利益相关者对影响采用儿科体重管理干预措施的因素的看法:一种定性研究
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Updated: Jul 12, 2025
09:36
Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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Desiree Sierra-Velez1, Anisha Gundewar2, Alicia Persaud3
1Division of Pediatric Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, MA, United States.
Frontiers in public health
|October 30, 2023
概括
采用儿科体重管理干预措施 (PWMI) 需要了解促进者,如积极的学习气候和可适应的模型. 解决健康的社会决定因素和适应COVID-19等挑战对于接触有风险的儿童至关重要.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 儿科医学 儿科医学
背景情况:
- 儿童肥胖不成比例地影响少数群体和低收入社区,因COVID-19大流行而加剧了这种差异.
- 需要有效的儿科体重管理干预措施 (PWMI),特别是那些在多样化,低收入人群中进行评估的干预措施.
- 由美国儿科学会和马萨诸塞总医院开发的健康体重诊所PWMI提供了一种经过测试的多学科方法.
研究的目的:
- 确定影响健康体重诊所PWMI成功采用的因素.
- 了解在新环境中实施PWMI所需的调整.
- 为有效的PWMI在全国范围内传播策略提供信息.
主要方法:
- 定性研究涉及采访20个利益相关者从前实施和维护阶段的健康中心.
- 采访以"实施研究综合框架" (CFIR) 为指导.
- 分析使用有针对性的内容分析和报告适应和修改扩展框架 (FRAME) 进行与流行病相关的适应.
主要成果:
- 收养促进因素包括积极的学习气候,员工学习意愿,重视基于证据的护理和文化敏感的员工.
- 健康的社会决定因素构成障碍,但有创造性的解决方案可以减轻障碍.
- 干预适应性,远程医疗和修改内容是关键的适应,特别是在COVID-19大流行期间.
结论:
- 了解采用因素是成功实施和适应PWMI的关键.
- 量身定制的实施策略对于接触有风险人群至关重要.
- 全国范围内的PWMI传播可以帮助解决儿童肥胖差异.
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