为文化和/或语言多样化的社区提供心血管疾病和中风预防教育行为计划:系统性审查和元分析
Sabine M Allida1,2,3, Adriana Angelucci4, Scott William1,2
1School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia.
European journal of preventive cardiology
|March 19, 2025
概括
针对不同文化群体的教育计划对心血管疾病风险因素的影响很小,但可能会提高知识. 与社区共同设计干预措施可以提高预防心血管疾病和中风的有效性.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 健康行为
- 预防心血管疾病 预防心血管疾病
背景情况:
- 文化和/或语言多样性 (CALD) 的人口在心血管疾病 (CVD) 和中风中经历了显著的差异.
- 针对性的教育行为计划对于解决这些差异至关重要.
- 了解现有计划的有效性对于改善健康结果至关重要.
研究的目的:
- 识别和分类心血管疾病和中风预防教育行为方案,用于CALD个体.
- 评估这些计划对心血管疾病风险因素和疾病知识的影响.
主要方法:
- 在2023年9月之前,对四个电子数据库进行了系统搜索.
- 包括16项研究 (4项RCT,12项准实验) 与来自美国和英国的2331名参与者.
- 用元分析 (随机效应模型) 和叙事合成来评估计划效应和研究质量.
主要成果:
- 大多数节目是多元组件的,文化适应,面对面交付.
- 综合分析表明对缩血压 (SBP) 和HbA1c的影响很小或不存在.
- 在心血管疾病或中风知识方面观察到显著改善,而其他风险因素显示出混合的结果.
结论:
- 目前的教育行为课程对心血管疾病风险因素的有效性仍然是不确定的.
- 课程可以提高有关心血管疾病和中风预防的知识.
- 建议与社区利益相关者和CALD人群共同设计干预措施,利用行为变化理论,以改善影响.
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