在农村社区环境中评估Nuevo Amanecer-II的实施,使用混合方法和公平框架
Jasmine Santoyo-Olsson1, Anita L Stewart2, Carmen Ortiz3
1Division of Internal Medicine, University of California San Francisco, San Francisco, CA, USA. jasmine.santoyo-olsson@ucsf.edu.
Archives of public health = Archives belges de sante publique
|November 10, 2023
概括
纽埃沃阿马内塞尔-II干预成功地减少了农村社区西班牙语拉丁裔乳腺癌幸存者的焦虑. 公平,以社区为中心的实施是其成功的关键.
科学领域:
- 基于社区的参与式研究.
- 卫生公平性健康公平性
- 心理社会干预措施 心理社会干预
背景情况:
- 10周的 Nuevo Amanecer-II 干预计划在西班牙语的拉丁裔乳腺癌幸存者中有效降低焦虑和增强压力管理.
- 本研究侧重于这项干预措施在加利福尼亚州三个农村社区的实施和公平结果.
研究的目的:
- 评估实施 (可行性,忠实性,可接受性,采用性,适当性,可持续性) 和公平性 (共享权力,能力建设) 的Nuevo Amanecer-II干预.
- 了解有助于在社区环境中成功提供计划的因素.
主要方法:
- 一个并发的融合混合方法设计,利用实施和股权框架.
- 从跟踪表格,忠诚度评级和调查中获得的定量数据;从与利益相关者进行的半结构化访谈中获得的定性数据,包括社区组织 (CBO) 管理员,招聘人员,干预者 (compañeras) 和参与者.
主要成果:
- 参与者的高完成率 (86%) 和强大的知识/技能掌握率 (85%).
- 高保真度评分 (3.8-5.0) 和节目可接受性 (90%的评分非常好/优秀).
- 实施的成功是由共享权力,共同所有权和将计划定制为社区环境所推动的;由于任务对齐,CBO采用了该计划. 确定了可持续性规划和资金需求.
结论:
- 公平的参与性研究流程和利用社区资产对于成功实施这种同行交付的心理社会干预至关重要.
- 干预的成功凸显了以社区为中心的方法的重要性,以支持农村地区的西班牙语拉丁裔乳腺癌幸存者.
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