Bäck Annika, Hasson Henna, Bergström Anna
Department of Learning, Informatics, Management and Ethics, Medical Management Centre (MMC), Karolinska Institutet, 171 77, Stockholm, SE, Sweden.
Center for Epidemiology and Community Medicine, Stockholm Region, 171 29, Stockholm, SE, Sweden.
Pilot Feasibility Stud. 2022 Aug 26;8(1):191. doi: 10.1186/s40814-022-01154-5.
Local politicians can serve as enablers or barriers for health and social organizations to implement evidence, impacting the context of health and social service organizations. Increasing local politicians' knowledge about, and support for, evidence-based practice (EBP) could be a way to strengthen the conditions in social service organizations for EBP. The aim of the study was to describe the development and assess the perceived feasibility, acceptability, and appropriateness of an intervention to enable local political committees to support the implementation of EBP. Furthermore, the achievement of the learning outcomes was examined.
Workshops and interviews were used to co-create the intervention with social service representatives (n = 8) and local politicians (n = 6). A single-arm, non-blinded feasibility study was conducted in a social welfare committee with local politicians (n = 14) and representatives from social services (n = 4). Interviews and pre-post questionnaires were used to assess the intervention's feasibility, acceptability, appropriateness, and learning outcomes. Progression criteria was set to > 80% of respondents judging the intervention to be feasible, acceptable, and appropriate. Thematic analysis and descriptive statistics were used for analysis.
The quantitative and qualitative results indicate that the intervention was perceived as acceptable and appropriate. However, the progression criteria for feasibility were not fully met. Qualitative findings show that the intervention was perceived as interesting, fun, and created curiosity to learn more about EBP. The discussions between the committee and the representatives from the social services department were much valued.
Careful anchoring of the intervention and comprehensive local adaptation regarding delivery format will be central to the delivery of this intervention if offered elsewhere. Furthermore, we recommend that skills training during the intervention should be included. The collaboration between local politicians and representatives from the social services department was a vital aspect of the intervention and should not be excluded. Collaboration between these actors will be of significance in further developing support for EBP implementation, as expressed by the interview participants.
地方政客可能成为卫生和社会组织实施循证实践的推动者或阻碍者，影响卫生和社会服务组织的环境。增加地方政客对循证实践（EBP）的了解和支持，可能是加强社会服务组织实施循证实践条件的一种方式。本研究的目的是描述一项干预措施的发展情况，并评估该干预措施使地方政治委员会支持循证实践实施的可行性、可接受性和适宜性。此外，还考察了学习成果的达成情况。
通过研讨会和访谈，与社会服务代表（n = 8）和地方政客（n = 6）共同制定干预措施。在一个社会福利委员会中，对地方政客（n = 14）和社会服务代表（n = 4）进行了单臂、非盲法可行性研究。通过访谈和前后问卷调查来评估干预措施的可行性、可接受性、适宜性和学习成果。进展标准设定为>80%的受访者认为干预措施可行、可接受且适宜。采用主题分析和描述性统计进行分析。
定量和定性结果表明，该干预措施被认为是可接受和适宜的。然而，可行性的进展标准未完全达到。定性研究结果表明，该干预措施被认为有趣、好玩，并激发了人们对更多了解循证实践的好奇心。委员会与社会服务部门代表之间的讨论很有价值。
如果在其他地方实施该干预措施，对干预措施进行仔细定位并针对交付形式进行全面的地方适应性调整将是关键。此外，我们建议在干预过程中应包括技能培训。地方政客与社会服务部门代表之间的合作是干预措施的一个重要方面，不应被排除。正如访谈参与者所表达的，这些行为者之间的合作对于进一步发展对循证实践实施的支持具有重要意义。
