Developing Competencies for Training Practitioners in Evidence-Based Cancer Control

Brownson, Ross C.; Ballew, Paula; Kittur, Nupur; Elliott, Michael; Haire‐Joshu, Debra; Krebill, Hope; Kreuter, Matthew W.

doi:10.1080/08858190902876395

Cited by 32 publications

(38 citation statements)

References 26 publications

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“…These multiple groups should benefit from having reciprocal relationships, i.e., individuals shape organizations and organizations support the development of individuals (Figure 1) (141). Success in achieving evidence-based decision making is achieved both by building the skills and competencies of individuals (e.g., capacity to carry out a program evaluation) (20, 25, 129) and by taking actions in multiple levels of organizations (e.g., achieving a climate and culture that supports innovation, recording and providing feedback on performance, making rewards for performance public). Capacity alone is a necessary but not a sufficient prerequisite for improving population health; sustained change in public health is driven by many additional factors including selection of EBIs, the policy and political environments, funding, and public support for improvements in population health (126, 168).…”

Section: Why Capacity Building Mattersmentioning

confidence: 99%

Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research

Brownson

Fielding

Green

2024

Annual Review of Public Health

247

281

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Timely implementation of principles of evidence-based public health (EBPH) is critical for bridging the gap between discovery of new knowledge and application. Public health organizations need sufficient capacity (the availability of resources, structures, and workforce to plan deliver and evaluate the “preventive dose” of an evidence-based intervention) to move science to practice. We review principles of EBPH, the importance of capacity building to advance evidence-based approaches, promising approaches for capacity building, and future areas for research and practice. While there is general agreement on the importance of EBPH, there is less clarity on the definition of evidence, how to find it, and how, when and where to use it. Capacity for EBPH is needed among both individuals and organizations. Capacity can be strengthened via training, use of tools, technical assistance, assessment and feedback, peer networking, and incentives. Modest investments in EBPH capacity-building will foster more effective public health practice.

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Section: Why Capacity Building Mattersmentioning

confidence: 99%

Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research

Brownson

Fielding

Green

2024

Annual Review of Public Health

247

281

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“…The Task Force on Workforce Development has recommended that the essential public health services (35) be used as a framework to build the basic cross-cutting and technical competencies required to address public health problems. As outlined in this article, we would supplement this recommendation by including an EBPH framework and competencies (18,19). Because many of the health issues needing urgent attention in local communities will require the involvement of other organizations (e.g., nonprofit groups, hospitals, employers), their participation in training efforts is essential.…”

Section: Expanding Training Opportunitiesmentioning

confidence: 99%

Evidence-Based Public Health: A Fundamental Concept for Public Health Practice

Brownson¹,

Fielding

Maylahn³

2009

Annu. Rev. Public Health

909

678

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Despite the many accomplishments of public health, a greater attention to evidence-based approaches is warranted. This article reviews the concepts of evidence-based public health (EBPH), on which formal discourse originated about a decade ago. Key components of EBPH include making decisions on the basis of the best available scientific evidence, using data and information systems systematically, applying program-planning frameworks, engaging the community in decision making, conducting sound evaluation, and disseminating what is learned. Three types of evidence have been presented on the causes of diseases and the magnitude of risk factors, the relative impact of specific interventions, and how and under which contextual conditions interventions were implemented. Analytic tools (e.g., systematic reviews, economic evaluation) can be useful in accelerating the uptake of EBPH. Challenges and opportunities (e.g., political issues, training needs) for disseminating EBPH are reviewed. The concepts of EBPH outlined in this article hold promise to better bridge evidence and practice. 175

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“…The research team developed survey questions based on previous work 24 and input from chronic disease practitioners. The survey was tested with a panel of consultants comprising chronic disease experts and a representative sample of the target population of the survey (n512).…”

Section: Survey Developmentmentioning

confidence: 99%

Barriers to Evidence-Based Decision Making in Public Health: A National Survey of Chronic Disease Practitioners

et al. 2010

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SYNOPSISObjective. Existing knowledge of evidence-based chronic disease prevention is not systematically disseminated or applied. This study investigated state and territorial chronic disease practitioners' self-reported barriers to evidence-based decision making (EBDM).Methods. In a nationwide survey, participants indicated the extent to which they agreed with statements reflecting four personal and five organizational barriers to EBDM. Responses were measured on a Likert scale from 0 to 10, with higher scores indicating a larger barrier to EBDM. We analyzed mean levels of barriers and calculated adjusted odds ratios for barriers that were considered modifiable through interventions.Results. Overall, survey participants (n5447) reported higher scores for organizational barriers than for personal barriers. The largest reported barriers to EBDM were lack of incentives/rewards, inadequate funding, a perception of state legislators not supporting evidence-based interventions and policies, and feeling the need to be an expert on many issues. In adjusted models, women were more likely to report a lack of skills in developing evidence-based programs and in communicating with policy makers. Participants with a bachelor's degree as their highest degree were more likely than those with public health master's degrees to report lacking skills in developing evidence-based programs. Men, specialists, and individuals with doctoral degrees were all more likely to feel the need to be an expert on many issues to effectively make evidence-based decisions.Conclusions. Approaches must be developed to address organizational barriers to EBDM. Focused skills development is needed to address personal barriers, particularly for chronic disease practitioners without graduate-level training.

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Developing Competencies for Training Practitioners in Evidence-Based Cancer Control

Cited by 32 publications

References 26 publications

Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research

Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research

Evidence-Based Public Health: A Fundamental Concept for Public Health Practice

Barriers to Evidence-Based Decision Making in Public Health: A National Survey of Chronic Disease Practitioners

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