迈向包容性糖尿病预防计划的小步骤:为大变革迈出小步是如何提高计划公平性和包容性的
Kaela D Cranston1, Megan M MacPherson1, Jenna Ap Sim1
1School of Health and Exercise Sciences, University of British Columbia Okanagan Campus, Kelowna, BC, Canada.
这项研究适应了小步骤大变革 (SSBC) 2型糖尿病 (T2D) 预防计划,以改善高风险人群的公平获取和包容性. 为其他研究人员提供建议,以加强卫生计划的包容性.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 预防慢性疾病 预防慢性疾病
背景情况:
- 健康的社会决定因素,殖民主义和系统不公正在某些人群中不成比例地增加了2型糖尿病 (T2D) 的风险.
- 现有的T2D预防计划往往缺乏公平和包容的设计,未能有效地接触到面临风险的群体.
研究的目的:
- 提出一种以证据为基础的方法,以加强社区T2D预防计划的公平获取和包容性.
- 根据利益相关者的意见和Connect框架,详细说明了"小步骤带来大变革" (SSBC) 计划的修改.
主要方法:
- 修改了计划的资格标准和交付方法,以改善对T2D风险最高的人群的接触.
- 调整了测量工具,并为计划方便者提供了包容性培训,以确保公平的测试和交付.
- 利用利益相关者咨询小组和Connect框架指导计划修改.
主要成果:
- 该SSBC计划成功实施了变化,以提高包容性和T2D预防的范围.
- 对资格,交付,测量和培训的具体调整是改善计划公平性的关键.
- 制定了可行的建议,以便在卫生计划设计中更广泛地应用.
结论:
- 社区T2D预防计划可以有效地适应,以提高公平性和包容性.
- 利益相关者的参与和结构化的框架对于设计和实施包容性卫生干预措施至关重要.
- 这些适应对于确保预防工作能够触及并使最容易受到T2D影响的人口受益至关重要.
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