实施工作室:实施支持计划,以建立服务移民社区的农村社区卫生教育工作者的能力,以实施基于证据的癌症预防和控制干预措施
Linda K Ko1,2,3, Thuy Vu4, Sonia Bishop4
1Department of Health Systems and Population Health, Health Promotion Research Center, University of Washington, Seattle, WA, USA. lindako@uw.edu.
实施工作室培训计划显著提高了社区卫生教育者实施基于证据的干预措施 (EBI) 预防癌症的能力. 这提高了他们的客户对结直肠癌查的知识和意图.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社区健康 社区健康
背景情况:
- 农村社区组织 (CBOs) 对于向移民群体提供卫生干预措施至关重要.
- 基于证据的干预措施 (EBI) 对预防和控制癌症至关重要.
- 资源较少的CBOs在有效实施EBI方面面临挑战.
研究的目的:
- 评估实施研究对CBOs实施EBI的能力的影响.
- 评估实施工作室对客户关于结直肠癌 (CRC) 查的知识和意图的影响.
- 确定该计划是否满足农村CBO为移民社区服务的独特需求.
主要方法:
- 实施工作室培训了来自两个农村CBO的13名社区卫生教育者 (CHE).
- 在培训期间,CHEs选择并调整了CRC相关的EBI.
- 评估评估了CHEs的EBI实施能力和客户的CRC查知识和意图 (n=44).
主要成果:
- CHE对EBI的知识从23%增加到75% (p<0.001).
- CHE选择 (21%至92%),适应 (21%至92%),实施 (29%至75%) 的能力显著提高了EBI (p<0.001选择/适应,p=0.003实施).
- 在CHE提供的干预后,客户表现出对CRC查的知识和意图增加.
结论:
- 实施工作室有效地建立了服务移民社区的农村CBO的能力.
- 这种培训和咨询模式支持在服务不足的地区实施癌症预防EBI.
- 该计划展示了改善移民人口中癌症查采用的潜力.
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