优化"选择搬家" - - 一个促进老年人的健康计划 - - 是否提高了可扩展性,计划实施和有效性?
Lindsay Nettlefold1, Heather M Macdonald1,2, Joanie Sims Gould1,2
1Active Aging Research Team, University of British Columbia, Vancouver, BC, Canada.
The international journal of behavioral nutrition and physical activity
|December 19, 2024
概括
这项研究适应了老年人选择移动 (CTM) 计划,将分娩成本降低了40%,而不会影响有效性. 优化的CTM程序成功地改善了老年人的身体活动,流动性和社会隔离.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 促进健康 促进健康
背景情况:
- 促进健康的计划面临资源限制,需要优化可扩展性和可持续性.
- 选择移动 (CTM) 计划是针对老年人的基于证据的干预措施,从2015年到2024年进行了分阶段的调整.
- CTM 第四阶段专注于数据驱动的调整,以减少资源利用,同时保持计划的有效性.
研究的目的:
- 描述适应的CTM第四阶段计划.
- 评估CTM第四阶段的实施情况.
- 评估CTM第四阶段在改善老年人健康状况方面的有效性.
主要方法:
- 针对CTM第四阶段,进行了一项2型混合有效性-实施研究.
- 与第三阶段相比,活动教练的时间减少了40%.
- 137个项目涉及1126名老年人 (59岁以上) 进行了评估,评估了干预前后的实施指标和健康结果 (体育活动,流动性,社会隔离,孤独).
主要成果:
- 实施指标证实了CTM第四阶段的成功交付.
- 在不同年龄组的老年人中,在身体活动,流动性,社会隔离和孤独方面观察到显著的改善.
- 参与者层面的好处与之前的CTM阶段相比或优于CTM阶段,尽管资源投入减少,但仍显示出持续的有效性.
结论:
- 灵活的,共同设计的CTM计划成功地适应了减少交付时间,而不会影响实施或健康益处.
- 优化健康促进计划提高了可扩展性和可持续性,这对于改善人口健康至关重要.
- 在有效的卫生计划中减少资源的使用是实现更广泛公共卫生影响的可行策略.
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