Adoption of Evidence-Based Interventions in Local Health Departments: "1-2-3 Pap NC".
Am J Prev Med
; 49(2): 309-16, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-26190805
ABSTRACT
Descriptions of barriers and facilitators to adoption of evidence-based interventions in local health departments (LHDs) are limited. This study was conducted by the North Carolina Public Health Practice-Based Research Network to identify factors associated with adoption of an evidence-based human papillomavirus video intervention, "1-2-3 Pap NC," in North Carolina LHDs. A sequential mixed-method study design was used. Data from the 2013 National Profile of Local Health Departments were used to test associations between LHD characteristics and adoption of the intervention. Qualitative, key stakeholder interviews with LHD directors provided the context for quantitative data. Data collection and analysis continued from March 3, 2014, to September 15, 2014. Overall, 28% of North Carolina health jurisdictions (33 of 100 counties) implemented the intervention. Of the three channels used to deliver the intervention to clients, most LHDs opted to show the video in the exam room (42%), followed by website/other social media (36%) and video loop in the lobby/waiting room (22%). In logistic regression, gender of the director (female) was significantly and positively associated with adoption of the intervention (AOR=4.44, p<0.05). Being a first-time director was marginally significant (AOR=0.28, p=0.074), suggesting first-time directors were less likely to adopt. Qualitative results suggested that aspects of communication (awareness and positive attitudes) and agency directors' evaluation of resources, balanced against intervention complexity and flexibility, competing priorities, and mandates, influenced adoption. Adoption of evidence-based interventions by LHDs is critical to improve population health. Practice-based research can contribute to understanding facilitators and modifying barriers to this process.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Prevencao_e_fatores_de_risco
/
Atos_sexuais
/
Saude_da_mulher
/
Colo_do_utero
/
Tipos_de_cancer
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Colo_do_utero
/
Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Prática de Saúde Pública
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Neoplasias do Colo do Útero
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Infecções por Papillomavirus
/
Vacinas contra Papillomavirus
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Female
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Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Prev Med
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2015
Tipo de documento:
Article