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述评:培训和技术援助中需要变革理论:实践与理论的碰撞。

Commentary: The Need for Theories of Change in Training and Technical Assistance: Where the Rubber Meets the Road.

机构信息

LARS Research Institute, Inc., Sun City, AZ, USA.

Prevention Strategies, Greensboro, NC, USA.

出版信息

Eval Health Prof. 2024 Dec;47(4):467-474. doi: 10.1177/01632787241289595.

DOI:10.1177/01632787241289595
PMID:39604112
Abstract

In this commentary, I revisit some of the core issues raised in both the first and second special issues on "Strengthening the Science and Practice of Implementation Support: Evaluating the Effectiveness of Training and Technical Assistance Centers." I first outline the concerns that I think are of paramount importance and then very briefly dissect each one from the perspective of a prevention scientist. I add commentary where I think the field can benefit and strengthen to advance the "science" of implementation support. At the same time, I also raise several points that I think will contribute to a better understanding of "how" TTA works, for "whom" and under what conditions. This portion of the commentary attends to the different training and learning modalities used for TTA, the argument that capacity building should be the objective, decluttering the constructs of motivation and readiness, and whether we can ever validly assess a public health impact from TTA. I offer suggestions to address each concern and hope that the field can benefit from this discussion as we usher in a new era.

摘要

在这篇评论中,我重新探讨了关于“加强实施支持的科学和实践:评估培训和技术援助中心的有效性”的第一期和第二期特刊中提出的一些核心问题。我首先概述了我认为至关重要的问题,然后从预防科学家的角度简要剖析了每一个问题。我认为在推进实施支持的“科学”方面,该领域可以从中受益并得到加强的地方,我会添加一些评论。同时,我还提出了几点看法,我认为这将有助于更好地理解 TTA 的“作用方式”、“针对谁”以及“在何种条件下”。这部分评论涉及 TTA 使用的不同培训和学习模式、能力建设应该是目标的论点、清理动机和准备就绪的结构,以及我们是否可以从 TTA 中有效地评估公共卫生影响。我提出了解决每个问题的建议,并希望该领域能够从本次讨论中受益,因为我们即将迎来一个新时代。

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