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国务院和服务提供机构在行为健康和儿童福利方面对循证项目注册的利用。

State Department and Provider Agency Utilization of Evidence-Based Program Registries in Behavioral Healthcare and Child Welfare.

机构信息

Evaluation Center, 4175Western Michigan University, Kalamazoo, MI, USA.

217535Oregon Social Learning Center, Eugene, OR, USA.

出版信息

Eval Health Prof. 2022 Dec;45(4):397-410. doi: 10.1177/01632787221085754. Epub 2022 Apr 21.

DOI:10.1177/01632787221085754
PMID:35446692
Abstract

Evidence-based program registries (EBPRs) are web-based compilations of behavioral healthcare programs/interventions that rely on research-based criteria to rate program efficacy or effectiveness for support of programmatic decision-making. The objective was to determine the extent to which behavioral health decision-makers access EBPRs and to understand whether and exactly how they use the information obtained from EPBRs. Single State Authorities (SSAs) and service provider agencies in the areas of behavioral health and child welfare were recruited nationally. Senior staff (n = 375) responsible for the selection and implementation of programs and/or policies were interviewed by telephone concerning their visits (if any) to 28 relevant EBPRs, the types of information they were seeking, whether they found it, and how they may have used that information to effect changes in their organizations. At least one EBPR was visited by 80% of the respondents, with a median of three different registers being visited. Most visitors (55%) found all the information they were seeking; those who did not desired more guidance or tools for individual program implementation or were unable to locate the program or practice that they were seeking. Most visitors (65%) related using the information obtained to make changes in their organizations, in particular to select, start or change a program, or to support the adoption or improvement of evidence-based clinical practices. EBPRs were shown to be important resources for dissemination of research-based program effectiveness data, leading to increased use of evidence-based practices in the field, but the study also identified needs for greater awareness of EBPRs generally and for more attention to implementation of specific recommended programs and practices.

摘要

循证项目注册处(EBPRs)是基于网络的行为健康护理项目/干预措施的汇编,它们依赖于基于研究的标准来评估项目的疗效或效果,以支持项目决策。目的是确定行为健康决策者访问 EBPR 的程度,并了解他们是否以及如何使用从 EPBR 获得的信息。全国范围内招募了行为健康和儿童福利领域的单一州立机构(SSAs)和服务提供商机构。负责选择和实施计划和/或政策的高级工作人员(n = 375)通过电话接受了采访,内容涉及他们对 28 个相关 EBPR 的访问(如果有),他们正在寻找的信息类型,是否找到了这些信息,以及他们如何使用这些信息来影响他们组织的变化。至少有 80%的受访者访问了一个以上的 EBPR,中位数为访问了三个不同的注册处。大多数访问者(55%)找到了他们正在寻找的所有信息;那些没有找到的人希望获得更多关于个别项目实施的指导或工具,或者无法找到他们正在寻找的项目或实践。大多数访问者(65%)表示,他们使用获得的信息来改变他们的组织,特别是选择、启动或改变项目,或支持采用或改进基于证据的临床实践。EBPR 被证明是传播基于研究的项目效果数据的重要资源,导致该领域更多地使用基于证据的实践,但该研究还确定了需要更广泛地了解 EBPR 以及更关注具体推荐项目和实践的实施。

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