在乌干达,为预防宫癌的游戏改变者进行混合实施-有效性试验的研究协议
Glenn J Wagner1, Laura M Bogart1,2, Joseph K B Matovu3,4
1RAND Corporation, Santa Monica, California, United States of America.
PloS one
|January 24, 2025
概括
在乌干达,接受培训以促进宫癌 (CC) 查的同行倡导者增加了吸收率. 这种基于网络的策略使得接受查的女性能够鼓励其他人,显示出更广泛的健康应用的潜力.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 预防癌症 预防癌症
背景情况:
- 宫癌 (CC) 仍然是乌干达妇女癌症死亡的主要原因,查率低.
- 一个基于网络的策略训练最近选的女性作为倡导者,在他们的社交网络中推广CC选.
研究的目的:
- 检查同行领导的团体宣传培训干预 (GC-CCP) 对增加CC查吸收的有效性.
- 在使用EPIS框架的不同诊所环境中评估GC-CCP干预措施的实施和可持续性.
主要方法:
- 一个混合型1随机对照试验 (RCT),采用EPIS框架.
- 定性方法 (采访,重点小组) 来解决在准备阶段的结构性障碍.
- 为了评估36个月的GC-CCP疗效,转向临床工作人员的可持续性,使用RE-AIM框架进行评估.
主要成果:
- 该研究将评估GC-CCP干预的覆盖范围,有效性,采用,实施结果 (可接受性,可行性,忠实性,成本效益) 和维护.
- 对于研究参与者及其社交网络,将在基线,6个月和12个月收集数据.
结论:
- 这项研究开创了一种以网络为导向的方法,使选的同行成为促进CC选的变革推动者.
- 如果有效和可持续,这种同行倡导模式为促进CC查和其他预防性健康行为提供了一个可扩展的策略.
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