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《约会问题工具包:提高全面预防暴力模式采用率、实施率和维持率的方法》

The Dating Matters Toolkit: Approaches to increase adoption, implementation, and maintenance of a comprehensive violence prevention model.

作者信息

DeGue Sarah, Le Vi D, Roby Sarah J

机构信息

Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

Implement Res Pract. 2020 Dec 9;1. doi: 10.1177/2633489520974981.

Abstract

PURPOSE

This practical implementation report describes a comprehensive teen dating violence prevention model-Dating Matters-and the approach taken to maximize its potential for widespread dissemination through development of the Dating Matters Toolkit. Dating Matters has evidence of effectiveness for preventing teen dating violence and other adolescent risk behaviors from a multi-site randomized controlled trial. Identifying strategies that reduce barriers to the dissemination and implementation of evidence-based comprehensive prevention models, like Dating Matters, is critical to their widespread adoption. Lessons learned from creating the Toolkit can inform the development and dissemination of similar comprehensive prevention strategies and speed their adoption and use in the field.

APPROACH

We engaged in a multi-pronged, data-driven approach to maximize adoption, implementation, and maintenance of the Dating Matters model based on multiple data sources and lessons learned from the demonstration project, while retaining core components and content of the evaluated model. Potential barriers to the national dissemination of Dating Matters were identified in four key areas: training, technical assistance, model flexibility, and accessibility. A series of modifications were made to the implementation model to address these challenges and facilitate scale-up prior to national dissemination. We outline these challenges and describe solutions implemented through the development of the Dating Matters Toolkit.

OUTCOMES

The Dating Matters Toolkit includes web-based facilitator training, enhanced implementation support through a new staff role and community of practice, online comprehensive implementation guidance and resources, and added flexibility to improve feasibility and adoption in communities during capacity-building. Findings from an initial evaluation of the Toolkit suggest users perceived the comprehensive model as feasible and accessible with enough implementation support. Most expressed interest in adopting the model. Users described cost and stakeholder buy-in as remaining barriers. Ongoing improvements to the Toolkit to address these challenges and future research to evaluate its effectiveness are planned.

摘要

目的

本实践实施报告描述了一个全面的青少年约会暴力预防模型——“约会很重要”,以及通过开发“约会很重要”工具包来最大限度地扩大其广泛传播潜力所采取的方法。“约会很重要”在一项多地点随机对照试验中具有预防青少年约会暴力和其他青少年风险行为的有效性证据。识别减少基于证据的全面预防模型(如“约会很重要”)传播和实施障碍的策略,对于它们的广泛采用至关重要。从创建工具包中吸取的经验教训可以为类似全面预防策略的开发和传播提供信息,并加速它们在该领域的采用和使用。

方法

我们采用了多管齐下、数据驱动的方法,基于多个数据源和从示范项目中吸取的经验教训,最大限度地促进“约会很重要”模型的采用、实施和维持,同时保留评估模型的核心组件和内容。在四个关键领域确定了“约会很重要”在全国传播的潜在障碍:培训、技术援助、模型灵活性和可及性。对实施模型进行了一系列修改,以应对这些挑战,并在全国传播之前促进扩大规模。我们概述了这些挑战,并描述了通过开发“约会很重要”工具包实施的解决方案。

成果

“约会很重要”工具包包括基于网络的主持人培训、通过新的工作人员角色和实践社区加强实施支持、在线全面实施指南和资源,以及增加灵活性以在能力建设期间提高社区的可行性和采用率。对该工具包的初步评估结果表明,用户认为该综合模型在有足够实施支持的情况下是可行且可及的。大多数人表示有兴趣采用该模型。用户将成本和利益相关者的支持视为仍然存在的障碍。计划对工具包进行持续改进以应对这些挑战,并进行未来研究以评估其有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5db/9978633/58b267eb28b7/10.1177_2633489520974981-fig1.jpg

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