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首页> 外文期刊>Implementation Science >Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component
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Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component

机译：促进州卫生部门循证癌症和慢性病的预防：一项多阶段传播研究，其中包括一组随机试验

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Background Cancer and other chronic diseases reduce quality and length of life and productivity, and represent a significant financial burden to society. Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet, barriers to implement prevention approaches persist as a result of multiple factors including lack of organizational support, limited resources, competing emerging priorities and crises, and limited skill among the public health workforce. The purpose of this study is to learn how best to promote the adoption of evidence based public health practice related to chronic disease prevention. Methods/design This paper describes the methods for a multi-phase dissemination study with a cluster randomized trial component that will evaluate the dissemination of public health knowledge about evidence-based prevention of cancer and other chronic diseases. Phase one involves development of measures of practitioner views on and organizational supports for evidence-based public health and data collection using a national online survey involving state health department chronic disease practitioners. In phase two, a cluster randomized trial design will be conducted to test receptivity and usefulness of dissemination strategies directed toward state health department chronic disease practitioners to enhance capacity and organizational support for evidence-based chronic disease prevention. Twelve state health department chronic disease units will be randomly selected and assigned to intervention or control. State health department staff and the university-based study team will jointly identify, refine, and select dissemination strategies within intervention units. Intervention (dissemination) strategies may include multi-day in-person training workshops, electronic information exchange modalities, and remote technical assistance. Evaluation methods include pre-post surveys, structured qualitative phone interviews, and abstraction of state-level chronic disease prevention program plans and progress reports. Trial registration clinicaltrials.gov: NCT01978054.
机译：背景技术癌症和其他慢性疾病降低了生命质量，寿命和生产率，并给社会带来了沉重的经济负担。在最近几十年中，已经确定了以证据为基础的公共卫生方法来预防癌症和其他慢性疾病，并且具有巨大的潜力。然而，由于多种因素，包括缺乏组织支持，资源有限，相互竞争的优先事项和危机以及公共卫生工作人员的技能有限，导致实施预防方法的障碍仍然存在。这项研究的目的是了解如何最好地促进采用与慢性病预防相关的循证公共卫生实践。方法/设计本文介绍了一项多阶段传播研究的方法，该研究采用集群随机试验组成部分，将评估有关基于证据的癌症和其他慢性疾病预防公共卫生知识的传播。第一阶段涉及使用国家卫生部门慢性病从业者进行的全国在线调查，制定从业者对循证公共卫生和数据收集的看法和组织支持的措施。在第二阶段，将进行整群随机试验设计，以测试针对州卫生部门慢性病从业者的传播策略的接受性和有用性，以增强基于证据的慢性病预防的能力和组织支持。国家卫生部门的十二个慢性病单位将被随机选择并分配给干预或控制。州卫生部门的工作人员和大学研究团队将共同确定，完善和选择干预单位内的传播策略。干预（传播）策略可能包括多天的面对面培训讲习班，电子信息交换方式和远程技术援助。评估方法包括事前调查，结构化的定性电话访谈以及州级慢性病预防计划计划和进度报告的摘要。试用注册临床试验.gov：NCT01978054。

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