Evidence-Based Interventions to Promote Physical Activity

Brownson, Ross C.; Ballew, Paula; Dieffenderfer, Brian; Haire‐Joshu, Debra; Heath, Gregory W.; Kreuter, Matthew W.; Myers, Bradford A.

doi:10.1016/j.amepre.2007.03.011

Cited by 97 publications

(60 citation statements)

References 31 publications

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“…The 74-item survey derived from previous work [20,21] and included questions about use of the Community Guide and other resources, the application of evidence-based interventions, personal chronic disease-related health behaviors of the participants, and other demographic information. The survey underwent cognitive response testing (n =12) with experts in chronic disease prevention [22,23], and their feedback was incorporated into the final survey.…”

Section: Methodsmentioning

confidence: 99%

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

Jacob

Baker

Allen

et al. 2014

BMC Health Serv Res

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BackgroundPreparing 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.MethodsWe 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.ResultsThe 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 <0.001, d =1.00, and p <0.001, d = .78 respectively) and smaller mean gaps (p <0.01, d = .19) compared to the 2008 survey. Participants most often selected “leaders prioritizing EBDM” (67.9%) among top ways to encourage EBDM use. “EBDM training for specific areas” was most commonly ranked as important in applying EBDM (64.3%).ConclusionPerceived 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.

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Section: Methodsmentioning

confidence: 99%

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

Jacob

Baker

Allen

et al. 2014

BMC Health Serv Res

View full text Add to dashboard Cite

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“…In a national survey of public health practitioners in the United States, absence of incentives within the organization was the largest barrier to evidence-based decision making (104), including the inevitable disincentive of time required for locating and studying evidence sources, which delays launching programs or services. Other studies have found a strong correlation between the perception of institutional priority and expectation of documentation for evidence-based practices and actual use of research to inform program adoption and implementation (24, 50). Therefore, it is important to recognize that uptake of EBIs is not likely to succeed in an environment that is not explicitly supportive of innovation or is protective of the status quo (163).…”

Section: Why Capacity Building Mattersmentioning

confidence: 99%

“…Studies have focused on public health practitioners’ personal (e.g., lack of skills) and organizational challenges (e.g., lack of incentives or resources) in utilizing EBIs. There is a strong correlation between the perception of organizational leadership or priority for evidence-based practices and use of research to inform program adoption and implementation among practitioners (24, 50, 102). …”

Section: Introductionmentioning

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

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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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“…It focuses research on characteristics of the intervention, characteristics of the target audiences, communication channel selection, and time to adoption, or the “purchase decision” in marketing terms. The diffusion model has been used extensively to investigate the adoption of innovations by organizations as well as individuals, particularly in public health and healthcare [Rogers, 2003; Brownson et al, 2007; Wilson et al, 2010; Greiver et al, 2011; Bowen et al, 2012; Cragun et al, 2012; Pombo-Romero et al, 2012; Wood et al, 2012]. …”

Section: An Extended Model For Small Business Osh Interventionmentioning

confidence: 99%

A model for occupational safety and health intervention diffusion to small businesses

Sinclair

Cunningham

Schulte

2013

American J Industrial Med

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Background Smaller businesses differ from their larger counterparts in having higher rates of occupational injuries and illnesses and fewer resources for preventing those losses. Intervention models developed outside the United States have addressed the resource deficiency issue by incorporating intermediary organizations such as trade associations. Methods This paper extends previous models by using exchange theory and by borrowing from the diffusion of innovations model. It emphasizes that occupational safety and health (OSH) organizations must understand as much about intermediary organizations as they do about small businesses. OSH organizations (“initiators”) must understand how to position interventions and information to intermediaries as added value to their relationships with small businesses. Examples from experiences in two midwestern states are used to illustrate relationships and types of analyses implied by the extended model. Results The study found that intermediary organizations were highly attuned to providing smaller businesses with what they want, including OSH services. The study also found that there are opinion leader organizations and individual champions within intermediaries who are key to decisions and actions about OSH programming. Conclusions The model places more responsibility on both initiators and intermediaries to develop and market interventions that will be valued in the competitive small business environment where the resources required to adopt each new business activity could always be used in other ways. The model is a candidate for empirical validation, and it offers some encouragement that the issue of sustainable OSH assistance to small businesses might be addressed.

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Evidence-Based Interventions to Promote Physical Activity

Cited by 97 publications

References 31 publications

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

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

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

A model for occupational safety and health intervention diffusion to small businesses

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