通过实施学术-地方公共卫生部门合作伙伴关系来改善癌症预防和控制 - - 采用正偏差方法进行集群随机实施试验的协议
Stephanie Mazzucca-Ragan1, Peg Allen2, Kathleen Amos3
1Brown School at Washington University in St. Louis, St. Louis, MO, USA. smazzucca@wustl.edu.
Implementation science communications
|February 24, 2025
概括
本研究探讨了如何构建学术与公共卫生部门 (AHD) 的合作伙伴关系,以有效实施癌症预防计划. 结果将确定可持续的合作模式,以改善公共卫生实践.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 当地卫生部门在实施基于证据的癌症计划方面面临挑战,原因是培训不足和组织气候不支持.
- 学术与公共卫生部门 (AHD) 的合作伙伴关系提供了一个有希望的方法,通过促进从业者和学者之间的合作来弥合这些差距.
- 现有的研究强调了AHD伙伴关系的好处,但缺乏对计划和政策实施最佳结构的详细了解.
研究的目的:
- 调查学术-公共卫生部门 (AHD) 合作伙伴关系如何最好地结构化和支持,以加强癌症预防和控制计划和政策的实施.
- 确定影响AHD伙伴关系参与和有效性的关键关系和上下文因素.
- 开发和测试加强AHD伙伴关系的策略,并改进基于证据的实践的采用.
主要方法:
- 这是一项混合方法,双阶段研究,以探索,准备,实施和维持 (EPIS) 框架为指导.
- 形成阶段:对500名学者和当地卫生部门工作人员进行了调查,随后对8个AHD合作伙伴进行了深入采访 (四个参与度高,四个参与度低).
- 实验阶段:一个配对组随机试验与28个AHD伙伴关系,以评估精细实施策略对伙伴关系参与和基于证据的程序采用的影响.
主要成果:
- 这项研究是前性的,并且已注册 (临床试验.gov:NCT06605196).
- 对调查和采访数据的分析将为AHD合作伙伴关系提供特征,并确定高参与度和低参与度合作之间的差异.
- 随机试验将评估具体策略在加强伙伴关系和改善癌症预防和控制倡议的实施方面的有效性.
结论:
- 这项研究开创了对改善公共卫生实践的AHD伙伴关系结构的审查.
- 结果将为开发学术和公共卫生合作的可持续模型提供信息.
- 这些发现将有助于更好地理解EPIS框架内的桥梁因素,并促进基于证据的癌症控制.
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