Department of Public Health Policy & Management, School of Global Public Health, Global Center for Implementation Science, New York University, New York, New York, USA.
Department of Health Management and Policy, Drexel University Dornsife School of Public Health, Philadelphia, Pennsylvania, USA.
Health Serv Res. 2022 Aug;57(4):842-852. doi: 10.1111/1475-6773.13955. Epub 2022 Mar 13.
To determine whether the self-report frequency of inter-agency collaboration about children's mental health issues is associated with the self-report frequency of using research evidence in children's mental health policy and program decision making in mental health agencies (MHAs).
Primary data were collected through web-based surveys of state (N = 221) and county (N = 117) MHA officials.
The primary independent variable was a composite score quantifying the frequency of collaboration about children's mental health issues between officials in MHAs and six other state agencies. The dependent variables were composite scores quantifying the frequency of research use in children's mental health policy and program decision making in general and for specific purposes (i.e., conceptual, instrumental, tactical, imposed). Covariates were composite scores quantifying well-established determinants of research use (e.g., agency leadership, research use skills) in agency policy and program decision making.
Separate multiple linear regression models estimated associations between frequency of inter-agency collaboration and research use scores, adjusting for other determinants of research use, respondent state, and other covariates. Data from state and county officials were analyzed separately.
The frequency of inter-agency collaboration was positively and independently associated with the frequency of research use in children's mental health policy making among state (β = 0.22, p = 0.004) and county (β = 0.39, p < 0.0001) MHA officials. Inter-agency collaboration was also the only variable significantly associated with the frequency of research use for all four specific purposes among state MHA officials, and similar findings we observed among county MHA officials. The magnitudes of associations between inter-agency collaboration and frequency of research use were generally stronger than for more well-established determinants of research use in policy making.
Strategies that promote collaboration between MHA officials and external agencies could increase the use of research evidence in children's mental health policy and program decision making in MHAs.
确定机构间关于儿童心理健康问题合作的自我报告频率是否与心理健康机构(MHA)中儿童心理健康政策和项目决策中使用研究证据的自我报告频率相关。
通过对州(N=221)和县(N=117)MHA 官员的在线调查收集了主要数据。
主要自变量是量化 MHA 官员与其他六个州机构之间儿童心理健康问题合作频率的综合得分。因变量是量化研究在儿童心理健康政策和项目决策中总体使用频率以及特定目的(即概念、工具、战术、强制)使用频率的综合得分。协变量是量化机构政策和项目决策中研究使用的既定决定因素(例如机构领导、研究使用技能)的综合得分。
分别使用多元线性回归模型估计机构间合作频率与研究使用分数之间的关联,同时调整研究使用的其他决定因素、受访者所在州以及其他协变量。分别分析州和县官员的数据。
机构间合作的频率与州(β=0.22,p=0.004)和县级(β=0.39,p<0.0001)MHA 官员儿童心理健康政策制定中研究使用的频率呈正相关且独立。机构间合作也是与州 MHA 官员所有四个特定目的的研究使用频率唯一显著相关的变量,我们在县级 MHA 官员中也观察到了类似的发现。机构间合作与研究使用频率之间的关联程度通常强于政策制定中更成熟的研究使用决定因素。
促进 MHA 官员与外部机构之间合作的策略可以增加 MHA 中儿童心理健康政策和项目决策中研究证据的使用。