一个社区参与的过程,为患有严重精神疾病的人适应心血管健康干预
Christina T Yuan1, Gail L Daumit1,2, Lisa A Cooper1,2,3
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
社区参与是适应严重精神疾病患者心血管疾病干预措施的关键. 这项研究使用了需求评估和工作组,让最终用户参与为社区心理健康环境定制IDEAL Goals干预措施.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 健康 行为 改变 改变
背景情况:
- 严重精神疾病 (SMI) 与显著的心血管疾病 (CVD) 风险因素差异有关.
- 有效的CVD风险降低干预措施需要适应社区设置,以提高可扩展性.
- 最终用户的参与对于调整干预措施以满足SMI患者的需求至关重要.
研究的目的:
- 用社区投入来描述一种新的,基于理论的过程,以适应IDEAL Goals干预措施.
- 在社区心理健康计划中加强基于证据的CVD风险降低策略的实施.
- 让SMI患者和社区利益相关者参与干预适应.
主要方法:
- 利用复制有效计划 (REP) 框架的预实施阶段.
- 进行了需求评估,包括现场调查 (N=26) 和个人访谈 (N=94).
- 召集了社区工作组,包括临床医生,工作人员和SMI患者,以调整干预和实施策略.
主要成果:
- 使用"利益相关者参与报告问卷"描述了社区参与过程.
- 通过需求评估确定预期的实施障碍和促进者.
- 促进了IDEAL目标干预措施与各种利益相关者的协作调整.
结论:
- 社区参与对于调整为SMI患者提供基于证据的干预措施至关重要.
- 描述的过程为整合社区投入到干预适应中提供了一个模型.
- 进一步的研究可以建立在此基础上,以更好地衡量干预扩展中社区参与的过程.
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