扩大针对非传染性疾病的干预措施的挑战和推动因素:一项定性研究,将实施研究的综合框架应用于全球19个研究项目
Anusha Ramani-Chander1,2, Amanda G Thrift1, Josefien van Olmen3
1Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
扩大非传染性疾病干预措施需要应对政治挑战,并促进利益相关者的强有力的伙伴关系. 建设研究能力和有效的沟通是成功在低资源环境中实施的关键.
科学领域:
- 实施科学 实施科学
- 全球健康 全球健康
- 非传染性疾病 (NCDs) 研究研究
背景情况:
- 扩大对非传染性疾病 (NCD) 的干预是全球卫生优先事项.
- 实施研究对于在低资源环境中生成证据至关重要.
- 全球慢性病联盟资助的27项研究专注于高血压和/或糖尿病扩大规模.
研究的目的:
- 了解影响NCD扩展研究早期阶段的实施因素.
- 确定扩大NCD干预的挑战和促进者.
- 为未来的NCD预防和控制实施战略提供信息.
主要方法:
- 从2020年8月到2021年7月进行的定性研究.
- 在20个国家的19个项目中,与20个国家的19个项目的调查人员,实施者和决策者进行了43次半结构化访谈.
- 对成绩单的专题分析,映射到实施研究综合框架 (CFIR) 领域 (不包括创新).
主要成果:
- 外部设置:政治影响和缺乏协调阻碍了实施;政府联系促进了它.
- 内部设置:资源投入具有挑战性;研究能力,工作文化和网络得到促进.
- 个人:高层利益相关者支持至关重要;过程:利益相关者参与是耗时的,但适应和沟通促进了扩展. COVID-19带来了各种挑战和机遇.
结论:
- 利用信任关系和促进公平的利益相关者伙伴关系来扩大NCD干预规模.
- 优先考虑人际交往技能和沟通能力建设的实施研究.
- 解决背景因素和政治局势,以成功扩大NCD规模.
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