在CFIR的内部设置和健康学校认可校园倡议的交付之间的关系:混合方法分析
Allyson Schaefers1, Lucy Xin1, Paula Butler2
1Institute for Advancing Health Through Agriculture (IHA), Texas A&M University, 17360 Coit Rd, Dallas, TX, 75252, USA.
Implementation science communications
|September 5, 2024
概括
实施多个学校健康计划需要强有力的领导力和可用的资源才能取得成功. 解决时间限制和吸引利益相关者是克服计划交付挑战的关键.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 学校卫生计划 学校卫生计划
背景情况:
- 健康学校认可校园 (HSRC) 倡议促进学校以证据为基础的体育活动和营养计划.
- 在HSRC内部同时交付多个计划,会带来重大实施挑战.
- 本研究研究了内部设置构造 (CFIR) 对HSRC程序交付的影响.
研究的目的:
- 识别影响HSRC项目交付的内部设置构造的实施研究综合框架 (CFIR).
- 检查内部设置构造与程序可接受性,适当性和可行性之间的关系.
- 了解HSRC中的实施挑战和促进者.
主要方法:
- 采用并发混合方法设计,包括调查 (n=26) 和采访 (n=20) 与HSRC实施者 (n=28).
- 使用CFIR代码书编码采访,并进行内部设置调查.
- 通过千二测试分析了构造和实施结果之间的关系,并比较了定量和定性发现.
主要成果:
- 根据实施的计划数量,没有发现可接受性,适当性或可行性的显著差异.
- 可用的资源和领导层的参与与HSRC的接受性和适当性有正相关.
- 实施气候和学习气候与HSRC的可接受性,适当性和可行性有很大关系.
结论:
- 实施气候和实施准备 (资源,领导力) 对于HSRC的成功至关重要.
- 建议采取减少时间负担和加强利益相关者参与的战略,以改善HSRC的交付.
- 需要对HSRC实施的沟通和获取知识等构造进行进一步的研究.
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