在英格兰多民族社区的初级保健中实施糖尿病预防计划:使用RE-AIM框架构造的评估
Helen Dallosso1, Kamlesh Khunti2, Laura J Gray3
1Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK; NIHR Applied Research Collaboration East Midlands, UK.
Primary care diabetes
|May 28, 2023
概括
在初级保健中实施糖尿病预防计划显示了16%的吸收率. 后续电话提高了参与率,表明为实践提供资源可以进一步促进参与糖尿病预防工作.
科学领域:
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
- 预防糖尿病 预防糖尿病
背景情况:
- 糖尿病预防计划对于管理不断上升的2型糖尿病率至关重要.
- 初级保健机构为早期干预和风险识别提供了至关重要的机会.
研究的目的:
- 在初级保健中评估12个月糖尿病预防计划的实施情况.
- 通过RE-AIM构造来评估该计划的采用,覆盖和吸收.
主要方法:
- 该计划在两个城市的八个一般实践中进行.
- 转介涉及外部管理员进行电子搜索和邮寄邀请,实践有直接转介选项.
- 六名教育工作者接受了培训,以提供课程内容.
主要成果:
- 所有参与实践都使用电子搜索和邮寄邀请.
- 邀请了3.9%的25岁及以上非糖尿病高血糖症 (NDH) 患者.
- 总体而言,节目采用率为16%,当邀请之后接到电话时,观察到的比率更高. 某些人口群体面临排斥的风险.
结论:
- 通过全面的电子搜索,有效地确定并邀请了符合条件的个人参加糖尿病预防计划.
- 后续的电话显著提高了节目采用率.
- 建议为直接电话后续呼叫提供资源,以进一步提高参与度.
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