在设计健康促进干预措施时使用或不使用行为科学证据:确定能力建设的目标。

IF 2.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ariane Bélanger-Gravel, Kim L Lavoie, Sophie Desroches, Tracie A Barnett, Marie-Claude Paquette, Frédéric Therrien, Lise Gauvin
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引用次数: 0

摘要

目标:行为科学为设计有效的健康促进干预措施提供了有用的证据,但在实践中却很少整合这些证据。本研究探讨了理论领域框架(TDF)构建与公共卫生从业人员利用行为科学证据规划公共卫生行动之间的关联:方法:采用横断面设计,从加拿大各地的公共卫生机构招募了 160 名从业人员。受访者填写了一份在线调查问卷,对 TDF 构建以及行为科学理论和方法(即证据)在其实践中的使用情况进行评估。通过逻辑回归分析,确定了与证据使用和意向相关的因素。所有分析均根据性别、工作年限和公共卫生机构类型进行了调整:更高的技能(ORadj = 4.1,95%CI 1.3,13.5)和更强的意愿/更一致的目标(ORadj = 9.2,95%CI 2.3,36.1)与更多地使用行为科学证据来规划公共卫生行动有关。认为自己更有能力克服组织中普遍缺乏使用行为科学证据的问题(ORadj = 7.2,95%CI 1.7,30.3)也与更多使用行为科学证据有关。更多的知识(ORadj = 8.6,95%CI 1.9,39.1)和更强的后果信念(ORadj = 4.0,95%CI 1.1,14.7)与更强的意愿/一致的目标显著相关:研究结果表明,更多的知识、积极的态度和更强的认知能力与更有可能使用行为科学证据来规划干预措施有关。使用行为科学证据还需要加强公共卫生组织中与这一专业实践相关的规范。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
To use or not to use behavioural science evidence in designing health promotion interventions: Identification of targets for capacity building.

Objectives: The behavioural sciences provide useful evidence to design effective health promotion interventions, but evidence is infrequently integrated in practice. This study examined associations between theoretical domains framework (TDF) constructs and public health practitioners' use of behavioural science evidence to plan public health actions.

Methods: Using a cross-sectional design, a convenience sample of 160 practitioners were recruited from public health agencies across Canada. Respondents completed an online questionnaire assessing TDF constructs and the use of behavioural science theory and approaches (i.e., evidence) in their practice. Logistic regression analyses allowed for identification of factors associated with evidence use and intentions. All analyses were adjusted for sex, years of experience, and type of public health agency.

Results: Greater skills (ORadj = 4.1, 95%CI 1.3, 13.5) and stronger intentions/aligned goals (ORadj = 9.2, 95%CI 2.3, 36.1) were associated with greater use of behavioural science evidence to plan public health actions. Greater perceived capacity to overcome widespread absence of use of behavioural science evidence in their organization (ORadj = 7.2, 95%CI 1.7, 30.3) was also associated with greater use. More knowledge (ORadj = 8.6, 95%CI 1.9, 39.1) and stronger beliefs about consequences (ORadj = 4.0, 95%CI 1.1, 14.7) were significantly associated with stronger intentions/aligned goals.

Conclusion: Findings show that more knowledge, positive attitudes, and stronger perceived competence are associated with greater likelihood of using behavioural science evidence to plan interventions. The use of behavioural science evidence will also require strengthening the norm pertaining to this professional practice in public health organizations.

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来源期刊
Canadian Journal of Public Health-Revue Canadienne De Sante Publique
Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.10
自引率
4.70%
发文量
128
期刊介绍: The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer.   Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.
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