Welcome to CDC stacks | What strategies are used to build practitioners’ capacity to implement community-based interventions and are they effective?: a systematic review - 31343 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
What strategies are used to build practitioners’ capacity to implement community-based interventions and are they effective?: a systematic review
Filetype[PDF-914.05 KB]


Details:
  • Pubmed ID:
    26018220
  • Pubmed Central ID:
    PMC4449971
  • Description:
    Background

    Numerous agencies are providing training, technical assistance, and other support to build community-based practitioners’ capacity to adopt and implement evidence-based prevention interventions. Yet, little is known about how best to design capacity-building interventions to optimize their effectiveness. Wandersman et al. (Am J Community Psychol.50:445–59, 2102) proposed the Evidence-Based System of Innovation Support (EBSIS) as a framework to guide research and thereby strengthen the evidence base for building practitioners’ capacity. The purpose of this review was to contribute to further development of the EBSIS by systematically reviewing empirical studies of capacity-building interventions to identify (1) the range of strategies used, (2) variations in the way they were structured, and (3) evidence for their effectiveness at increasing practitioners’ capacity to use evidence-based prevention interventions.

    Methods

    PubMed, EMBASE, and CINAHL were searched for English-language articles reporting findings of empirical studies of capacity-building interventions that were published between January 2000 and January 2014 and were intended to increase use of evidence-based prevention interventions in non-clinical settings. To maximize review data, studies were not excluded a priori based on design or methodological quality. Using the EBSIS as a guide, two researchers independently extracted data from included studies. Vote counting and meta-summary methods were used to summarize findings.

    Results

    The review included 42 publications reporting findings from 29 studies. In addition to confirming the strategies and structures described in the EBSIS, the review identified two new strategies and two variations in structure. Capacity-building interventions were found to be effective at increasing practitioners’ adoption (n = 10 of 12 studies) and implementation (n = 9 of 10 studies) of evidence-based interventions. Findings were mixed for interventions’ effects on practitioners’ capacity or intervention planning behaviors. Both the type and structure of capacity-building strategies may have influenced effectiveness. The review also identified contextual factors that may require variations in the ways capacity-building interventions are designed.

    Conclusions

    Based on review findings, refinements are suggested to the EBSIS. The refined framework moves the field towards a more comprehensive and standardized approach to conceptualizing the types and structures of capacity-building strategies. This standardization will assist with synthesizing findings across studies and guide capacity-building practice and research.

    Electronic supplementary material

    The online version of this article (doi:10.1186/s13012-015-0272-7) contains supplementary material, which is available to authorized users.

  • Document Type:
  • Collection(s):
  • Funding:
    5T32NR00856/NR/NINR NIH HHS/United States
    R01CA163526/CA/NCI NIH HHS/United States
    U48DP0010909/DP/NCCDPHP CDC HHS/United States
    U48DP001934/DP/NCCDPHP CDC HHS/United States
    U48DP00194409/DP/NCCDPHP CDC HHS/United States
    U48DP001949/DP/NCCDPHP CDC HHS/United States
No Related Documents.
You May Also Like: