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From valuing research to implementing evidence-based practices: perceptions of research value, confidence, and
Aryn Lee1, Jerad Moxley1, Jenna Gladfelter2
1Division of Geriatrics and Palliative Care, Weill Cornell Medicine, New York, New York, United States.
Aging service providers see research as valuable but lack confidence in applying it, indicating capacity, not motivation, is key for implementing evidence-based practices. Targeted training and support are needed.
Area of Science:
- Gerontology
- Implementation Science
- Health Services Research
Background:
- Global older adult population growth necessitates evidence-based aging services.
- Understanding aging service providers' research perceptions is crucial for effective implementation.
- The Consolidated Framework for Implementation Research (CFIR) guides the examination of these perceptions.
Purpose of the Study:
- To examine research perceptions among providers in a New York-based network of Area Agencies on Aging.
- To identify factors influencing providers' capacity and motivation to implement evidence-based practices.
- To apply the CFIR to understand implementation challenges in aging services.
Main Methods:
- A cross-sectional survey (N=172) was administered to aging service providers.
- Principal component analysis identified three provider engagement factors: Research Barriers, Perceived Research Value, and Research Confidence.
- Rank-based regression models analyzed predictors for each identified factor.
Main Results:
- Providers reported high Perceived Research Value (M=4.38) and moderate Research Confidence (M=3.76).
- Research Barriers were near the midpoint (M=3.10).
- Higher professional roles (executives) showed greater Research Confidence than lower roles (caseworkers); multiracial providers scored lower than White providers.
Conclusions:
- Provider confidence in applying research findings varies by professional role, suggesting capacity is a primary implementation barrier.
- Multilevel strategies targeting organizational settings and provider self-efficacy are recommended for improving evidence-based practice implementation.
- Further research is needed to explore racial subgroup differences due to limited sample size.
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