Intervention Characteristics Considered in Health Educators' Adoption Decision-Making Process.

It is well known that perceptions of intervention characteristics (e.g., cost, source, evidence strength and quality) are a critical link from dissemination to implementation. What is less known is the process by which researchers understand the characteristics most valued by key intermediaries (i.e...

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Publicado en:Health Education & Behavior Vol. 50; no. 3; pp. 416 - 430
Autores principales: Strayer E. III, Thomas, Balis, Laura E., Kennedy, Lauren E., Ramalingam, NithyaPriya S., Wilson, Meghan L., Harden, Samantha M.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
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        atl: Intervention Characteristics Considered in Health Educators' Adoption Decision-Making Process.
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        au:
          Strayer E. III, Thomas
          Balis, Laura E.
          Kennedy, Lauren E.
          Ramalingam, NithyaPriya S.
          Wilson, Meghan L.
          Harden, Samantha M.
        affil: Vanderbilt University Medical Center, Nashville, TN, USA
      sug:
        subj:
          Health Promotion
          Health Educators
          Decision Making Evaluation
          Attitude of Health Personnel Evaluation
          Implementation Science
          Human
          Male
          Female
          Multimethod Studies
          Random Sample
          Questionnaires
          Semi-Structured Interview
          One-Way Analysis of Variance
          Post Hoc Analysis
          Diffusion of Innovation
          Content Analysis
          Descriptive Statistics
          Data Analysis Software
          Costs and Cost Analysis
          United States
          Organizational Structure
          Professional Autonomy
          Needs Assessment
          Interview Guides
          Financial Support
          Comparative Studies
          Male
          Female
      ab: It is well known that perceptions of intervention characteristics (e.g., cost, source, evidence strength and quality) are a critical link from dissemination to implementation. What is less known is the process by which researchers understand the characteristics most valued by key intermediaries (i.e., real-world decision-makers), particularly in the federal system of Cooperative Extension. In Extension, university-based specialists are available to assist county-based agents in program selection, delivery, and evaluation. For this work, a sequential explanatory mixed-methods design was used to conduct surveys and semi-structured interviews, informed by the Diffusion of Innovations theory and Consolidated Framework for Implementation Research. Educators and specialists were recruited across 47 states to identify characteristics of health promotion interventions that facilitate the adoption decision-making process. Analysis of intervention attribute importance survey data was conducted through a one-way ANOVA with Bonferroni post hoc test to determine individual variable differences between responses. Interviews underwent a conventional content analysis. In total, 121 educators and 47 specialists from 33 states completed the survey. Eighteen educators and 10 specialists completed interviews. Educators and specialists valued components such as the community need for the intervention, and potential reach compared with other components including previous delivery settings and external funding of the intervention (p <.05). Qualitative data indicated divergence between educators and specialists; educators valued understanding the intervention cost (time and training) and specialists valued the evidence base and external funding available. Intervention developers should communicate information valued by different stakeholders to improve the adoption of evidence-based interventions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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