Training of practitioners on evidence-based public health has shown to be beneficial, yet overwhelming. Chunking information and proximate practical application are effective techniques to increase retention in adult learning. Evidence-based public health training for practitioners from African American and Hispanic/Latino community agencies and tribes/tribal nations incorporated these 2 techniques. The community-level practitioners alternated attending training and implementing the steps of the evidence-based public health framework as they planned state-funded programs. One year later, survey results showed that participants reported increased confidence in skills that were reinforced by practical and practiced application as compared with posttraining survey results. In addition, at 1 year, reported confidence in skills that were not fortified by proximate application decreased when compared with posttraining confidence levels. All 7 community programs successfully created individualized evidence-based action plans that included evidence-based practices and policies across socioecological levels that fit with the unique culture and climate of their own community.
Office of the State Epidemiologist, Oklahoma Department of Health, Oklahoma City, Oklahoma (Dr Douglas); First Physicians Business Solutions, Oklahoma City, Oklahoma (Mr Lowry); and Center for the Advancement of Wellness, Oklahoma State Department of Health, Oklahoma City, Oklahoma (Ms Morgan).
Correspondence: Malinda R. Douglas, DrPH, Office of the Vice President for Research, Research Administration, 865 Research Parkway, URP 865-450, Oklahoma City, OK 73104 (email@example.com).
The evidence-based public health framework sessions and refresher training courses were made possible, in part, through a contract with the Washington University in St Louis and the Preventive Health and Human Services Block Grant, Centers for Disease Control and Prevention (CDC), respectively. Community program funding was provided through the CDC, National State-Based Tobacco Control Programs grant.
The authors declare no conflicts of interest and take sole responsibility for this article.