Practices Among Local Public Health Agencies to Support Evidence-Based Decision Making: A Qualitative Study

Allen, Peg; Parks, Renee G.; Kang, Sarah J.; Dekker, Debra; Jacob, Rebekah R.; Mazzucca-Ragan, Stephanie; Brownson, Ross C.

doi:10.1097/phh.0000000000001653

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…Success or hindrance in this domain was dependent on factors such as partner enthusiasm, commitment, and relationship strength. Involvement of partners to incorporate evidence-based public health can improve community health improvement plans ( 14 ) and sustainability in this domain ( 15 ). Throughout public health, common facilitators of partnership sustainability are invested time in relationships, promotion of communication and trust, shared motivations, and reciprocity ( 15 ).…”

Section: Implications For Public Healthmentioning

confidence: 99%

“…Program evaluation is important to the sustainability of public health programs and health programs for long-term effectiveness and improving outcomes (12) and is a valuable way to increase sustainability capacity of public health programs. Furthermore, TCPs made program adaptations as a result of examining data and evidence (13). Therefore, the program adaptation process could be further improved through evaluation and also through collaboration with nationwide networks or working groups.…”

Section: Preventing Chronic Diseasementioning

confidence: 99%

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Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Han,

Gannon,

Moreland-Russell

2024

Prev. Chronic Dis.

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Public health programs, particularly tobacco control programs (TCPs) in state health departments, face numerous barriers and facilitators to sustainability, which affect delivery and, consequently, health outcomes achieved. We used the Program Sustainability Framework to review and analyze qualitative interview data from states that received training and technical assistance during the Plans, Actions, and Capacity to Sustain Tobacco Control (PACT) study to better understand the barriers and facilitators to sustainability capacity that these public health programs face at the state level. The PACT study was a multiyear, randomized controlled trial to assess the effectiveness of an action planning workshop and technical assistance in improving capacity for sustainability among 11 intervention and 12 control TCPs. Technical assistance calls focused on the progress and barriers of implementing the sustainability action plan created during the in-person workshops. Calls were audio recorded and professionally transcribed. Thematic analysis focused on the codes describing barriers and facilitators faced by TCPs in increasing their capacity for sustainability. Barriers were reported in the Organization Capacity, Environmental Support, Partnerships, Communication, and Funding Stability domains of the Program Sustainability Framework. Facilitators to action planning and building capacity for program sustainability were primarily in the Strategic Planning, Program Evaluation, Program Adaptation, and Partnership domains. Our study is the first to identify barriers and facilitators to increasing the capacity of program sustainability in TCPs. This work advances the understanding of program sustainability capacity and technical assistance for public health programs.

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Section: Implications For Public Healthmentioning

confidence: 99%

Section: Preventing Chronic Diseasementioning

confidence: 99%

Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Han,

Gannon,

Moreland-Russell

2024

Prev. Chronic Dis.

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Evidence-informed decision-making in public health in Canada: a qualitative exploration

Romano,

Clark,

Quiambao

et al. 2024

JBI Evidence Implementation

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Introduction: Evidence-informed decision-making (EIDM) plays a vital role in public health practice. Canada has invested in support for evidence-informed approaches in public health. Despite growing expectations for EIDM, evidence integration has not been thoroughly evaluated. Objective: This study explores EIDM within Canadian public health organizations before the COVID-19 pandemic. A secondary objective is to explore how EIDM in public health was affected by the COVID-19 pandemic. Methods: Using a qualitative descriptive approach, data were collected and analyzed from interviews with public health professionals across Canada. Results: From interviews with 20 participants in four Canadian provinces and one territory, all participants noted that EIDM was valued, but there was considerable variation in implementation. Participants reported differences in consistency of evidence use, resources available at their public health organizations to support EIDM, and staff knowledge and skills in EIDM. Leadership emerged as a strong influencer of EIDM; however, leadership investment in EIDM varied. Changes in evidence use during the COVID-19 pandemic revealed an urgency for decision-making amidst an influx of evidence and reallocated staff roles. Conclusions: Despite gains in the recognized value of EIDM, gaps remain in the integration of evidence into decision-making and adequate resource investment to support EIDM. Time, resources, and skills to adapt processes and implement EIDM are needed for public health organizations in Canada to fully integrate EIDM into all aspects of public health decision-making. Spanish abstract: http://links.lww.com/IJEBH/A249

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Strategies to implement evidence-informed decision making at the organizational level: a rapid systematic review

Clark,

Burnett,

Blair

et al. 2024

BMC Health Serv Res

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Background Achievement of evidence-informed decision making (EIDM) requires the integration of evidence into all practice decisions by identifying and synthesizing evidence, then developing and executing plans to implement and evaluate changes to practice. This rapid systematic review synthesizes evidence for strategies for the implementation of EIDM across organizations, mapping facilitators and barriers to the COM-B (capability, opportunity, motivation, behaviour) model for behaviour change. The review was conducted to support leadership at organizations delivering public health services (health promotion, communicable disease prevention) to drive change toward evidence-informed public health. Methods A systematic search was conducted in multiple databases and by reviewing publications of key authors. Articles that describe interventions to drive EIDM within teams, departments, or organizations were eligible for inclusion. For each included article, quality was assessed, and details of the intervention, setting, outcomes, facilitators and barriers were extracted. A convergent integrated approach was undertaken to analyze both quantitative and qualitative findings. Results Thirty-seven articles are included. Studies were conducted in primary care, public health, social services, and occupational health settings. Strategies to implement EIDM included the establishment of Knowledge Broker-type roles, building the EIDM capacity of staff, and research or academic partnerships. Facilitators and barriers align with the COM-B model for behaviour change. Facilitators for capability include the development of staff knowledge and skill, establishing specialized roles, and knowledge sharing across the organization, though staff turnover and subsequent knowledge loss was a barrier to capability. For opportunity, facilitators include the development of processes or mechanisms to support new practices, forums for learning and skill development, and protected time, and barriers include competing priorities. Facilitators identified for motivation include supportive organizational culture, expectations for new practices to occur, recognition and positive reinforcement, and strong leadership support. Barriers include negative attitudes toward new practices, and lack of understanding and support from management. Conclusion This review provides a comprehensive analysis of facilitators and barriers for the implementation of EIDM in organizations for public health, mapped to the COM-B model for behaviour change. The existing literature for strategies to support EIDM in public health illustrates several facilitators and barriers linked to realizing EIDM. Knowledge of these factors will help senior leadership develop and implement EIDM strategies tailored to their organization, leading to increased likelihood of implementation success. Review registration PROSPERO CRD42022318994.

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Practices Among Local Public Health Agencies to Support Evidence-Based Decision Making: A Qualitative Study

Cited by 4 publications

References 43 publications

Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Barriers and Facilitators to Program Sustainability Among State Tobacco Control Programs

Evidence-informed decision-making in public health in Canada: a qualitative exploration

Strategies to implement evidence-informed decision making at the organizational level: a rapid systematic review

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