ArticlePublic health reports (Washington, D.C. : 1974)
Barriers to evidence-based decision making in public health: a national survey of chronic disease practitioners.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
76 citing papers in PubMed, 1 synthesis or guideline pooled it, 138 citations in OpenAlex.
- Defining the external implementation context: an integrative systematic literature review.BMC health services research · 2018Pooled it
- A multilevel approach for promoting physical activity in rural communities: a cluster randomized controlled trial.BMC public health · 2019Trial
- 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 : IS · 2017Trial
- Promoting state health department evidence-based cancer and chronic disease prevention: a multi-phase dissemination study with a cluster randomized trial component.Implementation science : IS · 2013Trial
- Improving cancer prevention and control through implementing academic-local public health department partnerships - protocol for a cluster-randomized implementation trial using a positive deviance approach.Implementation science communications · 2025Article
- Effect of web-based training on public health nurses' program implementation capacity: a randomized controlled trial.BMC nursing · 2024Article
- Cross-country analysis of contextual factors and implementation strategies in under-5 mortality reduction in six low- and middle-income countries 2000-2015.BMC pediatrics · 2024Article
- Dissemination of public health research to prevent non-communicable diseases: a scoping review.BMC public health · 2023Article
- Tailoring dissemination strategies to increase evidence-informed policymaking for opioid use disorder treatment: study protocol.Implementation science communications · 2023Article
- Revisiting concepts of evidence in implementation science.Implementation science : IS · 2022Article
- Article
- Effectiveness of an Academic-Practice Team Approach on Research Capacity Building of Nurses and Public Health Professionals.International journal of environmental research and public health · 2021Article
- Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China.Frontiers in public health · 2021Article
- General practitioners' perceptions of their practice of evidence-based chronic disease prevention interventions: a quantitative study in Shanghai, China.BMC family practice · 2020Article
- What Is Dissemination and Implementation Science?: An Introduction and Opportunities to Advance Behavioral Medicine and Public Health Globally.International journal of behavioral medicine · 2020Review
- Evaluation of Facilitators and Barriers to Implementing Evidence-Based Practice in the Health Services: A Systematic Review.Galen medical journal · 2020Review
- Practitioner perspectives on building capacity for evidence-based public health in state health departments in the United States: a qualitative case study.Implementation science communications · 2020Article
- Evidence-based medicine among health-care workers in hospitals in Iran: A nationwide survey.Journal of education and health promotion · 2020Review
- Comparative case studies in integrated care implementation from across the globe: a quest for action.BMC health services research · 2019Article
- Organisational factors that facilitate research use in public health policy-making: a scoping review.Health research policy and systems · 2019Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveExisting knowledge of evidence-based chronic disease prevention is not systematically disseminated or applied. This study investigated state and territorial chronic disease practitioners' self-reported barriers to evidence-based decision making (EBDM).
methodsIn a nationwide survey, participants indicated the extent to which they agreed with statements reflecting four personal and five organizational barriers to EBDM. Responses were measured on a Likert scale from 0 to 10, with higher scores indicating a larger barrier to EBDM. We analyzed mean levels of barriers and calculated adjusted odds ratios for barriers that were considered modifiable through interventions.
resultsOverall, survey participants (n=447) reported higher scores for organizational barriers than for personal barriers. The largest reported barriers to EBDM were lack of incentives/rewards, inadequate funding, a perception of state legislators not supporting evidence-based interventions and policies, and feeling the need to be an expert on many issues. In adjusted models, women were more likely to report a lack of skills in developing evidence-based programs and in communicating with policy makers. Participants with a bachelor's degree as their highest degree were more likely than those with public health master's degrees to report lacking skills in developing evidence-based programs. Men, specialists, and individuals with doctoral degrees were all more likely to feel the need to be an expert on many issues to effectively make evidence-based decisions.
conclusionsApproaches must be developed to address organizational barriers to EBDM. Focused skills development is needed to address personal barriers, particularly for chronic disease practitioners without graduate-level training.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.