Project Dates: 2016-2022
Purpose: To increase the use of proven strategies for chronic disease control among local health departments (LHDs) to improve community health and reduce the burden of chronic diseases.
- Understand factors influencing use of evidence-based practice and evidence-based programs and policies (EBPPs) for chronic disease control across LHDs; identify gaps to be addressed
- Facilitate use of evidence-based practice and EBPPs among LHDs:
- Provide menu of capacity-building activities based on local context including : trainings in evidence-based public health, technical assistance through knowledge brokers, targeted messages with resources, and organizational change strategies
- Bridge research and public health practice
- Advance practice, and dissemination and implementation research by communicating findings through traditional and non-traditional methods
Findings & Recommendations
Local health departments found these key in supporting evidence-based decision-making (EBDM):
- Develop leadership team support
- Build a foundation for EBDM through a supportive culture and ongoing training
- Start small via champions, roll out new or modified procedures slowly
- Note benefits and impacts of process changes with agency staff
- Share ideas and impacts with other LHDs
Principal Investigator: Ross C. Brownson, PhD
Co-Investigators: Peg Allen, PhD, MPH, RN; Rachel Tabak, PhD, RD; Stephanie Mazzucca, PhD; Rebekah Jacob, MSW, MPH; Yan Yan, MD, PhD; Elizabeth Baker, PhD, MPH; Marshall Chin, MD, MPH; Maureen Dobbins, PhD; Katie Stamatakis, PhD, MPH
Project Manager: Renee Parks, MS
12 local health departments in Missouri that participated; National Association of County & County Health Officials (NACCHO); Missouri Association of Local Public Health Agencies (MoALPHA); Brown School Evaluation Center
National Institutes of Health: R01DK109913
Goal: Build public health practitioners’ skills in developing/strengthening evaluation plans.
Six webinars, each 1 hour or less. Designed as a series with content building upon each webinar; however, webinars may also be viewed independently.
Our team conducted a multi-year project with local health departments to build EBDM. The project included a multi-day evidence-based decision-making training followed by customized technical assistance, support and information resources. Here are some of the project findings and recommendations from participating local health departments.
From Aug.-Sept. 2017, our research team administered a survey of public health practitioners leading chronic disease control from local health departments (LHDs) across the United States to obtain a national picture of local-level views on and use of evidence-based programs for chronic disease control, and skills and supports for evidence-based practices. This infographic summarizes the findings.
In Jan.-Apr. 2017, our research team conducted phone interviews with local health directors and practitioners from local health departments (LHDs) in Missouri to understand factors supporting or hindering use of evidence-based chronic disease control. This infographic summarizes the findings.
Allen, P., Parks, R. G., Kang, S. J., Dekker, D., Jacob, R. R., Mazzucca-Ragan, S., & Brownson, R. C. (2023). Practices Among Local Public Health Agencies to Support Evidence-Based Decision Making: A Qualitative Study. Journal of public health management and practice : JPHMP, 29(2), 213–225. https://doi.org/10.1097/PHH.0000000000001653
Jacob R. R., Parks R. G., Allen P., Mazzucca S., Yan Y., Kang S., Dekker D., Brownson R. C. (2022). How to “start small and just keep moving forward”: Mixed methods results from a stepped-wedge trial to support evidence-based processes in local health departments. Frontiers in Public Health, 10: 853791. doi.org/10.3389/fpubh.2022.853791.
Allen, P., Jacob, R. R., Parks, R. G., Mazzucca, S., Hu, H., Robinson, M., Dobbins, M., Dekker, D., Padek, M., Brownson, R. C. (2020). Perspectives on program mis-implementation among U.S. local public health departments. BMC health services research, 20, 258. https://doi.org/10.1186/s12913-020-05141-5
Poehler, A. R., Parks, R. G., Tabak, R. G., Baker, E. A., Brownson, R. C. (2019). Factors Facilitating or Hindering Use of Evidence-Based Diabetes Interventions Among Local Health Departments. Journal of public health management and practice, volume publish ahead of print – issue. doi: 10.1097/PHH.0000000000001094
Allen, P., Mazzucca, S., Parks, R. G., Robinson, M., Tabak, R. G., & Brownson, R. (2019). Local Health Department Accreditation Is Associated With Organizational Supports for Evidence-Based Decision Making. Frontiers in public health, 7, 374. https://doi.org/10.3389/fpubh.2019.00374
Mazzucca, S., Parks, R. G., Tabak, R. G., Allen, P., Dobbins, M., Stamatakis, K. A., Brownson, R. C. (2019). Assessing Organizational Supports for Evidence-Based Decision Making in Local Public Health Departments in the United States: Development and Psychometric Properties of a New Measure. Journal of public health management and practice, 25 (5), 454-463. doi: 10.1097/PHH.0000000000000952
Erwin, P. C., Parks, R. G., Mazzucca, S., Allen, P., Baker, E. A., Hu, H., Davis-Joyce, J., & Brownson, R. C. (2019). Evidence-Based Public Health Provided Through Local Health Departments: Importance of Academic-Practice Partnerships. American journal of public health, 109(5), 739–747. https://doi.org/10.2105/AJPH.2019.304958
Tabak, R. G., Parks, R. G., Allen, P., Jacob, R. R., Mazzucca, S., Stamatakis, K. A., Poehler, A. R., Chin, M. H., Dobbins, M., Dekker, D., & Brownson, R. C. (2018). Patterns and correlates of use of evidence-based interventions to control diabetes by local health departments across the USA. BMJ open diabetes research & care, 6(1), e000558. https://doi.org/10.1136/bmjdrc-2018-000558
Parks RG, Tabak RG, Allen P, Baker EA, Stamatakis KA, Poehler AR, Yan Y, Chin MH, Harris JK, Dobbins M, Brownson RC. Enhancing evidence-based diabetes and chronic disease control among local health departments: a multi-phase dissemination study with a stepped-wedge cluster randomized trial component. Implementation Science. October 18 2017;12(1):122.