绘制"让每一个接触者都算"的区域实施地图:实施阶段的混合方法评估,实施的战略,障碍和促进者
Angela M Rodrigues1, Bethany Nichol2, Rob Wilson3
1Department of Psychology, Northumbria University, Newcastle upon Tyne, UK angela.rodrigues@northumbria.ac.uk.
BMJ open
|July 22, 2024
概括
在东北和坎布里亚北部,Making Every Contact Count (MECC) 计划正在早期实施阶段. 区域领导和利益相关者参与是成功实施健康行为改变倡议的关键因素.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 让每一个接触者都算命 (MECC) 计划培训面向公众的工作人员,以促进促进健康的行为改变.
- 为了促进健康,MECC利用组织和个人之间的日常互动.
- 本研究重点是英国东北部和北坎布里亚 (NENC) 地区的MECC实施.
研究的目的:
- 在NENC.中分析MECC计划的实施阶段.
- 确定用于MECC实施的战略.
- 确定影响MECC实施的推动因素和障碍.
主要方法:
- 采用混合方法的过程评估,整合了规范化过程理论和理论领域框架.
- 对MECC计划文件进行了审查,并根据实施标准对其进行了映射.
- 使用在线调查和定性研究 (采访,小组讨论) 来收集MECC实施的数据.
主要成果:
- 在NENC中MECC的实施处于早期阶段,培训通常在组织中进行,而不是内部.
- 实现MECC的关键推动因素包括与组织目标 (例如预防议程) 和可用资源 (例如逻辑模型) 的协调.
- 领导力买入和管理支持对于整个地区MECC的可持续性至关重要.
结论:
- 该NENC MECC项目受益于区域领导层的支持.
- 讨论了基于证据的政策和实践建议,以加强未来的MECC实施.
- 一个协调的基础设施和战略对于应对确定的交付和实施挑战至关重要.
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