Emory University in Atlanta, Atlanta, GA, USA.
The University of Texas, Houston, TX, USA.
Health Promot Pract. 2022 Nov;23(6):1105-1115. doi: 10.1177/15248399211006490. Epub 2021 Apr 27.
Increasing use of evidence-based interventions (EBIs) in local settings will help reduce the research-practice gap and improve health equity. Because adaptation to new settings and populations is essential to effective EBI use, frameworks to guide practice are receiving more attention; most, however, only provide broad guidelines without instructions for making adaptations in practice. Therefore, practitioners may need additional training or technical assistance (TA) to implement and adapt EBIs. This study explores whether practitioners' and students' general EBI training or TA and level of adaptation experience are associated with self-efficacy in adapting EBIs and with attitudes toward EBI use. We analyzed baseline survey data of participants in an evaluation of IM-Adapt Online, a newly developed decision support tool. We asked about previous training on EBIs, general and specific adaptation behaviors, and attitudes toward EBIs and found an association between previous training or TA in using EBIs with higher self-efficacy for using and adapting EBIs. Respondents with prior EBI training were significantly more likely to have higher self-efficacy in EBI behaviors across subdomains and in total than those without training. Respondents reported lowest self-efficacy for planning adaptations ( = 3.35) and assessing fit of EBIs to their local context ( = 3.41). This study suggests the importance of EBI adaptation training and TA to increase adoption and adaptation of EBIs, subsequently. More adaptation-specific training is warranted to assist students, practitioners, and researchers undertaking the adaptation process and implement EBIs. Future training on EBI adaptation can help practitioners tailor EBIs to meet the specific needs of their populations.
在当地环境中越来越多地使用基于证据的干预措施（EBIs）将有助于缩小研究与实践之间的差距，改善健康公平。由于适应新环境和新人群对于有效使用 EBI 至关重要，因此指导实践的框架越来越受到关注；然而，大多数框架仅提供广泛的指导方针，而没有关于在实践中进行调整的说明。因此，从业人员可能需要额外的培训或技术援助（TA）来实施和调整 EBI。本研究探讨了从业人员和学生的一般 EBI 培训或 TA 以及适应经验的水平是否与调整 EBI 的自我效能感以及对 EBI 使用的态度有关。我们分析了一项针对 IM-Adapt Online 的评估中参与者的基线调查数据，这是一种新开发的决策支持工具。我们询问了他们之前关于 EBI 的培训、一般和具体的适应行为以及对 EBI 的态度，并发现之前使用 EBI 的培训或 TA 与使用和调整 EBI 的自我效能感之间存在关联。接受过 EBI 培训的受访者在 EBI 行为的各个子领域和总体上比没有接受过培训的受访者更有可能具有更高的自我效能感。受访者报告说，他们在计划适应措施方面的自我效能感最低（=3.35），对 EBI 适合其当地环境的评估也最低（=3.41）。这项研究表明，EBI 适应培训和 TA 对于增加 EBI 的采用和调整至关重要。更需要进行具体的适应培训，以帮助学生、从业人员和研究人员进行适应过程并实施 EBI。未来关于 EBI 适应的培训可以帮助从业人员根据特定人群的需求调整 EBI。
