赋予社区使用健康生活方式中心的权力:斯里兰卡的实施研究
Thilini Herath1, Manuja Perera2, Duminda Guruge3
1Department of Primary Health Care, Faculty of Health-Care Sciences, Eastern University, Sri Lanka, Batticaloa, Sri Lanka herathhmtp@esn.ac.lk.
BMJ open
|September 11, 2024
概括
基于社区的健康促进干预显著改善了健康生活方式中心 (HLC) 的利用率和斯里兰卡的生活方式修改的启动. 赋权社区支持小组 (CSG) 解决了HLC使用的障碍,并鼓励更健康的行为.
科学领域:
- 公共卫生 公共卫生
- 促进社区健康 促进社区健康
- 非传染性疾病 (NCD) 的预防和预防
背景情况:
- 斯里兰卡的健康生活方式中心 (HLC) 旨在查NCD风险因素并促进生活方式的改变,但受到了不足利用.
- 解决HLC利用障碍对于社区有效的NCD预防和管理至关重要.
研究的目的:
- 评估旨在赋予社区权力的参与性干预措施的有效性,以提高健康生活方式中心 (HLC) 的利用率.
- 评估社区赋权对NCD风险因素查和生活方式修改启动的影响.
主要方法:
- 在斯里兰卡六个农村社区中,采用基于社区的参与式研究原则的准实验性研究.
- 干预涉及通过健康促进战略建立和赋权社区支持小组 (CSG),包括参与式绘图和小组讨论.
- 在干预期 (2019年8月 - 2020年2月) 之前和之后,在干预和比较组中评估了498名年龄在35-65岁之间的健康个体.
主要成果:
- 干预组 (IG) 在HLC利用的决定因素上显著改善,特别是减少对NCD易感性和查有用性的负面看法.
- 在IG中的HLC利用率增加了29.5% (从5.85%增加到35.3%),而对照组 (CG) 显示没有变化.
- 在IG中,更高比例的使用者开始改变生活方式 (89.9%与干预前的64.3%相比),在CG中没有观察到这种变化.
结论:
- 基于社区的健康促进干预措施,特别是赋予社区支持小组 (CSG) 权力的干预措施,有效地提高了HLC的利用率.
- 通过参与式方法赋予社区权力,可以克服进入NCD查服务的障碍,并促进持续的生活方式改变.
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