Department of Health Management and Policy, Drexel University.
American Psychological Association.
Am Psychol. 2020 Nov;75(8):1052-1066. doi: 10.1037/amp0000721.
The public health impact of psychological science is maximized when it is disseminated clearly and compellingly to audiences who can act on it. Dissemination research can generate knowledge to help achieve this, but dissemination is understudied in the field of implementation science. As a consequence, the designs of dissemination strategies are typically driven by anecdote, not evidence, and are often ineffective. We address this issue by synthesizing key theory and findings from consumer psychology and detailing a novel research approach for "data-driven dissemination." The approach has 3 parts: (a) formative audience research, which characterizes an audience's awareness about, adoption of, and attitudes toward an intervention, as well as preferences for receiving information about it; (b) audience segmentation research, which identifies meaningful subgroups within an audience to inform the tailoring of dissemination strategies; and (c) dissemination effectiveness research, which determines the strategies that are most effective. This approach is then illustrated using the dissemination of the American Psychological Association's (APA, 2017) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults as a case study. Data are presented from a 2018-2019 survey of licensed APA-member psychologists who treat adults with PTSD (n = 407, response rate = 29.8%). We present survey findings on awareness about, attitudes toward, and adoption of the guideline and find significant differences across these domains between psychologists who do and do not regularly use clinical practice guidelines. We conclude by discussing future directions to advance dissemination research and practice. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
当心理学科学向能够采取行动的受众清晰而有力地传播时,其对公众健康的影响最大。传播研究可以产生有助于实现这一目标的知识,但在实施科学领域,传播研究还不够深入。因此,传播策略的设计通常是基于轶事,而不是证据,而且往往效果不佳。我们通过综合消费者心理学的关键理论和发现来解决这个问题,并详细介绍了一种新的“数据驱动传播”研究方法。该方法有 3 个部分:(a) 形成性受众研究,描述受众对干预措施的认识、采用和态度,以及对接收相关信息的偏好;(b) 受众细分研究,确定受众内部有意义的亚组,为传播策略的定制提供信息;(c) 传播效果研究,确定最有效的策略。然后,我们使用美国心理协会(APA,2017)发布的《成人创伤后应激障碍治疗临床实践指南》(简称 PTSD 指南)的传播为例来说明这种方法。该指南的传播效果研究是通过对 2018 年至 2019 年间治疗 PTSD 成年人的 APA 认证心理学家进行调查收集的,共调查了 407 名心理学家(回应率=29.8%)。我们展示了关于指南的认识、态度和采用情况的调查结果,并发现了经常使用临床实践指南的心理学家和不经常使用的心理学家在这些方面存在显著差异。最后,我们讨论了推进传播研究和实践的未来方向。(美国心理协会,2020 年)