进入议题：儿童心理健康护理中的机构特征与循证干预措施的采用
Getting to the table: Agency characteristics and evidence-based intervention adoption in children's mental health care.
作者信息
Choy-Brown Mimi, Hamovitch Emily K, Bornheimer Lindsay A, Acri Mary C, McKay Mary M
机构信息
University of Minnesota.
The McSilver Institute for Poverty Policy and Research.
出版信息
Child Youth Serv Rev. 2020 Mar;110. doi: 10.1016/j.childyouth.2020.104774. Epub 2020 Jan 22.
Scaling evidence-based interventions (EBI) for children and families across healthcare systems can expand public health impact. Research has identified EBI adoption determinants. However, less understood are characteristics of agencies that opt in across the stages of adoption. This study examined the relationship between agency (N=69) characteristics (e.g., revenue) and four adoption stages during a large-scale trial of an EBI for children with significant behavioral difficulties and their families. 48 (70%) of agencies demonstrated interest, 28 (41%) scheduled an informational meeting, 20 (29%) received training, and 16 (22%) demonstrated EBI uptake. Analyses indicated no differences in characteristics and initial interest. However, agencies with small-sized revenue had significantly reduced odds at other adoption stages. Implications for strategies to bring EBI access to scale are discussed.
在整个医疗系统中推广针对儿童及其家庭的循证干预措施（EBI）可以扩大公共卫生影响。研究已经确定了EBI采用的决定因素。然而，对于在采用的各个阶段选择参与的机构的特征，人们了解较少。本研究在一项针对有严重行为困难的儿童及其家庭的EBI大规模试验中，考察了机构特征（如收入）与四个采用阶段之间的关系。69个机构中有48个（70%）表现出兴趣，28个（41%）安排了信息会议，20个（29%）接受了培训，16个（22%）采用了EBI。分析表明，在特征和初始兴趣方面没有差异。然而，收入规模较小的机构在其他采用阶段的可能性显著降低。文中讨论了扩大EBI可及范围的策略的意义。
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