Bumbarger Brian K, Moore Julia E, Crane Margaret E
Science, Systems and Communities Consulting, LLC, USA.
The Center for Implementation, Canada.
Eval Health Prof. 2024 Dec;47(4):488-493. doi: 10.1177/01632787241293457. Epub 2024 Oct 31.
This invited commentary reflects on Wandersman and Scheier's (2024) call for a more evidence-based model of training and technical assistance (i.e. TTA or implementation support). Their clarion call prompts us to consider what steps need to be taken to refine and scale a solution that genuinely enhances the effectiveness of TTA through a re-imagined model of implementation support. We highlight eight priorities to re-imagine a more effective and efficient model of TTA that reflects best practice and simultaneously contributes to continuous, collective evidence-building. The eight priorities include: (1) an ecosystem of TTA connecting TTA research and practice; (2) TTA capacity building; (3) health equity, and equitable partnerships; (4) trust and relationships; (5) TTA evaluation; (6) continuous quality improvement; (7) implementation support mechanisms; and (8) cost-effective solutions. We advocate for an international, cross-disciplinary, applied agenda aimed at establishing a robust empirical foundation for TTA to foster a culture of continuous quality improvement and knowledge generation across government agencies and philanthropies that fund TTA Centers. We describe a potential scenario for how funders can initiate and support evidence-based TTA.
这篇特邀评论文章反思了万德斯曼和沙耶尔（2024年）提出的建立更基于证据的培训与技术援助（即TTA或实施支持）模式的呼吁。他们的号召促使我们思考需要采取哪些步骤来完善和扩大一种通过重新构想的实施支持模式真正提高TTA有效性的解决方案。我们强调了八个优先事项，以重新构想一个更有效、更高效的TTA模式，该模式既能反映最佳实践，又能同时促进持续的集体证据积累。这八个优先事项包括：（1）连接TTA研究与实践的TTA生态系统；（2）TTA能力建设；（3）健康公平及公平伙伴关系；（4）信任与关系；（5）TTA评估；（6）持续质量改进；（7）实施支持机制；（8）具有成本效益的解决方案。我们倡导一个国际、跨学科的应用议程，旨在为TTA建立一个坚实的实证基础，以在为TTA中心提供资金的政府机构和慈善机构中培育持续质量改进和知识生成的文化。我们描述了资助者如何启动和支持基于证据的TTA的一种潜在情景。
