影响农村非裔美国人社区基于证据的心血管疾病预防计划的因素:一个社区参与的概念绘图研究
Amelia DeFosset1, Breanna Deutsch-Williams2, Mysha Wynn3
1Center for Health Equity Research, School of Medicine, University of North Carolina at Chapel Hill, 333 South Columbia Street, MacNider Hall Ste 323, Chapel Hill, NC, 27599, USA. Amelia_defosset@med.unc.edu.
Implementation science communications
|January 17, 2025
概括
在农村非洲裔美国人社区实施心血管疾病 (CVD) 计划受到组织能力,社区因素和教育的影响. 解决这些背景障碍是成功,持续的心血管疾病预防和管理的关键.
科学领域:
- 实施科学 实施科学
- 社区健康 社区健康
- 健康差距 研究 研究 研究 研究
背景情况:
- 南方农村地区的非洲裔美国人面临着严重的心血管疾病 (CVD) 差异.
- 基于证据的CVD计划在这些社区的长期实施和可持续性方面扎.
研究的目的:
- 探索组织和社区对实施和维持基于证据的CVD计划的观点.
- 开发一个对影响农村非洲裔美国社区项目实施的因素的概念模型.
主要方法:
- 集团概念绘制 (GCM) 涉及来自社区,信仰和医疗保健组织的31个利益相关者.
- 参与者进行了头脑风暴,对影响心血管疾病计划实施的因素进行了排序和评分.
- 多变量统计分析生成了关键因素的概念地图.
主要成果:
- 出现了五个关键因素:可访问性,社区和社会因素,教育和培训,财务/资源开发以及组织能力和人员.
- 教育和培训在重要性和可行性方面被评为最高.
- 金融/资源开发在重要性和可行性方面被评为最低.
结论:
- 组织和社区因素 (内部和外部环境) 显著影响CVD计划的实施.
- 解决上下文和结构障碍对于组织有效实施计划至关重要.
- GCM促进了社区参与的过程,以确定CVD计划成功的可操作策略.
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