在越南实施以社区为基础的计划在促进健康方面是有前途的
Zinzi E Pardoel1, Sijmen A Reijneveld1, Robert Lensink2
1Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
越南的代际自助俱乐部 (ISHC) 显示出对老龄化人口的有希望的实施. 成功的ISHC采用与会员报告的积极健康结果的改善有关.
科学领域:
- 老年学与公共卫生
- 基于社区的干预措施
- 在老龄化人口中促进健康
背景情况:
- 像越南这样的低收入和中等收入国家,面临着老龄化人口日益增长的需求.
- 基于社区的支持模式,如代际自助俱乐部 (ISHC),对于解决未满足需求至关重要.
- 基于老年人协会 (OPA) 模式的ISHC为生活的各个方面提供重要服务.
研究的目的:
- 评估越南跨代自助俱乐部 (ISHC) 的实施情况.
- 为了确定ISHC的成功实施是否与会员报告的积极健康状况的增强有关.
- 评估RE-AIM框架在评估社区健康促进计划中的有用性.
主要方法:
- 该RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架指导了评估.
- 数据通过ISHC董事会调查 (n=97),会员调查 (2019:n=5,080; 2020:n=5,555),焦点小组讨论 (6组;n=44) 和采访 (n=4) 来收集.
主要成果:
- 覆盖范围各不相同 (4683%),女性和老年人是主要参与者.
- 报告的成员满意度很高,表明有效性.
- 医疗保健和社区支持的高采用得分 (74%-99%) 被观察到;在2019年,更高的采用与更好的积极健康相关.
- 报告指出,尽管2020年报告的阳性健康状况略有下降,但实施的一致性很高,对维护的信心很高,这可能是由于COVID-19大流行.
结论:
- 越南OPA模式的实施显示出对促进老龄化人口健康的前景.
- ISHCs可以有效地解决老龄化人口的多方面的需求.
- RE-AIM框架为评估社区健康促进倡议提供了有价值的工具.
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