扩大规模的影响和扩大规模"成功"的定义:来自全球规模干预的证据
Harriet Koorts1, Jiani Ma1, Samuel Cassar1
1School of Exercise and Nutrition Sciences, Institute for Physical Activity and Nutrition (IPAN), Deakin University, Geelong 3125, Australia.
世界卫生组织的ExpandNet框架被广泛使用,但其组件很少被完全采用. 卫生干预措施的成功扩展取决于投入,输出,结果和背景,没有单一的普遍定义.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 干预科学 干预科学
背景情况:
- 世界卫生组织的ExpandNet框架为全球扩大卫生干预提供了建议.
- 使用该框架扩大干预的"成功"的实际应用和定义仍然不清楚.
研究的目的:
- 评估ExpandNet框架组件在扩大体育活动和营养干预措施中的采用情况.
- 在利益相关者中探索成功干预扩大规模的各种定义.
主要方法:
- 对参与扩大干预措施的学术,社区和政府代表进行了一项国际在线调查.
- 调查数据被描述性地分析,定性自由文本响应被主题编码.
- 这项研究研究了35项扩大规模的干预措施,这些干预措施基于62份调查答复.
主要成果:
- 只有8%的参与者报告使用所有32个ExpandNet框架组件.
- 确定了四个核心元素对于成功扩展至关重要:扩展输入,输出,结果和上下文.
- 对于成功扩展的定义在参与者之间有很大的差异.
结论:
- 在实践中,ExpandNet框架的组件并未被普遍或完全采用.
- 成功的扩展具有多方面的特点,包括持续的投入,高质量的输出,公平的结果和适应性的环境.
- 提出的核心要素可以指导卫生干预扩大规模的规划和评估.
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