PMID- 32732714
OWN - NLM
STAT- MEDLINE
DCOM- 20211011
LR  - 20240409
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Print)
IS  - 1078-4659 (Linking)
VI  - 26
IP  - 5
DP  - 2020 Sep/Oct
TI  - The Association Between Evidence-Based Decision Making and Accreditation of State 
      Health Departments.
PG  - 419-427
LID - 10.1097/PHH.0000000000001162 [doi]
AB  - OBJECTIVE: To assess the association between evidence-based decision making, 
      including implementation of evidence-based interventions (EBIs), with 
      accreditation of state health departments through the Public Health Accreditation 
      Board (PHAB). DESIGN: This was a cross-sectional, electronic survey of state 
      health department practitioners. We utilized a survey instrument focused on 
      evidence-based public health, de-implementation, and sustainability of public 
      health programs. Survey questions were organized into 6 domains: (1) demographic 
      information; (2) individual-level skills; (3) decision making on programs ending; 
      (4) decision making on programs continuing; (5) organization/agency capacity; and 
      (6) external influences. PARTICIPANTS: The targeted practitioners were randomly 
      selected from the 3000-person membership of National Association of Chronic 
      Disease Directors and program manager lists from key Centers for Disease Control 
      and Prevention-supported programs in cancer and cancer risk factors. The final 
      target audience for the survey totaled 1329 practitioners, representing all 50 
      states. MAIN OUTCOME MEASURE(S): The main outcome measures included the strength 
      of association between a state's PHAB accreditation status and variables related 
      to evidence-based public health and use of EBIs that fell within the individual 
      participant skills, organization/agency capacity, and external influences 
      domains. RESULTS: We received 643 valid responses (response rate = 48.4%), 
      representing all 50 states, with 35 states being PHAB accredited. There was a 
      statistically significant association between PHAB accreditation and state health 
      department use of quality improvement processes (P = .002), leadership plans to 
      implement EBIs (P = .009), and leadership reactions to EBI implementation issues 
      (P = .004). Respondents from PHAB-accredited states were significantly more 
      likely than participants from nonaccredited states to report greater engagement 
      with legislators and governors regarding EBIs and 14% less likely to report the 
      inappropriate termination of programs in their work unit (P = .05). CONCLUSIONS: 
      The importance of accreditation relates to both internally focused functions and 
      externally focused activities, especially regarding policy-related impact.
FAU - Erwin, Paul Campbell
AU  - Erwin PC
AD  - School of Public Health, The University of Alabama at Birmingham, Birmingham, 
      Alabama (Dr Erwin); Prevention Research Center in St Louis, Brown School, 
      Washington University in St Louis, St Louis, Missouri (Ms Padek, Mr Smith, and 
      Drs Allen and Brownson); and Division of Public Health Sciences and Alvin J. 
      Siteman Cancer Center, Washington University School of Medicine, Washington 
      University in St Louis, St Louis, Missouri (Dr Brownson).
FAU - Padek, Margaret M
AU  - Padek MM
FAU - Allen, Peg
AU  - Allen P
FAU - Smith, Romario
AU  - Smith R
FAU - Brownson, Ross C
AU  - Brownson RC
LA  - eng
GR  - R01 CA214530/CA/NCI NIH HHS/United States
GR  - U48 DP006395/DP/NCCDPHP CDC HHS/United States
GR  - U48DP006395/ACL/ACL HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - *Accreditation
MH  - Adult
MH  - Aged
MH  - Cross-Sectional Studies
MH  - *Decision Making
MH  - Female
MH  - *Gender Identity
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Public Health Administration
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC7384894
MID - NIHMS1564305
COIS- The authors declare no conflicts of interest.
EDAT- 2020/08/01 06:00
MHDA- 2021/10/12 06:00
PMCR- 2020/07/27
CRDT- 2020/08/01 06:00
PHST- 2020/08/01 06:00 [entrez]
PHST- 2020/08/01 06:00 [pubmed]
PHST- 2021/10/12 06:00 [medline]
PHST- 2020/07/27 00:00 [pmc-release]
AID - 00124784-202009000-00005 [pii]
AID - 10.1097/PHH.0000000000001162 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2020 Sep/Oct;26(5):419-427. doi: 
      10.1097/PHH.0000000000001162.