检查在夏威夷农村地区以文化为基础,以学校为基础的预防课程的实施决定因素:一项测试开发和验证研究
Scott K Okamoto1, Kelsie H Okamura2, Sarah Momilani Marshall3
1Population Sciences in the Pacific Program, University of Hawai'i Cancer Center, Honolulu, HI, USA.
Implementation research and practice
|July 25, 2024
概括
这项研究确定了在夏威夷农村地区为夏威夷原住民和太平洋岛民青年实施基于学校的药物预防计划的关键障碍和促进因素. 调查结果强调要在多个层面上进行有效的文化基础干预.
科学领域:
- 公共卫生 公共卫生
- 药物使用预防 药物使用预防
- 健康差异 在健康上的差异
背景情况:
- 与其他族群相比,夏威夷原住民和太平洋岛民 (NHPI) 青少年的物质使用率和相关的不良健康影响更高.
- 在农村环境中为NHPI年轻人实施有效的物质使用干预措施一直是从业者面临的持续挑战.
- 这项研究解决了了解弱势群体预防计划中的实施因素的需要.
研究的目的:
- 检查在夏威夷农村地区建立文化基础的,以学校为基础的药物预防课程的实施决定因素.
- 识别和评估影响公立或特许中学/中学课程交付的实施障碍和促进者.
- 为实施心理健康和物质使用干预措施的测量文献做出贡献.
主要方法:
- 为了测试开发和验证,采用了五阶段的混合方法方法.
- 这些阶段包括项目生成,改进,减少,可靠性测试和有效性测试.
- 从夏威夷州教育部 (HIDOE) 的204名教育管理人员,教师和工作人员收集了数据.
主要成果:
- 确定并评估了50个实施障碍和27个促进者.
- 因子分析揭示了四个关键障碍类别:创新,HIDOE国家级,教师级和管理人员级.
- 在教师和管理人员之间的障碍物和促进者认知中发现了显著的差异.
结论:
- 该研究强调了在多个层面上解决上下文因素的重要性,以成功实施以文化为重点的预防干预措施.
- 调查结果有助于实施科学文献,特别是在心理健康和物质使用计划方面.
- 了解这些决定因素对于促进代表性不足的农村青年健康平等至关重要.
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