■这项研究试图记录和理解促进者和生产障碍,翻译,在布基纳法索的决策中使用建模证据,尼日利亚,印度,肯尼亚。我们探索了研究人员-决策者参与机制作为证据使用的关键促进者,专注于知识经纪人和边界组织。
■该研究使用了混合方法,该方法借鉴了关键线人访谈和调查的分析,辅之以对地图建模活动和参与者的快速案头审查。这项调查是在网上进行的,而定性研究需要与建模者进行深入访谈,知识经纪人,以及在各种具有代表性的卫生领域工作的决策者,组织,和各级政府。这项研究得到了美国健康媒体实验室IRB(机构审查委员会)和每个研究国家的当地IRB的批准,并于2021年9月至2022年6月进行。
■接受采访的调查人员描述了一系列因素,这些因素促进和抑制了个人在公共卫生决策中使用建模证据,组织,和环境水平。关键主题包括生产能力,翻译,并使用建模证据;建模输出的时间和相关性;建模者和决策者之间存在沟通渠道;基础数据系统的强度;持续资金的作用;以及全球危机的影响。
■这项研究强调了采取生态系统方法来支持建模活动的重要性,考虑到个人,组织,和环境因素,以及不同的参与者如何相互作用来告知生产,翻译,和使用模型证据。促进对话的结构化互动,辩论,证据的生产者和使用者之间的共同意义对于告知和影响决策中证据的使用至关重要。
UNASSIGNED: This study sought to document and understand facilitators and barriers to producing, translating, and using modeled evidence in decision-making in Burkina Faso, Nigeria, India, and Kenya. We explored researcher-decision-maker engagement mechanisms as key facilitators of evidence use, with a focus on knowledge brokers and boundary organizations.
UNASSIGNED: The study used mixed methods drawing on analysis from key informant interviews and surveys, complemented by a rapid desk review to map modeling activities and actors. The survey was conducted online while the qualitative research entailed in-depth interviews with modelers, knowledge brokers, and decision-makers working in a representative variety of health fields, organizations, and levels of government. This study was approved by Health Media Lab IRB (Institutional Review Board) in the United States and a local IRB in each study country and conducted between September 2021 and June 2022.
UNASSIGNED: Informants interviewed for this study described a range of factors that facilitate and inhibit the use of modeled evidence in public health decision-making at the individual, organizational, and environmental levels. Key themes included the capacity to produce, translate, and use modeled evidence; the timing and relevance of modeling outputs; the existence of communications channels between modelers and decision-makers; the strength of underlying data systems; the role of sustained funding; and the impact of global crises.
UNASSIGNED: This study highlights the importance of taking an ecosystem approach to supporting modeling activities, considering individual, organizational, and environmental factors and how different actors and interact to inform the production, translation, and use of modeled evidence. Structured interaction that promotes dialogue, debate, and joint sense making between the producers and users of evidence is critical to informing and influencing the use of evidence in decision-making.