基于公园和信仰的多层次干预措施的实施评估,以促进拉丁裔人之间的体育活动
Lilian G Perez1, Tara Blagg2, Alane Celeste-Villalvir3
1RAND Corporation, Santa Monica, CA, USA.
Journal of physical activity & health
|September 25, 2024
概括
为COVID-19适应的基于信仰的体力活动 (PA) 干预措施在拉丁裔成年人中成功促进了PA. 该研究强调了该干预措施在不同环境中的适应性和有效性.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社区干预 社区干预
背景情况:
- 美国的拉丁裔面临着身体活动 (PA) 的重大障碍.
- 一个基于信仰的,多层次的干预被开发,以促进PA在公园中拉丁裔成年人.
- 在COVID-19大流行期间,干预部分适应了虚拟格式.
研究的目的:
- 评估一种以信仰为基础的多层次干预,在拉丁裔成年人的公园中促进PA.
- 通过RE-AIM框架评估COVID-19大流行期间干预措施的适应性和有效性.
- 为未来的实施确定参与和可持续性的促进者和障碍.
主要方法:
- 一个集群随机对照试验于2019-2022年在加利福尼亚州洛杉矶东部进行.
- 与24名干预参与者进行了半结构面试 (75%为女性,83%为西班牙语使用者).
- 覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架指导了面对面和虚拟组件的评估.
主要成果:
- 在公园 (80%) 和虚拟 (67%) 课程 (Reach) 中都观察到高参与率.
- 参与者报告了对健康和福祉的积极影响 (有效性).
- 促进者包括个人,社会和计划因素,发现了很少的障碍 (实施);注意到持续PA的计划 (维护).
结论:
- RE-AIM框架有效地捕捉了基于信仰的PA干预的广泛影响.
- 在公共卫生危机期间,该干预措施表现出了适应性和稳健性.
- 调查结果可以帮助将这项干预措施转化为其他社区,以推进健康公平.
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