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Developing Theory to Guide Building Practitioners' Capacity to Implement Evidence-Based Interventions.

Jennifer Leeman1, Larissa Calancie1, Michelle C Kegler2

  • 11 University of North Carolina at Chapel Hill, NC, USA.

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|October 27, 2015
PubMed
Summary
This summary is machine-generated.

Evidence-based interventions (EBIs) are underused because practitioners lack capacity. This study proposes a theory to tailor capacity-building strategies for effective EBI implementation across diverse settings.

Keywords:
capacity buildingdisseminationevidence-based interventionsknowledge translationprevention support

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Area of Science:

  • Public Health
  • Implementation Science
  • Health Services Research

Background:

  • Evidence-based interventions (EBIs) are crucial for improving community health outcomes.
  • Underuse of EBIs persists due to practitioner capacity gaps in selection, adaptation, and implementation.
  • Existing capacity-building strategies lack tailored approaches for varying EBIs and practice contexts.

Purpose of the Study:

  • To develop a theory guiding the tailoring of capacity-building strategies for evidence-based interventions.
  • To identify salient variations in EBIs and practice contexts that influence implementation.
  • To address the need for effective strategies to increase EBI adoption and sustained use.

Main Methods:

  • Conducted a scoping study of 24 frameworks and theories related to EBIs and practice contexts.
  • Utilized an iterative process to consolidate constructs and propositions.
  • Developed a theory describing variations in EBIs (complexity, uncertainty) and practice contexts (decision-making, innovation capacity, resource fit, stakeholder support).

Main Results:

  • Identified key variations in EBIs, including complexity and uncertainty.
  • Characterized practice contexts by decision-making structure, innovation capacity, resource/values fit, and stakeholder support.
  • Developed propositions for tailoring capacity-building strategies to these identified variations.

Conclusions:

  • Effective dissemination of EBIs requires tailored capacity-building strategies.
  • Addressing variations in EBIs and practice contexts is essential for successful implementation.
  • The developed theory provides a foundation for designing targeted capacity-building initiatives to enhance EBI adoption.