在州一级预防支持系统内解读技术援助 (TA) 战略:确定技术援助类型和数量的混合方法研究。

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Evaluation & the Health Professions Pub Date : 2024-06-01 DOI:10.1177/01632787241248769
Jochebed G Gayles, Sarah M Chilenski, Nataly Barragán, Brittany Rhoades Cooper, Janet Agnes Welsh, Megan Galinsky
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引用次数: 0

摘要

以证据为基础的干预措施的有效性与其在现实世界中的应用之间的研究与实践差距仍然是预防和实施科学面临的核心挑战。提供技术援助(TA)被认为是有助于缩小差距的重要支持机制。然而,人们往往缺乏对技术援助策略及其变化的实证测量。本研究揭开了技术援助的黑匣子,突出了不同的技术援助策略、数量及其与干预特点的关系。首先,我们对技术援助提供者和实施者之间的互动进行了定性分类。其次,我们探讨了实施组织和干预措施的特点与所提供的技术援助量的变化之间的关系。我们利用跨越六年的数据,分析了超过 10,000 次技术援助提供者与实施者之间的接触。内容分析得出了四种不同的策略:咨询(27.2%)、后勤协调(24.5%)、监控(16.5%)和资源交付(28.2%)。有经验的组织需要的监控和资源提供较少。此外,干预措施的特点与所提供的咨询、监控、后勤协调和资源交付的数量有显著相关性。干预措施的具体特点与技术援助策略的关系也有很大不同。这些发现为我们提供了初步的见解,使我们能够了解干预措施的特点对确定在实际环境中需要多少辅助治疗策略来支持实施工作的影响。
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Unpacking Technical Assistance (TA) Strategies Within a State-Level Prevention Support System: A Mixed-Method Study in Determining Types and Amount of TA.

The research-practice gap between evidence-based intervention efficacy and its uptake in real-world contexts remains a central challenge for prevention and implementation science. Providing technical assistance (TA) is considered a crucial support mechanism that can help narrow the gap. However, empirical measurement of TA strategies and their variation is often lacking. The current study unpacks the black box of TA, highlighting different TA strategies, amounts, and their relation to intervention characteristics. First, we qualitatively categorized interactions between TA providers and implementers. Second, we explored how characteristics of implementing organizations and the intervention related to variations in the amount of TA delivered. Using data spanning six years, we analyzed over 10,000 encounters between TA providers and implementers. Content analysis yielded four distinct strategies: Consultation (27.2%), Coordination Logistics (24.5%), Monitoring (16.5%), and Resource Delivery (28.2%). Organizations with prior experience required less monitoring and resource delivery. Additionally, characteristics of the intervention were significantly associated with the amount of consultation, monitoring, coordination logistics, and resource delivery provided. The specific features of the intervention showed significant variation in their relation to TA strategies. These findings provide initial insights into the implications of intervention characteristics in determining how much of which TA strategies are needed to support implementations in real-world settings.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
31
审稿时长
>12 weeks
期刊介绍: Evaluation & the Health Professions is a peer-reviewed, quarterly journal that provides health-related professionals with state-of-the-art methodological, measurement, and statistical tools for conceptualizing the etiology of health promotion and problems, and developing, implementing, and evaluating health programs, teaching and training services, and products that pertain to a myriad of health dimensions. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 31 days
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