制定和实施与阿普萨卢克民族的文化一致的待遇忠诚支持计划
Shannen Keene1, Sarah Allen2, Alma Knows His Gun McCormick3
1Department of Human Development & Community Health, Montana State University, Bozeman, MT 59717, USA.
International journal of environmental research and public health
|November 10, 2023
概括
制定文化相关的治疗忠诚度策略对于土著社区健康计划至关重要. 这项研究适应了NIH行为变化联盟的框架,强调了关系问责制和促进者的支持,这导致了一个新的忠诚度领域,重点是关系.
科学领域:
- 卫生干预研究 卫生干预研究
- 土著社区卫生健康土著社区卫生健康
- 治疗忠实性 治疗忠实性
背景情况:
- 在卫生干预中,治疗忠诚度报告不足,特别是在土著社区内.
- 像NIH行为变化联盟 (BCC) 这样的现有框架缺乏文化特定的策略.
- 这种差距阻碍了在不同环境中准确测量和实施卫生计划.
研究的目的:
- 为Apsáalooke (Crow) Nation的慢性疾病自我管理计划制定和实施一个文化一致的治疗忠诚度支持计划.
- 调整BCC框架以纳入土著文化价值观和关系问责制.
- 提出一个新的治疗忠诚的领域,以建立关系为中心.
主要方法:
- 调整并扩展了BCC框架,重点是提供者培训和治疗交付.
- 综合Apsáalooke文化价值观和关系问责制进入忠诚度战略.
- 从监督促进者的方法转移到支持他们的方法,称为"Aakbaabaaniilea".
主要成果:
- 制定了一个文化一致的忠诚度支持计划,适合Apsáalooke社区.
- 确定"建立和培养关系"作为治疗忠诚度的关键第五个领域.
- 证明了优先考虑"如何"进行干预的重要性,而不是"什么"交付.
结论:
- 忠于关系问责制是成功干预土著社区健康的基础.
- 适应的BCC框架为开发文化一致的忠诚度策略提供了一个模型.
- 这种方法强调干预交付的关系方面,促进更好的健康结果.
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