Capacity building for evidence-based decision making in local health departments: scaling up an effective training approach

Implementation Science

Ross C Brownson⁶  Avia Mainor⁴  Jennifer Leeman⁴  Peggy A Hannon¹  Susan Frazier-Kouassi⁵  Scott H Frank⁹  Luann D¿Ambrosio²  Judy Compton⁷  Elaine Borawski⁹  Carson Smith⁸  Paul Erwin³  Kathleen Duggan⁸  Julie A Jacobs⁸ 

[1]Health Promotion Research Center, University of Washington, Seattle, WA, USA

[2]Northwest Center for Public Health Practice, University of Washington, Seattle, WA, USA

[3]Department of Public Health, University of Tennessee, Knoxville, TN, USA

[4]Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill, NC, USA

[5]Prevention Research Center of Michigan, University of Michigan, Ann Arbor, MI, USA

[6]Division of Public Health Sciences, Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA

[7]Michigan Public Health Training Center, University of Michigan, Ann Arbor, MI, USA

[8]Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO, USA

[9]Case Western Reserve University, Cleveland, OH, USA

关键词: Public health workforce training;    Evidence-based public health;   

Others  :  1146446
DOI  :  10.1186/s13012-014-0124-x

 received in 2014-05-02, accepted in 2014-09-03,  发布年份 2014

【 摘 要 】

Background

There are few studies describing how to scale up effective capacity-building approaches for public health practitioners. This study tested local-level evidence-based decision making (EBDM) capacity-building efforts in four U.S. states (Michigan, North Carolina, Ohio, and Washington) with a quasi-experimental design.

Methods

Partners within the four states delivered a previously established Evidence-Based Public Health (EBPH) training curriculum to local health department (LHD) staff. They worked with the research team to modify the curriculum with local data and examples while remaining attentive to course fidelity. Pre- and post-assessments of course participants (n?=?82) and an external control group (n?=?214) measured importance, availability (i.e., how available a skill is when needed, either within the skillset of the respondent or among others in the agency), and gaps in ten EBDM competencies. Simple and multiple linear regression models assessed the differences between pre- and post-assessment scores. Course participants also assessed the impact of the course on their work.

Results

Course participants reported greater increases in the availability, and decreases in the gaps, in EBDM competencies at post-test, relative to the control group. In adjusted models, significant differences (p?

Conclusions

This study demonstrates the potential for improving EBDM capacity among LHD practitioners using a train-the-trainer approach involving diverse partners. This approach allowed for local tailoring of strategies and extended the reach of the EBPH course.

【 授权许可】

   
2014 Jacobs et al.; licensee BioMed Central.

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