运用“可及性、有效性、采用率、实施情况及维持情况”框架来评估一项全州范围的安全婴儿睡眠教育计划，以实现持续改进。
Using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to evaluate a state-wide safe infant sleep education program for continuous improvement.
作者信息
Ahlers-Schmidt Carolyn R, Schunn Christy, Hervey Ashley M, Torres Maria, Kuhlmann Stephanie, Kuhlmann Zachary
机构信息
Center for Research for Infant Birth and Survival, Wichita, KS, United States.
Department of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS, United States.
出版信息
Front Public Health. 2025 Aug 13;13:1540451. doi: 10.3389/fpubh.2025.1540451. eCollection 2025.
INTRODUCTION
The Kansas Infant Death and SIDS (KIDS) Network facilitates a two-day conference certifying Safe Sleep Instructors to provide standardized trainings based on the American Academy of Pediatrics (AAP) Safe Sleep Recommendations. Within one-year of certification, Safe Sleep Instructors are tasked with (a) disseminating safe sleep education to 10 professionals or parent/caregivers; and (b) hosting one Safe Sleep Community Baby Shower or 10 Safe Sleep Crib Clinics.
METHODS
A retrospective study was implemented to assess the impact of the Safe Sleep Instructor certification program using data from participants trained in Fiscal Year 2022. Data was assessed using the RE-AIM framework and aspects of the Kirkpatrick Evaluation Model. Reach and Effectiveness were evaluated at the conference, as were Kirkpatrick Reaction and Learning. Adoption and Implementation, and Kirkpatrick Behavior, were assessed through post-conference activities. Maintenance was measured based on Safe Sleep Instructor recertification the following year.
RESULTS
Results suggested the Safe Sleep Instructor certification was successful in terms of Reach, Effectiveness, Implementation and Maintenance, and Kirkpatrick Evaluation Model. Adoption was less than expected.
CONCLUSION
Utilizing dissemination and implementation science allowed for identification of strengths and limitations regarding the Safe Sleep Instructor program promoting the AAP Safe Sleep Recommendations. Modification to program requirements and expectations, post-conference support for activities, and increased ability to tailor to community needs may enhance Adoption efforts. In addition, Safe Sleep Instructors must have capacity, resources, expertise, and institutional support. Future studies are needed to assess characteristics that impact Adoption to enhance promotion of the AAP Safe Sleep Recommendations.
引言
堪萨斯州婴儿死亡与婴儿猝死综合症（KIDS）网络组织了一场为期两天的会议，为安全睡眠指导员颁发认证，以便他们根据美国儿科学会（AAP）的安全睡眠建议提供标准化培训。在获得认证的一年内，安全睡眠指导员的任务包括：（a）向10名专业人员或家长/照顾者传播安全睡眠教育；（b）举办一次安全睡眠社区婴儿派对或10次安全睡眠婴儿床诊所活动。
方法
实施了一项回顾性研究，以评估安全睡眠指导员认证计划的影响，使用的是2022财年培训参与者的数据。数据使用RE-AIM框架和柯克帕特里克评估模型的各个方面进行评估。在会议上评估了覆盖面和有效性，以及柯克帕特里克反应和学习情况。通过会后活动评估采用率和实施情况，以及柯克帕特里克行为。根据次年安全睡眠指导员的重新认证情况来衡量维持率。
结果
结果表明，在覆盖面、有效性、实施和维持方面，以及根据柯克帕特里克评估模型，安全睡眠指导员认证是成功的。采用率低于预期。
结论
利用传播与实施科学能够确定在推广AAP安全睡眠建议的安全睡眠指导员计划的优势和局限性。修改计划要求和期望、为活动提供会后支持，以及增强根据社区需求进行调整的能力，可能会提高采用率。此外，安全睡眠指导员必须具备能力、资源、专业知识和机构支持。需要开展进一步研究，以评估影响采用率的特征，从而加强对AAP安全睡眠建议的推广。
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