PDF(Pubmed)
Abstract：
BACKGROUND: Behavior change techniques (BCTs) are considered as active components of implementation strategies, influencing determinants and, ultimately, implementation performance. In our previous Delphi study, experts formulated \'implementation hypotheses\', detailing how specific combinations of BCTs and strategies (referred to as BCT-strategy combinations) might influence determinants and guideline implementation within youth care. For example, educational meetings providing instructions on guideline use were hypothesized to enhance practitioners\' knowledge and, consequently, guideline implementation. However, these hypotheses have not been verified in practice yet.
METHODS: We conducted a cross-sectional study involving practitioners and management professionals from youth (health)care organizations. Using questionnaires, we obtained data on the presence of BCT-strategy combinations and their perceived influence on determinants and implementation performance. Chi-squared tests and regression analyses were employed to determine the influence of specific BCT-strategy combinations on determinants and implementation performance.
RESULTS: Our analyses included data from 104 practitioners and 34 management professionals. Most of the management professionals indicated that the BCT-strategy combinations positively influenced or had the potential to influence their implementation performance. At the practitioner level, half of the combinations were perceived to have a positive influence on determinants and implementation performance. Furthermore, practitioners who reported the absence of BCT-strategy combinations were more skeptical about their potential influence on determinants and implementation performance.
CONCLUSIONS: Several BCT-strategy combinations were perceived to improve or potentially improve implementation performance of both practitioners and management professionals. In the development and evaluation of implementation efforts, we advocate for clearly describing the implementation effort\'s objective and using frameworks that detail the BCTs inducing behavior change, the strategy employed, and the processes driving the observed changes. Understanding these interconnected processes is important in designing targeted, evidence-based behavior change interventions. This understanding optimizes resource allocation and contributes to the overall success of implementation efforts in youth care.
METHODS: We conducted a cross-sectional study involving practitioners and management professionals from youth (health)care organizations. Using questionnaires, we obtained data on the presence of BCT-strategy combinations and their perceived influence on determinants and implementation performance. Chi-squared tests and regression analyses were employed to determine the influence of specific BCT-strategy combinations on determinants and implementation performance.
RESULTS: Our analyses included data from 104 practitioners and 34 management professionals. Most of the management professionals indicated that the BCT-strategy combinations positively influenced or had the potential to influence their implementation performance. At the practitioner level, half of the combinations were perceived to have a positive influence on determinants and implementation performance. Furthermore, practitioners who reported the absence of BCT-strategy combinations were more skeptical about their potential influence on determinants and implementation performance.
CONCLUSIONS: Several BCT-strategy combinations were perceived to improve or potentially improve implementation performance of both practitioners and management professionals. In the development and evaluation of implementation efforts, we advocate for clearly describing the implementation effort\'s objective and using frameworks that detail the BCTs inducing behavior change, the strategy employed, and the processes driving the observed changes. Understanding these interconnected processes is important in designing targeted, evidence-based behavior change interventions. This understanding optimizes resource allocation and contributes to the overall success of implementation efforts in youth care.
摘要：
背景：行为改变技术（BCT）被认为是实施策略的活动组件，影响决定因素和，最终,实施绩效。在我们之前的Delphi研究中,专家制定了“实施假设”，详细说明BCT和策略的特定组合（称为BCT-策略组合）如何影响青年护理中的决定因素和指南实施。例如,假设提供指南使用说明的教育会议是为了提高从业人员的知识，因此,指导方针实施。然而,这些假设尚未在实践中得到验证。
方法：我们进行了一项涉及青年（健康）护理组织的从业人员和管理专业人员的横断面研究。使用问卷，我们获得了有关BCT策略组合的存在及其对决定因素和实施绩效的感知影响的数据.采用卡方检验和回归分析来确定特定BCT策略组合对决定因素和实施绩效的影响。
结果：我们的分析包括来自104名从业人员和34名管理专业人员的数据。大多数管理专业人员表示，BCT策略组合对其实施绩效产生了积极影响或有可能影响。在从业者层面，一半的组合被认为对决定因素和实施绩效有积极影响。此外，报告不存在BCT-策略组合的从业者更怀疑其对决定因素和实施绩效的潜在影响.
结论：认为几种BCT策略组合可以改善或潜在地改善从业人员和管理专业人员的实施绩效。在制定和评估执行工作中,我们主张清楚地描述实施工作的目标，并使用详细介绍BCT诱导行为变化的框架，所采用的策略，以及驱动观察到的变化的过程。理解这些相互关联的过程在设计有针对性的、基于证据的行为改变干预措施。这种理解优化了资源分配，并有助于青年护理实施工作的整体成功。
方法：我们进行了一项涉及青年（健康）护理组织的从业人员和管理专业人员的横断面研究。使用问卷，我们获得了有关BCT策略组合的存在及其对决定因素和实施绩效的感知影响的数据.采用卡方检验和回归分析来确定特定BCT策略组合对决定因素和实施绩效的影响。
结果：我们的分析包括来自104名从业人员和34名管理专业人员的数据。大多数管理专业人员表示，BCT策略组合对其实施绩效产生了积极影响或有可能影响。在从业者层面，一半的组合被认为对决定因素和实施绩效有积极影响。此外，报告不存在BCT-策略组合的从业者更怀疑其对决定因素和实施绩效的潜在影响.
结论：认为几种BCT策略组合可以改善或潜在地改善从业人员和管理专业人员的实施绩效。在制定和评估执行工作中,我们主张清楚地描述实施工作的目标，并使用详细介绍BCT诱导行为变化的框架，所采用的策略，以及驱动观察到的变化的过程。理解这些相互关联的过程在设计有针对性的、基于证据的行为改变干预措施。这种理解优化了资源分配，并有助于青年护理实施工作的整体成功。
