Document Detail

Information-Seeking Behaviors and Other Factors Contributing to Successful Implementation of Evidence-Based Practices in Local Health Departments.
MedLine Citation:
PMID:  23023282     Owner:  NLM     Status:  Publisher    
The objective of this article was to describe factors that contribute to successful translation of science into evidence-based practices and their implementation in public health practice agencies, based on a review of the literature and evidence from a series of case studies. The case studies involved structured interviews with key informants in 4 health departments and with 4 corresponding partners from academic institutions. Interviews were recorded and transcribed, coded by 2 independent, trained coders, using a standard codebook. A thematic analysis of codes was conducted. Coding was entered into Atlas TI software for further analysis. Results from the literature review indicated that only approximately half of programs implemented in state and local health departments were evidence based. Lack of time, inadequate funding, and absence of cultural and managerial support-including incentives-are among the most commonly cited barriers to implementing evidence-based practices. Findings from the case studies suggest that these health departments, successful in implementing evidence-based practices, have strong relationships and good communication channels established with their academic partner(s). There is strong leadership engagement from within the health department and in the academic institution. Implementation of evidence-based programs was most often related to high priority community needs and the availability of resources to address these needs. The practice agencies operate with a culture of quality improvement throughout the agency. Information technology, training, how the interventions are bundled, including their complexity and ability to be customized and resource requirements are all fruitful avenues for further research.
Dorothy Cilenti; Ross C Brownson; Karl Umble; Paul Campbell Erwin; Rosemary Summers
Publication Detail:
Journal Detail:
Title:  Journal of public health management and practice : JPHMP     Volume:  18     ISSN:  1550-5022     ISO Abbreviation:  J Public Health Manag Pract     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505213     Medline TA:  J Public Health Manag Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  571-576     Citation Subset:  -    
NC Institute for Public Health and Department of Maternal and Child Health, UNC Gillings School of Global Public Health, Chapel Hill (Dr Cilenti); Prevention Research Center in St. Louis Brown School, Division of Public Health Sciences and Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis (Dr Brownson); NC Institute for Public Health and Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill (Dr Umble); Department of Public Health and Center for Health Policy and Services Research, University of Tennessee, Knoxville (Dr Erwin); and NC Institute for Public Health, UNC Gillings School of Global Public Health, Chapel Hill, and Orange County Health Department, Hillsborough, North Carolina (Dr Summers).
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