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Evidence valued and used by health promotion practitioners
V Li1, S M Carter2, L Rychetnik2
1Centre for Values, Ethics and the Law in Medicine, Sydney School of Public Health, The University of Sydney, NSW 2006, Australia and School of Medicine, University of Notre Dame, NSW 2010, Australia vincy.li@sydney.edu.au.
Health promotion practitioners use diverse evidence for practical and strategic aims. Their ideal evidence is context-specific, meeting practical and procedural standards for effective health promotion.
Area of Science:
- Health Promotion
- Evidence-Based Practice
Background:
- Evidence-based practice is crucial in health promotion.
- Disagreement exists on the types of evidence practitioners should utilize.
- Limited empirical understanding of how practitioners conceptualize and use evidence.
Purpose of the Study:
- To explore health promotion practitioners' purposes for using evidence.
- To identify the types of evidence practitioners value.
- To determine the qualities that make evidence useful in practice.
Main Methods:
- 58 semi-structured interviews and 250 hours of observation with 54 health promotion practitioners in New South Wales, Australia.
- Grounded Theory analysis of interview transcripts and observation field notes.
Main Results:
- Practitioners utilized evidence for both practical and strategic objectives.
- Four distinct types of evidence were valued based on relevance and utility.
- Ideal evidence originated from practice settings and met substantive and procedural criteria.
Conclusions:
- Health promotion practitioners employ a wide array of evidence due to their complex work.
- Organizational structures are needed to support practitioners in using diverse evidence effectively.
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