团队,合作伙伴,还是冠军? 一种混合方法 探索实施成功的潜在途径 在学校使用质量实施框架实施健康计划的成功
Hannah G Lane1, Hannah G Calvert2, Michaela McQuilkin Lowe3
1Department of Population Health Sciences, School of Medicine, Duke University, Durham, North Carolina.
在学校实施当地健康政策 (LWP) 面临挑战,特别是在资源有限的城市和农村环境中. 本研究确定了改善LWP可持续性和有效性的策略和差距.
科学领域:
- 公共卫生 公共卫生
- 教育政策 教育政策
- 实施科学 实施科学
背景情况:
- 当地健康政策 (LWP) 对于促进美国学校健康饮食和体育活动至关重要.
- 维持高质量的LWP实施是很困难的,特别是在资源有限的城市和农村学校.
研究的目的:
- 描述LWPs在小学中的实施策略和决定因素.
- 在四个阶段利用质量实施框架 (QIF).
- 为启动和维持基于证据的LWP实施提供量身定制的支持.
主要方法:
- 调查和半结构面试数据的融合混合方法分析.
- 559名来自美国城市和农村小学的告知者完成了调查.
- 来自39所学校的50名信息员完成了探讨QIF阶段的采访.
主要成果:
- 关键的实施策略包括健康冠军 (60%),政策代表 (59%) 和实施团队 (37%).
- 更好的健康气候与拥有实施团队的更高概率相关 (OR 1.18).
- 促进者包括外部合作伙伴,而员工的抵抗构成威胁;监测和未来规划显示出变化.
结论:
- 调查结果强调了如何形成和维持LWP实施策略.
- 在实施阶段发现的差距可以为有针对性的干预提供信息.
- 城市和农村学校需要提供量身定制的支持,以有效实施LWPs.
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