调整干预措施的关键教训:倾听智慧女性参与者的意见
Yuae Park1, Jennifer King1, Molly M Eggleston1
1Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
American journal of health promotion : AJHP
|September 6, 2023
概括
在PA-WISE计划中,低收入女性面临着财务限制和照顾职责等挑战. 量身定制的,灵活的干预措施对于降低心血管疾病风险至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 降低心血管疾病 (CVD) 风险对于中年女性来说至关重要.
- 低收入和无/不足保险的妇女在获得医疗保健和改变生活方式方面面临着独特的障碍.
研究的目的:
- 在宾夕法尼亚州WISEWOMAN (PA-WISE) 计划中探索参与者对降低心血管疾病风险的挑战和促进者的观点.
- 了解低收入,无/不足保险的中年女性参与健康指导和生活方式计划的经验.
主要方法:
- 作为更大的计划评估的一部分,在两年内进行定性数据收集.
- 在四个时间点对38名女性进行了个别电话采访.
- 基于理论的方法与代编码,数据显示和重新分析来识别主题.
主要成果:
- 参与者认识到PA-WISE程序功能带来的好处.
- 发现的重大挑战包括财务限制,苛刻的时间表,照顾责任和缺乏社会支持.
- 这些因素阻碍了生活方式的改变和节目参与.
结论:
- 针对这一群体的干预措施必须提供灵活性,选择和定制支持.
- 鉴定到的挑战仍然与应对脆弱人群中心血管疾病风险有关,即使在流行后.
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