[영문]Objective. Existing knowledge of evidence-based chronic disease preventionis not systematically disseminated or applied. This study investigated state andterritorial chronic disease practitioners’ self-reported barriers to evidence-baseddecision making (EBDM).Methods. In a nationwide survey, participants indicated the extent to whichthey agreed with statements reflecting four personal and five organizationalbarriers to EBDM. Responses were measured on a Likert scale from 0 to 10,with higher scores indicating a larger barrier to EBDM. We analyzed meanlevels of barriers and calculated adjusted odds ratios for barriers that wereconsidered modifiable through interventions.Results. Overall, survey participants (n5447) reported higher scores fororganizational barriers than for personal barriers. The largest reported barriersto EBDM were lack of incentives/rewards, inadequate funding, a perceptionof 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-basedprograms and in communicating with policy makers. Participants with a bachelor’sdegree as their highest degree were more likely than those with publichealth master’s degrees to report lacking skills in developing evidence-basedprograms. Men, specialists, and individuals with doctoral degrees were allmore likely to feel the need to be an expert on many issues to effectively makeevidence-based decisions.Conclusions. Approaches must be developed to address organizational barriersto EBDM. Focused skills development is needed to address personal barriers,particularly for chronic disease practitioners without graduate-level training.