Examining the Role of Training in Evidence-Based Public Health: A Qualitative Study

Baker, Elizabeth A.; Brownson, Ross C.; Dreisinger, Mariah; McIntosh, Leslie D.; Karamehić-Muratović, Ajlina

doi:10.1177/1524839909336649

Cited by 56 publications

(73 citation statements)

References 9 publications

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“…32 Other qualitative work conducted by members of this team has highlighted the importance of leadership support, consistency in leadership direction, public health training for all staff members, funding, and the turnover of state government and its consequential changes in priorities. 33 …”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…The public health practice community needs to improve the ability of public health professionals to practice evidence-based public health (i.e., to use scientific reasoning in the real-world environment to translate science into practice) (6,14,49,64,82). However, critical questions remain unanswered.…”

Section: Challenges and Opportunitiesmentioning

confidence: 99%

“…Thus, applying adult learning theory engages the learner, which increases the likelihood that he/she will learn (13,51,52,67,80). However, given external factors in the work environment, the application of these principles does not guarantee that the public health professional will be able to apply the learning (6).…”

Section: Adult Learning Theorymentioning

confidence: 99%

Outcome-Based Workforce Development and Education in Public Health

Koo

Miner

2010

Annu. Rev. Public Health

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The broad scope of the public health mission leads to an increasingly diverse workforce. Given the range of feeder disciplines and the reality that much of the workforce does not have formal training in public health science and practice, a pressing need exists for training and education throughout the workforce. Just as we in public health take a rigorous approach to our science, so too should we take a rigorous, evidence-driven approach to workforce development. In this review, we recommend a framework for workforce education in public health, integrating three critical conceptual approaches: (a) adult learning theory; (b) competency-based education; and (c) the expanded Dreyfus model in public health, an addition to the Dreyfus model of professional skills progression. We illustrate the application of this framework in practice, using the field of applied epidemiology. This framework provides a context for designing and developing high-quality, outcome-based workforce development efforts and evaluating their impact, with implications for academic and public health practice efforts to educate the public health workforce.

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“…To address these and similar competencies, EBPH training programs have been developed in the United States for public health professionals in state health agencies (6,51), local health departments, and community-based organizations (105,106), and similar programs have been developed in other countries (22,129,133). Some programs show evidence of effectiveness (51,106).…”

Section: Wwwannualreviewsorg • Evidence-based Public Healthmentioning

confidence: 99%

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

Brownson¹,

Fielding

Maylahn³

2009

Annu. Rev. Public Health

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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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Examining the Role of Training in Evidence-Based Public Health: A Qualitative Study

Cited by 56 publications

References 9 publications

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

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

Outcome-Based Workforce Development and Education in Public Health

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

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