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

Autor/inn/en	Strayer E., Thomas, III; Balis, Laura E.; Kennedy, Lauren E.; Ramalingam, NithyaPriya S.; Wilson, Meghan L.; Harden, Samantha M.
Titel	Intervention Characteristics Considered in Health Educators' Adoption Decision-Making Process
Quelle	In: Health Education & Behavior, 50 (2023) 3, S.416-429 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Strayer E., Thomas, III) ORCID (Balis, Laura E.) ORCID (Kennedy, Lauren E.) ORCID (Harden, Samantha M.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/10901981211067170
Schlagwörter	Intervention; Health Education; Decision Making; Extension Education; Extension Agents; Health Promotion; Surveys; Comparative Analysis; Individual Differences; Teacher Attitudes; Specialists; Financial Support; Costs; Evidence Based Practice; Likert Scales; Participant Characteristics + Suchen Sie Ihr Suchwort? Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Decision-making; Entscheidungsfindung; Erweitertes Bildungsangebot; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Survey; Umfrage; Befragung; Individueller Unterschied; Lehrerverhalten; Finanzielle Förderung; Cost; Kosten; Likert-Skala
Abstract	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 < 0.05). 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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01