对饮食和健康体重的整体系统方法:在苏格兰东部进行纵向过程评估
Perspectives in public health
|October 30, 2023
概括
实施饮食和健康体重的整体系统方法 (WSA) 需要牢固的关系,利益相关者的支持和充足的资金. 挑战包括资金缺口和员工流动,但WSA为预防肥胖提供了一个有前途的战略.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 预防肥胖 预防肥胖
背景情况:
- 肥胖是一个重要的公共卫生问题,有助于所有人口统计数据的发病率和死亡率.
- 之前的干预措施表现出有限的成功,需要新的方法.
- 整体系统方法 (WSA) 考虑了超出个体行为范围的复杂,相互关联的因素,用于肥胖管理.
研究的目的:
- 评估两个苏格兰议会地区饮食和健康体重的整体系统方法 (WSA) 的纵向实施过程.
- 识别促进和阻碍WSA实施的因素和障碍.
- 将利兹贝克特WSA模型 (LBM) 的实现与混合模型进行比较.
主要方法:
- 使用采访和重点小组进行纵向过程评估.
- 数据收集发生在启动和一年后,以捕捉实施动态.
- 评估了WSA在两个不同的理事会设置中的实施情况.
主要成果:
- 关键的推动因素包括对WSA的信念,牢固的关系,多层次的参与,资金,工作组的多样化专业知识,沟通和治理.
- 重要障碍包括资金不足,高员工流动,培训不足,利益相关方参与挑战,以及回归旧做法.
- 该LBM为系统设置和行动规划提供了一个结构化的框架.
结论:
- 本研究提供了采用利兹贝克特方法的WSA的首次独立纵向评估.
- 提供了成功实施WSA的关键见解,以解决饮食和健康体重的问题.
- 强调解决有效的系统层面变革所识别的推动因素和障碍因素的重要性.
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