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Improving foster care and juvenile justice services: A community-based participatory mixed-methods study in Iowa and Illinois. 改善寄养和少年司法服务:爱荷华州和伊利诺伊州社区参与式混合方法研究。
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2026-02-01 DOI: 10.1016/j.evalprogplan.2026.102763
Melissa Sharer, Emily Gordon, Stephanie Hernandez, Joseph Golden, Malia Duffy, Nicole Cisne Durbin

This mixed-methods study, grounded in Community-Based Participatory Research (CBPR) principles, examines how providers working in social services linked to foster care and juvenile justice systems propose to better serve vulnerable youth and families in the bi-state Quad Cities region (Iowa and Illinois, USA). Co-designed and initiated by Family Resources, this community-led research addresses the question: What are the barriers and enablers related to entering and exiting social services for vulnerable youth and their families? Survey tools were co-created with community providers to identify service gaps, systemic barriers and enablers, and benefits of existing services. Using convenience sampling, 133 human service professionals (social work, education, juvenile justice) completed surveys with both quantitative items and qualitative open-ended questions. Findings reveal a critical paradox linked to availability and accessibility, as while services exist in communities, macrosystemic Social Determinants of Health (SDOH), particularly housing instability (74 % of respondents) and transportation limitations (73 %), may render services inaccessible to families who need them most. Results indicate 74 % identify insufficient early intervention as a primary barrier, while 76 % confirm that using a comprehensive strength-based assessment can reinforce resilience. Framed by Bronfenbrenner's ecological model, findings demonstrate that interventions must address macrosystemic forces (SDOH) while also building "linkages of trust" to reduce risk, optimize existing resources, and promote positive youth and family development. Practice implications include prioritizing cross-sector collaboration, early intervention, and addressing structural barriers to move beyond service availability toward true equitable accessibility for vulnerable youth and families.

这项以社区参与性研究(CBPR)原则为基础的混合方法研究,探讨了与寄养和少年司法系统相关的社会服务提供者如何建议更好地为两州四城地区(美国爱荷华州和伊利诺伊州)的弱势青年和家庭提供服务。由家庭资源共同设计和发起,这个社区主导的研究解决了这样一个问题:什么是与弱势青年及其家庭进入和退出社会服务相关的障碍和推动因素?与社区提供者共同创建了调查工具,以确定服务差距、系统障碍和推动因素以及现有服务的好处。使用方便抽样,133名人类服务专业人员(社会工作、教育、少年司法)完成了定量项目和定性开放式问题的调查。调查结果揭示了与可得性和可及性有关的一个关键悖论,因为虽然社区中存在服务,但宏观系统的健康社会决定因素(SDOH),特别是住房不稳定(74% %的答复者)和交通限制(73% %)可能使最需要服务的家庭无法获得服务。结果表明,74% %的人认为早期干预不足是主要障碍,而76% %的人确认使用基于强度的综合评估可以增强复原力。在布朗芬布伦纳的生态模型框架下,研究结果表明,干预措施必须解决宏观系统力量(SDOH),同时建立“信任联系”,以降低风险,优化现有资源,促进积极的青年和家庭发展。实践影响包括优先考虑跨部门合作、早期干预和解决结构性障碍,以超越服务可及性,实现弱势青年和家庭真正公平的可及性。
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引用次数: 0
Significance and implementation challenges of participatory monitoring and evaluation of HIV/AIDS programmes in local government authorities: Evidence from Iringa Region, Tanzania. 地方政府当局参与监测和评价艾滋病毒/艾滋病方案的意义和实施挑战:来自坦桑尼亚伊林加地区的证据。
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2026-01-31 DOI: 10.1016/j.evalprogplan.2026.102762
Chakupewa J Mpambije, Easter Mbunju

HIV/AIDS continues to affect people in resource-constrained countries, including Tanzania. In response to this, different HIV/AIDS programmes have been implemented in Tanzania, especially Iringa Region. In implementing such HIV/AIDS programmes, the role of Participatory Monitoring and Evaluation (PM&E) cannot be underestimated. However, it is not clear to what extent PM&E has been integrated, which limits the effectiveness of HIV/AIDS programmes. This question has been interrogated following HIV/AIDS programmes implemented in Kilolo District in Iringa Region. The study involved 222 respondents, with 200 for quantitative data and 22 for qualitative data. Data were collected through structured interviews, in-depth interviews and documentary reviews and thematic analysis was employed for qualitative data, while descriptive statistics were used to analyse quantitative data. Findings revealed that PM&E has the potential to ensure the effectiveness and sustainability of HIV/AIDS programmes. However, PM&E faced diverse impediments, including weak stakeholder participation (67 %), inadequate financial resources (88 %), and insufficient PM&E skills among practitioners (70 %). Indeed, effective performance of HIV/AIDS programmes requires effective integration of PM&E to enhance the outcomes. Thus, more effort is needed during PM&E processes to increase inclusiveness among stakeholders and sharpen the skills of PM&E practitioners at the local government level.

艾滋病毒/艾滋病继续影响包括坦桑尼亚在内的资源有限国家的人民。为此,坦桑尼亚,特别是伊林加地区实施了不同的艾滋病毒/艾滋病方案。在实施此类艾滋病毒/艾滋病方案时,参与性监测和评价的作用不可低估。然而,目前尚不清楚PM&E在多大程度上得到了整合,这限制了艾滋病毒/艾滋病规划的有效性。在伊林加州基洛洛县实施艾滋病毒/艾滋病方案后,人们对这个问题进行了调查。该研究涉及222名受访者,其中200人提供定量数据,22人提供定性数据。数据收集采用结构化访谈、深度访谈、文献综述等方法,定性数据采用专题分析,定量数据采用描述性统计。调查结果显示,PM&E有潜力确保艾滋病毒/艾滋病方案的有效性和可持续性。然而,PM&E面临着各种各样的障碍,包括弱势利益相关者参与(67 %),财政资源不足(88 %),以及从业人员PM&E技能不足(70 %)。事实上,艾滋病毒/艾滋病规划的有效执行需要有效地整合PM&E,以提高结果。因此,在PM&E过程中需要做出更多努力,以增加利益相关者之间的包容性,并提高地方政府一级PM&E从业人员的技能。
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引用次数: 0
Development and testing of an evidence-informed structured survey tool for planning tailored technical assistance 开发和测试基于证据的结构化调查工具,用于规划量身定制的技术援助
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2026-01-20 DOI: 10.1016/j.evalprogplan.2026.102761
Sarah Moreland-Russell , Jessica Gannon , Kim Prewitt , Louise Farah Saliba
Technical assistance (TA) provides training to improve program development or implementation. This study developed an evidence-informed TA survey tool for planning tailored TA. The survey captures the recipients' preferred TA delivery methods by activity categories and TA duration and identifies barriers and facilitators to TA engagement. Two phases were carried out: 1) outlining the survey components and assessing face and content validity, and 2) testing the survey with state tobacco control staff and analyzing the survey responses using descriptive statistics. Twenty-seven tobacco control managers and staff representing 14 U.S. state tobacco control programs participated in testing the survey. The final survey included 21 questions. Virtual meetings were the preferred TA delivery method for three TA activities: 1) professional development, 2) coaching and mentoring, and 3) collaborative work. The preferred duration was 1.4–3.0 h/month. Respondents wanted pragmatic information with actionable steps (92 %) and examples of similar challenges other programs address (89 %) in the TA sessions. Respondents pointed to low organizational capacity (76 %) and competing priorities (76 %) as barriers to TA engagement. The TA survey allows TA providers to identify TA recipients' preferences regarding TA activities and delivery methods, the TA duration, and potential barriers preventing recipients from participating in TA sessions.
技术援助(TA)提供培训,以改进计划的开发或实施。本研究开发了一种基于证据的助教调查工具,用于规划量身定制的助教。该调查通过活动类别和TA持续时间捕获了接收者首选的TA交付方法,并确定了TA参与的障碍和促进因素。本研究分为两个阶段:1)概述调查内容,评估调查内容的有效性;2)对国家控烟工作人员进行调查,并利用描述性统计分析调查结果。27名烟草控制管理人员和工作人员代表14个 美国州烟草控制项目参与了这项调查的测试。最终的调查包括21个问题。虚拟会议是三个TA活动的首选TA交付方法:1)专业发展,2)指导和指导,以及3)协作工作。首选疗程为1.4 ~ 3.0 h/月。受访者希望在助教会议中获得具有可操作步骤的实用信息(92% %)和其他项目解决类似挑战的例子(89% %)。受访者指出,低组织能力(76% %)和竞争优先级(76% %)是助教参与的障碍。TA调查允许TA提供者确定TA接收者对TA活动和交付方法、TA持续时间以及阻止接收者参与TA会话的潜在障碍的偏好。
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引用次数: 0
Using radio jingles to promote use of a family planning call center: A comparative interrupted time series analysis 使用电台广告歌来促进家庭计划呼叫中心的使用:一个比较中断的时间序列分析
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2026-01-17 DOI: 10.1016/j.evalprogplan.2026.102760
Dominique Meekers , Olaniyi Olutola , Lynn Abu Turk , Tolulope Aremu
This paper measures the effect of a radio jingle campaign promoting a family planning call center in Nigeria on the number of information requests received. Campaign effect is measured using comparative interrupted time series. Without the radio campaign, the number of calls from the intervention group is assumed to have been parallel to that observed in the control group. The campaign effect is estimated as the difference between the actual and projected number of calls received. Before the campaign, the monthly number of calls was stagnant, averaging below 500 calls per month. The campaign increased the monthly number of calls increased by about 360. However, this effect was temporary, which minimal gain after the campaign ended. Discussion: The comparative interrupted time series show that the radio campaigns substantially increased the demand for family planning information from the call center. However, there is no solid evidence that the radio jingle campaign had a longer-term effect on use of the call center after the radio broadcasts ended. Although short-term effects could be important if they benefited disadvantaged groups that cannot easily be reached through other means, we recommend that future campaigns be re-designed to facilitate permanent increases in call center use. Key lessons learned include that traditional mass media campaigns may not suffice to achieve widespread use of phone-based health services, that it is important to consider alternative strategies to promote the services, and that analyses of routine data (e.g., the monthly number of clients), can be invaluable for assessing their impact.
本文测量了广播广告宣传活动的效果,促进计划生育呼叫中心在尼日利亚收到的信息请求的数量。活动效果是使用比较中断时间序列来衡量的。在没有无线电活动的情况下,假设干预组的电话数量与对照组的电话数量相同。竞选效果是根据实际接到的电话数和预计接到的电话数之间的差额来估计的。在活动之前,每月的电话数量停滞不前,平均每月不到500个电话。该活动增加了每月的电话数量增加了约360。然而,这种效果是暂时的,在战役结束后收效甚微。讨论:比较中断的时间序列表明,广播活动大大增加了对呼叫中心计划生育信息的需求。然而,没有确凿的证据表明,在广播结束后,广播广告活动对呼叫中心的使用有长期影响。虽然短期效果可能是重要的,如果他们有利于弱势群体,不容易通过其他方式达到,我们建议未来的活动重新设计,以促进呼叫中心使用的永久增长。吸取的主要经验教训包括,传统的大众媒体宣传可能不足以实现电话保健服务的广泛使用,必须考虑推广这些服务的替代战略,对常规数据(例如,每月客户人数)的分析对于评估其影响可能是非常宝贵的。
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引用次数: 0
Midline qualitative evaluation of an integrated health, livelihood, agriculture, and conservation program: Application of the RE-AIM framework 综合健康、生计、农业和保护计划的中线定性评估:RE-AIM框架的应用
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2026-01-08 DOI: 10.1016/j.evalprogplan.2026.102752
Fikadu Mitiku , Adugna Eneyew Bekele , Beressa Azmeraw , Amdemichael Mulugeta , Gardachew Tiruneh , Jemal Abafita , Elizabeth Millar , Janine Barden-O’Fallon
The population, health, environment and development (PHED) approach has been recognized for providing a more holistic and synergetic approach to program implementation than the single-sector approach. However, evidence is still needed to support the theory that multi-sectoral integration is more effective than a siloed approach. In this study, we applied the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework for midline evaluation of an integrated health, livelihood, agriculture and conservation program in Southwest Oromia, Ethiopia that specifically targeted women and youth. The data were collected through key informant interviews (KIIs), focus group discussions (FGDs) and most significant change (MSC). The findings show that the project successfully reached target beneficiaries with livelihood interventions, such as through village saving and loan associations, which were seen as important hubs for linkages to other sectors and services. Regular communication, coordination and alignment of goals with local government stakeholders supported successful program implementation, adoption and sustainability of the multi-sectoral approach. The findings highlighted the need for strategies to enhance women’s and youth’s participation, and to increase government ownership to ensure sustainability. Additionally, we found the RE-AIM framework to be flexible and adaptable for application in a qualitative PHED program evaluation.
人们认识到,人口、保健、环境与发展办法提供了比单一部门办法更全面和更协同的方案执行办法。然而,仍然需要证据来支持多部门一体化比孤立方法更有效的理论。在这项研究中,我们应用了覆盖、有效性、采用、实施和维护(RE-AIM)框架,对埃塞俄比亚奥罗米亚西南部一个专门针对妇女和青年的综合健康、生计、农业和保护项目进行了中线评估。通过关键信息者访谈(KIIs)、焦点小组讨论(fgd)和最显著变化(MSC)收集数据。调查结果表明,该项目通过生计干预措施成功地惠及了目标受益人,例如通过村储蓄和贷款协会,这些协会被视为与其他部门和服务联系的重要枢纽。与当地政府利益相关者定期沟通、协调和协调目标,支持了项目的成功实施、多部门方法的采用和可持续性。调查结果强调需要制定战略,加强妇女和青年的参与,并增加政府的所有权,以确保可持续性。此外,我们发现RE-AIM框架在定性博士项目评估中具有灵活性和适应性。
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引用次数: 0
Evaluating policy impact under sparse and staggered adoption. A synthetic difference-in-differences application to EU rural development measures 评估稀疏和交错采用下的政策影响。对欧盟农村发展措施的综合差异应用
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2026-01-06 DOI: 10.1016/j.evalprogplan.2026.102751
Roberto Esposti
This paper investigates how farmers respond to targeted policy measures under the EU Common Agricultural Policy (CAP), focusing on whether voluntary adoption, often driven by private motivations, also leads to outcomes of societal interest. To address the methodological challenges posed by staggered and sparse treatment adoption, the study employs a Synthetic Difference-in-Differences (SDID) approach. A theoretical framework is developed to distinguish between private and societal outcomes of policy adoption. The empirical analysis uses a balanced panel of Italian farms from 2014 to 2022 and focuses on selected second-pillar CAP measures. Results reveal that while some measures significantly affect private outcomes (e.g., farm income or productivity), their impact on societal outcomes (e.g., environmental indicators) is weaker and more volatile. The paper discusses key challenges in identifying and estimating effects with few, heterogeneous treated units and staggered policy uptake. While SDID is well-suited to such contexts, its real-world application may face practical limitations.
本文调查了欧盟共同农业政策(CAP)下农民对有针对性的政策措施的反应,重点关注自愿收养(通常由私人动机驱动)是否也会导致社会利益的结果。为了解决交错和稀疏处理所带来的方法学挑战,该研究采用了一种综合差分法(SDID)方法。建立了一个理论框架来区分政策采纳的私人和社会结果。实证分析使用了2014年至2022年意大利农场的平衡面板,并重点关注选定的第二支柱CAP措施。结果表明,虽然一些措施显著影响私人结果(例如,农业收入或生产力),但它们对社会结果(例如,环境指标)的影响较弱且更不稳定。本文讨论了在识别和估计与少数,异质处理单位和交错政策吸收的影响的关键挑战。虽然SDID非常适合这种环境,但其实际应用可能面临实际限制。
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引用次数: 0
Sustainable livelihoods amidst industry disruption: The case of slaughterhouse closures in Uttar Pradesh's leather industry 工业中断中的可持续生计:北方邦皮革业屠宰场关闭的案例
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-27 DOI: 10.1016/j.evalprogplan.2025.102748
Nitika Sharma, Pinaki Dasgupta, Rutuja Bhange
The leather industry holds an important position in India’s overall trade, with Uttar Pradesh (UP) emerging as a major leather production centre and industry. The sudden closure of slaughterhouses has not only impacted employers and owners of slaughterhouses but also the livelihoods of those indirectly dependent on them. This study utilizes the Sustainable Livelihood Approach (SLA) and has done thematic analysis to analyse the positive and negative impact of the closure on stakeholders, which is often overlooked in the literature before. Through qualitative research and in-depth interviews with 31 stakeholders, the study identifies livelihood challenges and opportunities and recommends strategies for improvement in areas such as sustainable slaughtering practices, government support and involvement, the role of businesses, and the contributions of NGOs. A revised SLA framework is proposed using useful insights for future policy changes.
皮革工业在印度的整体贸易中占有重要地位,北方邦(UP)正在成为主要的皮革生产中心和工业。屠宰场的突然关闭不仅影响了屠宰场的雇主和所有者,也影响了那些间接依赖屠宰场的人的生计。本研究运用可持续生计方法(Sustainable Livelihood Approach, SLA),并进行专题分析,分析关闭对利益相关者的正面和负面影响,这是以往文献中经常忽视的。通过定性研究和对31个利益相关者的深入访谈,该研究确定了生计挑战和机遇,并在可持续屠宰实践、政府支持和参与、企业的作用以及非政府组织的贡献等领域提出了改善战略。通过对未来政策变化的有用见解,提出了一个修订后的SLA框架。
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引用次数: 0
Integrating SWOT-QCA for determining subregion strategy in the economic sector 整合SWOT-QCA以确定经济部门的分区域战略。
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-26 DOI: 10.1016/j.evalprogplan.2025.102750
Setyardi Pratika Mulya , Andrea Emma Pravitasari , Andi Syah Putra , Vely Brian Rosandi , Siti Wulandari , Muhammad Wahid , Dadang Wihana , Mohammad Fahrizal
Over the past 6 decades, several studies have been carried out to recognize the critical role of strategic analysis in the planning process under various conditions. Previous research shows that combining other analyses with Strengths-Weaknesses-Opportunities-Threats (SWOT) can complement certain aspects of strategy determination or quantify strategies. This paper proposes a strategy linkage based on specific regions. Generalized strategy formulation obtained from SWOT analysis is often ineffective in implementation and goal achievement. This is primarily because specific strategy formulation is essential in producing more effective and implementable strategy in the field. Despite the potential, methods that integrate qualitative and quantitative data are still rarely practiced. Therefore, this paper aims to offer an alternative approach to specific strategy formulation at the sub-regional level by integrating SWOT analysis with Qualitative Comparative Analysis (QCA), known as SWOT-QCA. The application of SWOT-QCA was shown through a case study of economic development in Depok City, Indonesia. The results provided several innovative contributions to regional planning. These results have significant implications for addressing knowledge gaps, particularly in strategy formulation methodologies, which can assist planners and local governments in future regional development efforts.
在过去的60年里,已经进行了几项研究,以认识到战略分析在各种条件下的规划过程中的关键作用。先前的研究表明,将其他分析与优势-劣势-机会-威胁(SWOT)相结合可以补充战略确定或量化战略的某些方面。本文提出了基于特定区域的战略联动。通过SWOT分析得出的广义战略制定在实施和目标实现上往往是无效的。这主要是因为制订具体的战略对于在外地制订更有效和可执行的战略是必不可少的。尽管有潜力,整合定性和定量数据的方法仍然很少被实践。因此,本文旨在通过将SWOT分析与定性比较分析(QCA)相结合,即SWOT-QCA,为次区域层面的具体战略制定提供一种替代方法。通过对印度尼西亚德波市经济发展的一个案例研究,展示了SWOT-QCA的应用。研究结果为区域规划提供了若干创新贡献。这些结果对解决知识差距,特别是战略制定方法方面的知识差距具有重要意义,可以帮助规划者和地方政府开展未来的区域发展工作。
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引用次数: 0
Designing, developing and applying an instructional framework for a neonatal resuscitation program: Action research 设计、发展和应用新生儿复苏计划的教学框架:行动研究
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-24 DOI: 10.1016/j.evalprogplan.2025.102747
Ayşe Şenoğlu , Zekiye Karaçam , Ali Tanju Altunsu
This research was conducted to design, develop, and implement an in-house training framework aimed at improving the skills of healthcare professionals in newborn resuscitation practices. Action research has an inherently researcher–participant collaborative nature. An action research design was employed in this study, which was carried out with healthcare workers at a state hospital providing maternity services from February 1, 2020, to January 31, 2022. Both qualitative (observations, individual interviews and a focus group interview) and quantitative (knowledge assessment tests) data collection techniques were utilized in the study. Data were collected from researcher notes, the Neonatal Resuscitation Program (NRP) Knowledge Assessment Test, the Post-Training NRP Knowledge Assessment Test, observations, individual interviews, and focus group discussions. Quantitative data were analyzed using descriptive statistics, the Mann-Whitney U, Kruskal-Wallis and Wilcoxon tests; content analysis was employed for qualitative data. When the NRP Knowledge Assessment Test and the Post-training NRP Knowledge Assessment Test median scores were compared, it was found that the median NRP knowledge assessment test score was 43.0 (29.0–52.0), and the median post-training NRP knowledge assessment test score was 88.0 (85.0–93.0). A statistically significant difference was observed in the comparison of the participants' median scores in the NRP knowledge assessment test and the post-training NRP knowledge assessment test (p < 0.001). According to the data from the individual interviews, it was found that the participants felt challenged by neonatal resuscitation, they did not use many aspects of their knowledge, there were communication problems between teams, and they expressed a need for training. It was observed that the participants could not perform the required routine practices fully and accurately and additionally could not perform neonatal resuscitation practices, including neonatal assessments, in line with the algorithms. During this action research, the deficiencies in medical equipment for neonatal resuscitation practices identified in the institution where the study was conducted were eliminated and the equipment was made operational and usable. Improvements were also made in the use of risk assessment and recording forms, the provision of flow charts and informative documents in the practice areas, and the organization of the working system of midwives. During this process, theoretical and practical training was provided to improve the knowledge and skills of health personnel in neonatal resuscitation practices. In addition, four mentors were trained and assigned to ensure the sustainability of all the improvements made. This research has revealed institutional infrastructure problems, along with knowledge and application deficiencies regarding neonatal resuscitation practices among healthcare professionals.
本研究旨在设计、开发和实施一个内部培训框架,旨在提高新生儿复苏实践中医疗保健专业人员的技能。行动研究具有内在的研究者-参与者合作性质。本研究采用了行动研究设计,该研究于2020年2月1日至2022年1月31日在一家提供产科服务的州立医院的医护人员中进行。研究中采用了定性(观察、个人访谈和焦点小组访谈)和定量(知识评估测试)数据收集技术。数据收集自研究者笔记、新生儿复苏计划(NRP)知识评估测试、训练后NRP知识评估测试、观察、个人访谈和焦点小组讨论。定量数据采用描述性统计、Mann-Whitney U、Kruskal-Wallis和Wilcoxon检验进行分析;定性资料采用内容分析。对比NRP知识评估测验和培训后NRP知识评估测验的中位数得分,发现NRP知识评估测验的中位数得分为43.0分(29.0-52.0分),培训后NRP知识评估测验的中位数得分为88.0分(85.0-93.0分)。被试在NRP知识评估测验和训练后NRP知识评估测验中位数得分比较,差异有统计学意义(p <; 0.001)。从个体访谈的数据来看,参与者对新生儿复苏感到挑战,他们没有使用很多方面的知识,团队之间存在沟通问题,他们表示需要培训。观察到,参与者不能完全准确地执行所需的常规操作,并且不能根据算法执行新生儿复苏操作,包括新生儿评估。在这项行动研究期间,消除了在进行研究的机构中发现的新生儿复苏医疗设备的缺陷,并使这些设备可以操作和使用。在风险评估和记录表格的使用、在实践领域提供流程图和信息文件以及助产士工作系统的组织方面也取得了改进。在这一过程中,提供了理论和实践培训,以提高保健人员在新生儿复苏实践方面的知识和技能。此外,还培训并指派了四名导师,以确保所有改进的可持续性。这项研究揭示了机构基础设施的问题,以及知识和应用缺陷有关新生儿复苏的做法在医疗保健专业人员。
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引用次数: 0
Planning for implementation scale-up of a medication for opioid use disorder program across rural Colorado: Ensuring fit to context 计划在科罗拉多州农村实施扩大阿片类药物使用障碍方案:确保符合背景。
IF 2 4区 社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2025-12-24 DOI: 10.1016/j.evalprogplan.2025.102749
Claudia R. Amura , Aimee Techau , Natalie D. Ritchie , Tanya R. Sorrell , Mary Weber , Bethany M. Kwan , Elaine H. Morrato , Paul F. Cook
Opioid use is a major public health crisis in the United States. Colorado’s Medication for Opioid Use Disorders (MOUD) program expansion was funded to address this problem in rural counties, which are disproportionately affected. Aligning with a Fit to Context Framework for Designing for Dissemination and Sustainability (F2C D4DS), we used customer discovery and value proposition methods to engage partners in an iterative process of conceptualization and design of a MOUD program to guide implementation scale-up and dissemination plans. Interviews (N = 26) with target adopters and influencers (e.g. pilot and prospective agencies, community partners) revealed expansion barriers of greatest priority to solve: 1) organizations’ capacity to provide MOUD; (2) access to treatment and patient-centered care; (3) service and system coordination; (4) stigma associated with OUD; (5) concerns about financial sustainability; and (6) mandated reporting systems. We used process mapping to analyze each organization’s context, structure, and workflows. This phase of conceptualization led to the design of new MOUD program elements to enhance its value: a clinical toolkit and guidelines, an enhanced data collection system for reporting, a process map, and implementation logic models for integrated patient-centered MOUD treatment and reporting. The F2C D4DS process allowed us to identify needs and benefits of greatest value for adopters, and informed MOUD expansion into areas with high OUD overdose risk across the state, to maximize patient outcomes. This study also contributes to evaluation literature by systematically integrating the pre-implementation phase to enhance contextual fit and sustainability for large-scale MOUD initiatives.
阿片类药物的使用是美国的一项重大公共卫生危机。科罗拉多州阿片类药物使用障碍(mod)项目的扩展是为了解决农村县的这一问题而资助的,这些县受到的影响不成比例。根据《面向传播和可持续性设计的情境契合框架》(F2C D4DS),我们使用客户发现和价值主张方法,让合作伙伴参与到模块化项目概念化和设计的迭代过程中,以指导实施规模扩大和传播计划。与目标采用者和影响者(例如试点和潜在机构、社区合作伙伴)的访谈(N = 26)揭示了最优先解决的扩展障碍:1)组织提供mod的能力;(2)获得治疗和以患者为中心的护理;(3)服务与系统协调;(4)与OUD相关的柱头;(5)对财务可持续性的担忧;(6)强制性报告制度。我们使用过程映射来分析每个组织的上下文、结构和工作流。概念化的这一阶段导致了新的mod程序元素的设计,以提高其价值:临床工具包和指南,用于报告的增强数据收集系统,流程图,以及用于集成以患者为中心的mod治疗和报告的实现逻辑模型。F2C D4DS流程使我们能够确定采用者的需求和最大价值,并告知mod扩展到全州OUD过量风险高的地区,以最大限度地提高患者的治疗效果。本研究还通过系统地整合实施前阶段来提高大规模mod计划的环境适应性和可持续性,从而为评估文献做出贡献。
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Evaluation and Program Planning
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