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BMC Health Services Research

, 15:547

First Online: 12 December 2015Received: 18 April 2015Accepted: 08 December 2015DOI: 10.1186-s12913-015-1224-2

Cite this article as: Yarber, L., Brownson, C.A., Jacob, R.R. et al. BMC Health Serv Res 2015 15: 547. doi:10.1186-s12913-015-1224-2


BackgroundEvidence-based public health gives public health practitioners the tools they need to make choices based on the best and most current evidence. An evidence-based public health training course developed in 1997 by the Prevention Research Center in St. Louis has been taught by a transdisciplinary team multiple times with positive results. In order to scale up evidence-based practices, a train-the-trainer initiative was launched in 2010.

MethodsThis study examines the outcomes achieved among participants of courses led by trained state-level faculty. Participants from trainee-led courses in four states Indiana, Colorado, Nebraska, and Kansas over three years were asked to complete an online survey. Attempts were made to contact 317 past participants. One-hundred forty-four 50.9 % reachable participants were included in analysis. Outcomes measured include frequency of use of materials, resources, and other skills or tools from the course; reasons for not using the materials and resources; and benefits from attending the course. Survey responses were tabulated and compared using Chi-square tests.

ResultsAmong the most commonly reported benefits, 88 % of respondents agreed that they acquired knowledge about a new subject, 85 % saw applications for the knowledge to their work, and 78 % agreed the course also improved abilities to make scientifically informed decisions at work. The most commonly reported reasons for not using course content as much as intended included not having enough time to implement evidence-based approaches 42 %; other staff-peers lack training 34 %; and not enough funding for continued training 34 %. The study findings suggest that utilization of course materials and teachings remains relatively high across practitioner groups, whether they were taught by the original trainers or by state-based trainers.

ConclusionsThe findings of this study suggest that train-the-trainer is an effective method for broadly disseminating evidence-based public health principles. Train-the-trainer is less costly than the traditional method and allows for courses to be tailored to local issues, thus making it a viable approach to dissemination and scale up of new public health practices.

KeywordsEvidence-based public health Training Train-the-trainer Public health workforce Scale-up Electronic supplementary materialThe online version of this article doi:10.1186-s12913-015-1224-2 contains supplementary material, which is available to authorized users.

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Autor: Laura Yarber - Carol A. Brownson - Rebekah R. Jacob - Elizabeth A. Baker - Ellen Jones - Carsten Baumann - Anjali D. De

Fuente: https://link.springer.com/

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