社区组织从业人员和学者对实施循证干预技能的不同概念图:多维缩放比较。

IF 3.6 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shoba Ramanadhan, Jennifer L Cruz, Maggie Weese, Shinelle Kirk, Madison K Rivard, Arthur Eisenkraft, Karen Peterson, Judi Kirk, Albert Whitaker, Chinyere Nwamuo, Scott R Rosas
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引用次数: 0

摘要

社区组织(CBOs)是实施循证干预措施(EBIs)以解决癌症不平等问题的关键。然而,对这项工作所需的核心技能缺乏共识,往往会阻碍支持 EBI 实施的能力建设战略。造成这种脱节的部分原因是,通常接受和制定能力建设干预措施的人员(这里分别指从业人员和学者)对 EBI 和相关技能持有不同的看法。我们由实施科学家和实践顾问组成的团队使用小组概念绘图法,让 34 名社区组织从业人员和 30 名在解决宫颈癌不平等问题方面有经验的学者参与实施 EBI。我们使用多维标度和分层聚类分析创建了针对特定群体的技能图谱,然后使用普罗克斯特比较排列法对其进行比较。社区组织从业人员将 98 项技能分为六个群组,学者将 98 项技能分为五个群组。各组生成的地图在统计上具有可比的基本结构,但在统计上也存在显著差异。一些技能组在两张地图上高度一致,如 "管理资金和外部资源"。其他技能群组,如社区组织从业者地图中的 "调整 EBI "和学术地图中的 "选择和调整 EBI",则没有那么多重叠。在各组中,关键技能群包括与社区成员建立联系、了解所选的 EBI 和社区背景、调整 EBI、建立多样化和公平的伙伴关系、使用数据和评估,以及管理资金和外部资源。将社区组织从业人员的系统/社区框架与学术界以 EBI 为重点的框架结合起来,以促进 EBI 的利用并解决癌症和其他健康不平等问题,这是一个重要的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differing conceptual maps of skills for implementing evidence-based interventions held by community-based organization practitioners and academics: A multidimensional scaling comparison.

Community-based organizations (CBOs) are critical for delivering evidence-based interventions (EBIs) to address cancer inequities. However, a lack of consensus on the core skills needed for this work often hinders capacity-building strategies to support EBI implementation. The disconnect is partly due to differing views of EBIs and related skills held by those typically receiving versus developing capacity-building interventions (here, practitioners and academics, respectively). Our team of implementation scientists and practice-based advisors used group concept mapping to engage 34 CBO practitioners and 30 academics with experience addressing cervical cancer inequities implementing EBIs. We created group-specific maps of skills using multidimensional scaling and hierarchical cluster analysis, then compared them using Procrustes comparison permutations. The 98 skills were sorted into six clusters by CBO practitioners and five by academics. The groups generated maps with statistically comparable underlying structures but also statistically significant divergence. Some skill clusters had high concordance across the two maps, e.g. "managing funding and external resources." Other skill clusters, e.g. "adapting EBIs" from the CBO practitioner map and "selecting and adapting EBIs" from the academic map, did not overlap as much. Across groups, key clusters of skills included connecting with community members, understanding the selected EBI and community context, adapting EBIs, building diverse and equitable partnerships, using data and evaluation, and managing funding and external resources. There is a significant opportunity to combine CBO practitioners' systems/community frames with the EBI-focused frame of academics to promote EBI utilization and address cancer and other health inequities.

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来源期刊
Translational Behavioral Medicine
Translational Behavioral Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.80
自引率
0.00%
发文量
87
期刊介绍: Translational Behavioral Medicine publishes content that engages, informs, and catalyzes dialogue about behavioral medicine among the research, practice, and policy communities. TBM began receiving an Impact Factor in 2015 and currently holds an Impact Factor of 2.989. TBM is one of two journals published by the Society of Behavioral Medicine. The Society of Behavioral Medicine is a multidisciplinary organization of clinicians, educators, and scientists dedicated to promoting the study of the interactions of behavior with biology and the environment, and then applying that knowledge to improve the health and well-being of individuals, families, communities, and populations.
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