自我有效性的内在设置决定因素和在社区环境中提供健康饮食和活动课程的意图之间的跨部门关联
Rachel G Tabak1, Cynthia D Schwarz2, Allison Kemner3
1School of Public Health, Washington University in St. Louis, St. Louis, MO, 63130, USA. rtabak@wustl.edu.
概括
父母教育家长教育工作者
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 促进健康 促进健康
背景情况:
- 在家教健康饮食和积极生活 (HEALTH) 计划将健康生活方式内容整合到父母作为教师 (PAT) 国家家庭访问计划中.
- 健康是一种基于证据的干预措施,旨在防止有幼儿的母亲体重增加.
研究的目的:
- 调查影响家长教育者的意图和自我效能在提供健康干预的因素.
- 探索实施上下文构造和人口特征与家长教育者的意图和自我有效性之间的关系.
主要方法:
- 来自一项试验评估健康干预的数据的横截面二次分析.
- 家长教育者 (N=149) 完成了培训后的调查,使用实施科学框架 (CFIR,RE-AIM) 评估意图和自我有效性.
- 用皮尔森相关性和t测试来分析变量之间的关联,p<0.05被认为是显著的.
主要成果:
- 在意图和自我有效性之间发现了显著的正相关性 (r=0.46,p<0.0001).
- 与其他种族/种族群体相比,白人非西班牙裔家长教育者的意图和自我效能较低.
- 实施背景因素,如任务调整,证据强度和相对优势与意图和自我有效性正相关;复杂性显示出负相关性.
结论:
- 任务对齐,证据强度和感知到的优势是成功实施健康干预的关键因素.
- 解决复杂性和考虑种族/民族差异可以增强计划实施和提供商的信心.
- 了解这些因素对于在社区环境中有效传播健康饮食和活动干预措施至关重要.
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