双层式同行支持的可行性,以增强基于教会的健康生活方式计划
Cherie Conley1, Schenita Randolph2, Annie Hardison-Moody3
1Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.
Health education journal
|March 5, 2025
概括
在非洲裔美国人教会中,双向的同行支持成功增强了健康生活方式计划,显示了可行性和参与者参与. 这种方法证明了饮食和体育活动的改善,保持了最初的健康收益.
科学领域:
- 公共卫生 公共卫生
- 促进健康 促进健康
- 社区健康 社区健康
背景情况:
- 美国的非裔美国人面临着不成比例的慢性疾病负担.
- 健康生活方式促进计划对于减轻慢性疾病风险至关重要.
- 现有计划可以通过创新的支持策略来加强.
研究的目的:
- 确定使用双层同行支持来增强健康生活方式计划的可行性.
- 评估非洲裔美国教会对同伴支持的接受性和实施性.
- 评估增强计划的初步健康结果.
主要方法:
- 在18周的时间里,从三个教会的80名参与者中采用了前后研究设计.
- 参与者参加了为期9周的营养课程,随后进行了为期9周的二次性同行支持.
- 通过招聘,可接受性,数据收集,实施和健康结果来评估可行性,并使用描述性统计和多层次模型进行分析.
主要成果:
- 观察到高完成率 (78%) 和参与者愿意 (95%) 重复同行支持.
- 非专业的领导者和教育工作者报告说,他们有足够的资源和支持来实施干预.
- 在水果摄入量 (+1.1份/天) 和体力活动 (+1.2天/周) 显著增加. 体重和蔬菜摄入量的改善得到维持.
结论:
- 双向式同行支持是非洲裔美国教堂健康生活方式计划的可行和有效的增强策略.
- 该干预表明了积极的初步健康结果,包括饮食和体育活动的改善.
- 建议与对照组进行进一步的研究,以严格测试二次性同行支持对健康结果的有效性.
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