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在农村教会环境中实施糖尿病预防计划的促进者和障碍:使用实施研究综合框架进行定性研究
Smita Rawal1, Caleb A Snead2, Frantz D Soiro1
1Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Athens, Georgia, USA.
概括
在农村教会实施糖尿病预防计划 (DPP) 需要解决交通和生活方式改变的不情愿. 量身定制的策略是成功预防2型糖尿病的关键.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社区卫生干预措施 社区卫生干预
背景情况:
- 疾病控制和预防中心 (CDC) 的糖尿病预防计划 (DPP) 是一项经过验证的生活方式干预措施,用于预防2型糖尿病 (T2D).
- 在农村环境中实施DPP面临重大挑战,限制了其在这些服务不足的人群中的影响和影响.
研究的目的:
- 通过社区与学术合作伙伴关系,在农村教会环境中实施DPP.
- 确定影响DPP在这些独特农村环境中成功实施的关键促进因素和障碍.
主要方法:
- 采用了一种横截面的定性研究设计.
- 与教会领袖和生活方式教练进行了半结构化采访,以"实施研究综合框架" (CFIR) 为指导.
- 根据COREQ的指导方针,用于分析采访数据和将调查结果与CFIR构造联系起来的是主题分析,包括归纳和演.
主要成果:
- 主要促进者包括DPP的基于证据的有效性,学术合作伙伴的支持 (资金,培训),与社区需求的协调,以及积极的牧师参与招聘.
- 重要的障碍包括交通和儿童保育问题,参与者的医疗状况,农村居民对生活方式改变的不情愿以及教会忠诚度影响参与.
结论:
- 环境因素极大地影响DPP在农村社区的实施.
- 量身定制的策略是必不可少的,利用已识别的促进者并主动解决交通障碍,对生活方式修改的抵制以及不愿意参加立即教会附属之外的项目等障碍.
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