基于证据的远程健康促进计划,以支持老年人在COVID-19大流行期间和之后:混合方法结果评估
Lesley Steinman1, Kelly Chadwick1, Erica Chavez Santos1
1Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA, United States.
远程基于证据的程序 (EBP) 改善了老年人的健康,社会联系和技术使用. 提供者发现有效性得到维持,这表明远程分娩可以增强健康促进的访问.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 促进健康 促进健康
背景情况:
- 基于证据的项目 (EBP) 传统上为社区环境中的老年人提供服务.
- 由于COVID-19大流行,这些健康促进计划需要转向远程交付.
- 与面对面的模型相比,对老年人远程EBP交付的有效性仍然不太了解.
研究的目的:
- 评估参与远程EBP的老年人健康和福祉的变化.
- 用混合方法方法评估远程EBP交付的有效性和采用程度.
- 检查不同老年人群和分娩方式的结果.
主要方法:
- 使用RE-AIM (覆盖范围,有效性,采用,实施,维护) 为股权框架.
- 包括5个不同的EBP (自我管理,防摔,体育活动) 通过视频会议,电话或邮寄材料交付.
- 从参与者和提供者收集定量 (调查) 和定性 (采访) 数据,分析从招生到6个月后续的变化.
主要成果:
- 586名老年人,198名提供者和37个组织参与了调查;289名老年人完成了随访.
- 参与者报告了健康,能量,睡眠,孤独感,抑郁症状的显著改善,以及减少了对技术的焦虑.
- 75%的提供者保持了远程交付程序的有效性;参与者注意到减少了隔离和更好的访问.
结论:
- 远程EBP显示出改善老年人的健康,社会和技术成果的潜力.
- 结果支持远程EBP交付作为促进健康的可行模式,提高可访问性.
- 政策和实践应支持远程EBP交付,以扩大所有老年人的覆盖范围.
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