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Training needs and supports for evidence-based decision making among the public health workforce in the United States

机译:在美国公共卫生工作人员中培训需求和支持循证决策

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Background Preparing the public health workforce to practice evidence-based decision making (EBDM) is necessary to effectively impact health outcomes. Few studies report on training needs in EBDM at the national level in the United States. We report competency gaps to practice EBDM based on four U.S. national surveys we conducted with the state and local public health workforce between 2008 and 2013. Methods We compared self-reported data from four U.S. national online surveys on EBDM conducted between 2008 and 2013. Participants rated the importance of each EBDM competency then rated how available the competency is to them when needed on a Likert scale. We calculated a gap score by subtracting availability scores from importance scores. We compared mean gaps across surveys and utilized independent samples t tests and Cohen’s d values to compare state level gaps. In addition, participants in the 2013 state health department survey selected and ranked three items that “would most encourage you to utilize EBDM in your work” and items that “would be most useful to you in applying EBDM in your work”. We calculated the percentage of participants who ranked each item among their top three. Results The largest competency gaps were consistent across all four surveys: economic evaluation, communicating research to policymakers, evaluation designs, and adapting interventions. Participants from the 2013 state level survey reported significantly larger mean importance and availability scores (p Conclusion Perceived importance and availability of EBDM competencies may be increasing as supports for EBDM continue to grow through trends in funding, training, and resources. However, more capacity building is needed overall, with specific attention to the largest competency gaps. More work with public health departments to both situate trainings to boost competency in these areas and continued improvements for organizational practices (leadership prioritization) are possible next steps to sustain EBDM efforts.
机译:背景信息为使公共卫生工作人员有效地影响健康结果,必须进行实践以循证决策(EBDM)。在美国,很少有研究报告有关EBDM在国家一级的培训需求。我们根据我们在2008年至2013年间与州和地方公共卫生人员进行的四次美国国家调查,报告了实践EBDM的能力差距。方法我们比较了2008年至2013年在美国进行的四项美国全国EBDM网络调查中的自我报告数据。评估每个EBDM能力的重要性,然后评估所需的能力(如李克特量表)。我们通过从重要性得分中减去可用性得分来计算出差距得分。我们比较了调查之间的平均差距,并利用独立样本t检验和Cohen d值来比较各州之间的差距。此外,2013年州卫生部门调查的参与者选择并排列了“最会鼓励您在工作中使用EBDM”的三个项目和“对您在工作中应用EBDM的最有用的”项目。我们计算了将每个项目排在前三名中的参与者的百分比。结果在所有四个调查中,最大的能力差距是一致的:经济评估,与决策者沟通研究,评估设计以及调整干预措施。 2013年州级调查的参与者报告说,平均重要性和可用性得分明显更高(p结论随着随着资金,培训和资源趋势对EBDM的支持不断增长,人们对EBDM能力的重要性和可用性的认识可能会增加。但是,更多的能力建设EBDM的下一步工作可能是与公共卫生部门开展更多工作,以开展培训以提高这些领域的能力,并继续改善组织实践(领导力优先),这是总体需要。

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