Sabri Bushra, Young Neenah, Cardenas Iris, Emezue Chuka Nestor, Patch Michelle
Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Trauma Violence Abuse. 2024 Dec 27:15248380241305567. doi: 10.1177/15248380241305567.
Despite the prevalence and harmful consequences of interpersonal violence and the growth in intervention research, applying research evidence and strategies into practice remains limited. This systematic review addresses this gap by using the Consolidated Framework of Implementation Research (CFIR) to characterize barriers and facilitators in efforts to prevent and address interpersonal violence. A systematic search of peer-reviewed literature was conducted using the following databases: PubMed, Embase, CINAHL, Cochrane, Web of Science, Scopus, and APA PsycInfo. The searches resulted in 1,319 articles for initial screening, with 31 studies included in the final synthesis. The selected studies were original research highlighting barriers and facilitators of implementing interpersonal violence interventions for adolescents and adults across various US settings, employing quantitative, qualitative, or mixed methods approaches. Excluded studies included protocols, reviews, and research that did not identify barriers or facilitators of implementing violence prevention or intervention programs. Published from 2007 to 2023, the selected studies spanned healthcare, school, community, correctional, and military settings. Using the CFIR, the review identified multilevel barriers (e.g., lack of cultural relevance, leadership commitment) and facilitators (e.g., intervention adaptability, stakeholder engagement) across five domains: outer setting (external factors), inner setting (organizational characteristics) implementation process, individual characteristics, and intervention characteristics. These findings underscore the importance of adaptable, culturally relevant strategies and comprehensive stakeholder involvement for effective implementation. The review emphasizes the need for enhanced pre-implementation planning, capacity building, and organizational support to address identified barriers. Furthermore, it highlights the necessity for further research in under-researched settings, employing evidence-based implementation strategies.
尽管人际暴力普遍存在且后果有害，干预研究也在不断增加，但将研究证据和策略应用于实践的情况仍然有限。本系统评价通过使用实施研究综合框架（CFIR）来描述预防和应对人际暴力工作中的障碍和促进因素，以填补这一空白。使用以下数据库对同行评审文献进行了系统检索：PubMed、Embase、CINAHL、Cochrane、Web of Science、Scopus和APA PsycInfo。检索结果产生了1319篇文章用于初步筛选，最终综合纳入了31项研究。所选研究均为原创研究，重点关注在美国不同环境中针对青少年和成年人实施人际暴力干预措施的障碍和促进因素，采用了定量、定性或混合方法。排除的研究包括方案、综述以及未确定实施暴力预防或干预计划的障碍或促进因素的研究。所选研究发表于2007年至2023年，涵盖医疗保健、学校、社区、惩教和军事环境。通过CFIR，该评价确定了五个领域的多层次障碍（如缺乏文化相关性、领导承诺）和促进因素（如干预适应性、利益相关者参与）：外部环境（外部因素）、内部环境（组织特征）、实施过程、个体特征和干预特征。这些发现强调了适应性强、具有文化相关性的策略以及利益相关者全面参与对于有效实施的重要性。该评价强调需要加强实施前规划、能力建设和组织支持，以解决已确定的障碍。此外，它还强调了在研究较少的环境中采用循证实施策略进行进一步研究的必要性。
