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Abstract
Health Care Sciences & Services Health Policy & Services Life Sciences & Biomedicine Science & Technology
Background Research use in policymaking is multi-faceted and has been the focus of extensive study. However, virtually no quantitative studies have examined whether the determinants of research use vary according to the type of research use or phase of policy process. Understanding such variation is important for selecting the targets of implementation strategies that aim to increase the frequency of research use in policymaking. Methods A web-based survey of US state agency officials involved with children's mental health policymaking was conducted between December 2019 and February 2020 (n = 224, response rate = 33.7%, 49 states responding (98%), median respondents per state = 4). The dependent variables were composite scores of the frequency of using children's mental health research in general, specific types of research use (i.e., conceptual, instrumental, tactical, imposed), and during different phases of the policy process (i.e., agenda setting, policy development, policy implementation). The independent variables were four composite scores of determinants of research use: agency leadership for research use, agency barriers to research use, research use skills, and dissemination barriers (e.g., lack of actionable messages/recommendations in research summaries, lack of interaction/collaboration with researchers). Separate multiple linear regression models estimated associations between determinant and frequency of research use scores. Results Determinants of research use varied significantly by type of research use and phase of policy process. For example, agency leadership for research use was the only determinant significantly associated with imposed research use (beta = 0.31, p < 0.001). Skills for research use were the only determinant associated with tactical research use (beta = 0.17, p = 0.03) and were only associated with research use in the agenda-setting phase (beta = 0.16, p = 0.04). Dissemination barriers were the most universal determinants of research use, as they were significantly and inversely associated with frequency of conceptual (beta = -0.21, p = 0.01) and instrumental (beta = -0.22, p = 0.01) research use and during all three phases of policy process. Conclusions Decisions about the determinants to target with policy-focused implementation strategies-and the strategies that are selected to affect these targets-should reflect the specific types of research use that these strategies aim to influence.
Determinants of using children's mental health research in policymaking: variation by type of research use and phase of policy process
Creators
Jonathan Purtle - Department of Health Management and Policy, Drexel University Dornsife School of Public Health, Philadelphia, USA
Katherine L. Nelson - Drexel University
Sarah Mc Cue Horwitz - New York University
Mary M. McKay - Washington University in St. Louis
Kimberly E. Hoagwood - New York University
Publication Details
Implementation science : IS, v 16(1), pp 13-13
Publisher
Springer Nature
Number of pages
15
Grant note
P50MH113662 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
Resource Type
Journal article
Language
English
Academic Unit
Health Management and Policy
Web of Science ID
WOS:000608982200001
Scopus ID
2-s2.0-85100134156
Other Identifier
991019168864904721
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