Centre de recherche en santé de Nouna, Ouagadougou, Burkina Faso.
Health Policy Research Group, University of Nigeria, Enugu, Nigeria.
Gates Open Res. 2024 Oct 24;7:135. doi: 10.12688/gatesopenres.14973.1. eCollection 2023.
This study sought to document and understand facilitators and barriers to producing, translating, and using modeled evidence in decision-making in Burkina Faso, Nigeria, India, and Kenya. We explored researcher-decision-maker engagement mechanisms as key facilitators of evidence use, with a focus on knowledge brokers and boundary organizations.
The study used sequential mixed methods drawing on data collected from surveys and key informant interviews, complemented by a rapid desk review to map modeling activities and actors. The survey was conducted online while the qualitative research entailed in-depth interviews with modelers, knowledge brokers, and decision-makers working in a representative variety of health fields, organizations, and levels of government. This study was approved by Health Media Lab IRB (Institutional Review Board) in the United States and a local IRB in each study country and conducted between September 2021 and June 2022.
Informants interviewed for this study described a range of factors that facilitate and inhibit the use of modeled evidence in public health decision-making at the individual, organizational, and environmental levels. Key themes included the capacity to produce, translate, and use modeled evidence; the timing and relevance of modeling outputs; the existence of communications channels between modelers and decision-makers; the strength of underlying data systems; the role of sustained funding; and the impact of global crises.
This study highlights the importance of taking an ecosystem approach to supporting modeling activities, considering individual, organizational, and environmental factors and how different actors and interact to inform the production, translation, and use of modeled evidence. Structured interaction that promotes dialogue, debate, and joint sense making between the producers and users of evidence is critical to informing and influencing the use of evidence in decision-making.
本研究旨在记录和理解在布基纳法索、尼日利亚、印度和肯尼亚，制作、翻译和在决策中使用模型证据的促进因素和障碍。我们探讨了研究人员与决策者的参与机制，将其作为证据使用的关键促进因素，重点关注知识经纪人（knowledge broker）和边界组织（boundary organization）。
该研究采用了顺序混合方法，利用从调查和关键知情人访谈中收集的数据，辅之以快速文献综述，以绘制建模活动和参与者的地图。调查是在线进行的，而定性研究则包括与在各种代表性卫生领域、组织和各级政府工作的建模人员、知识经纪人以及决策者进行深入访谈。本研究得到了美国健康媒体实验室 IRB（机构审查委员会）和每个研究国家的当地 IRB 的批准，并于 2021 年 9 月至 2022 年 6 月进行。
为本研究接受访谈的知情人描述了一系列在个人、组织和环境层面促进和阻碍公共卫生决策中使用模型证据的因素。主要主题包括生产、翻译和使用模型证据的能力；建模结果的时间和相关性；建模人员和决策者之间的沟通渠道的存在；基础数据系统的强度；持续资金的作用；以及全球危机的影响。
本研究强调了采取生态系统方法支持建模活动的重要性，考虑到个人、组织和环境因素，以及不同参与者如何相互作用，以告知、翻译和使用模型证据。促进证据生产者和使用者之间对话、辩论和共同理解的结构化互动对于告知和影响决策中的证据使用至关重要。
