程序评估和传播的障碍和促进者:为实施策略提供信息的定性研究
Laura E Balis1, Shelly Palmer1, Maryan Isack1
1Center for Nutrition & Health Impact, Omaha, NE, USA.
Health promotion practice
|August 13, 2025
概括
社区组织需要更好的策略,在资助结束后保持基于证据的干预措施. 这项研究确定了程序评估和传播的关键障碍和促进因素,为新的技术援助方法提供了信息.
科学领域:
- 实施科学 实施科学
- 社区健康 社区健康
- 项目评估 项目评估
背景情况:
- 实施策略往往在资金方面停滞不前,阻碍了社区环境中基于证据的干预措施的长期维持.
- 对于具体解决方案评估和传播的实施策略至关重要,以确保持续的干预使用.
- 了解社区组织中的障碍和促进者对于开发有效的维护策略至关重要.
研究的目的:
- 探索障碍物和促进者,以计划评估和传播在社区组织.
- 为制定有针对性的实施策略提供信息,以支持基于证据的干预措施的长期维持.
- 确定社区组织对实施支持的偏好.
主要方法:
- 与9名参与者进行了半结构面试.
- 一个采访指南,由实施研究综合框架 (CFIR) 构建,被用来探索评估和传播.
- 用与面试指南一致的快速演方法分析数据.
主要成果:
- 确定的主要障碍包括反映和评估方面的挑战 (例如,数据收集),有限的可用资源 (例如,组织能力),以及不足的组织激励和奖励 (例如,缺乏认可).
- 参与者表示他们更喜欢持续的协商,实际的工具或计划,解决问题的支持和同行分享的机会.
- 基于这些发现,制定了一个技术援助 (TA) 协议,包括每月的咨询和每季度的学习合作.
结论:
- 必须解决与评估,资源和激励相关的识别障碍,以改善干预维护.
- 开发的TA协议旨在在获得者之间建立有效评估和传播的能力.
- 需要对TA协议进行进一步评估,以确认其在克服障碍和加强社区环境中程序维护方面的有效性.
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