AUTHOR=DeRuyter Anna J. , Ying Xiangji , Budd Elizabeth L. , Furtado Karishma , Reis Rodrigo , Wang Zhaoxin , Sung-Chan Pauline , Armstrong Rebecca , Pettman Tahna , Becker Leonardo , Mui Tabitha , Shi Jianwei , Saunders Tahnee , Brownson Ross C.
TITLE=Comparing Knowledge, Accessibility, and Use of Evidence-Based Chronic Disease Prevention Processes Across Four Countries
JOURNAL=Frontiers in Public Health
VOLUME=6
YEAR=2018
URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2018.00214
DOI=10.3389/fpubh.2018.00214
ISSN=2296-2565
ABSTRACT=Background: Evidence-based chronic disease prevention (EBCDP) effectively reduces incidence rates of many chronic diseases, but contextual factors influence the implementation of EBCDP worldwide. This study aims to examine the following contextual factors across four countries: knowledge, access, and use of chronic disease prevention processes.
Methods: In this cross-sectional study, public health practitioners (N = 400) from Australia (n = 121), Brazil (n = 76), China (n = 102), and the United States (n = 101) completed a 26-question survey on EBCDP. One-way ANOVA and Pearson's Chi-Square tests were used to assess differences in contextual factors of interest by country.
Results: Practitioners in China reported less knowledge of EBCDP processes (p < 0.001) and less use of repositories of evidence-based interventions, than those from other countries (p < 0.001). Academic journals were the most frequently used method for accessing information about evidence-based interventions across countries. When selecting interventions, Brazilian and Chinese practitioners were more likely to consider implementation ease while the Australian and United States practitioners were more likely to consider effectiveness (p < 0.001).
Conclusions: These findings can help inform and improve within and across country strategies for implementing EBCDP interventions.