalition leaders plan responsive action to overcome identified areas of difficulty and strengthen coalition function. The need for such a tool, accompanied by comprehensive resources, was identified early in our work as essential for the high-quality implementation by community coalitions of evidence-based services. We conclude that implementation of preventive innovations on a large scale, especially those in which technology is embedded to support measurement and monitoring, calls for the creation of new kinds of intermediate organizations that can help sustain a continuous process of research and quality improvement in the field.
对实施保真度或对本特刊中创新论文所描述的干预措施调整情况的测量与监测，意味着需要一个“实施基础设施”，以帮助确保预防服务提供系统的质量及其影响。在我们于澳大利亚通过学校及政府资助的社区服务机构在社会弱势社区开展的工作中，我们已开始构建这样一个基础设施，我们称之为预防转化与支持系统（PTSS）。我们提供的方法并非模板，而是一种方法示例，专为与社区联盟合作而设计。我们旨在与一线专业人员建立相互尊重的伙伴关系，构建、测试、修改并实施测量工具及其他电子资源，以促进基于数据的决策和循证实践，并总体上推动预防科学转化为常规实践。这些技术资源的开发与使用得到了被称为集体变革促进者的社区工作者的支持，他们在研究与实践领域之间充当“人际桥梁”。他们是社区联盟的重要伙伴，同时也将服务提供者的需求反馈给构建PTSS的研究人员和从业者。这种合作的一个例子是开发并使用了一种衡量联盟功能的多维工具——联盟福祉调查，它有助于联盟领导者规划应对行动，以克服已确定的困难领域并加强联盟功能。在我们工作的早期阶段就确定，这样一种工具以及全面的资源，对于社区联盟高质量实施循证服务至关重要。我们得出结论，大规模实施预防性创新，尤其是那些嵌入技术以支持测量与监测的创新，需要创建新型的中间组织，以帮助维持该领域持续的研究和质量改进过程。
