解包产品处方中的可扩展性:使用实施研究综合框架进行定性实施科学调查
Courtney A Parks1, Patricia Rodriguez Espinosa2, Amy L Yaroch1
1Center for Nutrition & Health Impact, 14301 FNB Parkway, Suite 100, Omaha, NE 68154, USA.
Translational behavioral medicine
|May 15, 2025
概括
处方产品计划 (PPRs) 改善了低收入人群获得水果和蔬菜的机会. 了解实施因素是优化这些计划以获得更好的健康结果和减少粮食不安全的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 处方产品计划 (PPR) 旨在改善低收入人群的水果和蔬菜 (FV) 获取和健康结果.
- 虽然PPR显示出增加FV摄入量和减少粮食不安全的潜力,但有效的实施策略需要进一步调查.
研究的目的:
- 探索PPR在不同环境中的功能.
- 描述PPR倡议的实施特点.
主要方法:
- 在13个项目中,与33个PPR项目实施者进行了半结构化访谈.
- 实施研究综合框架 (CFIR) 指导了采访过程和数据分析.
- 两位研究人员使用NVivo软件记录,转录和编码了采访.
主要成果:
- 在CFIR构建中出现的关键主题包括项目特征,个别属性,影响证据,实施气候和COVID-19等挑战.
- 实施者建议使用"插即用"材料等资源来简化设置.
- 确定了进一步研究促进医疗保健组织买入的需要.
结论:
- 根据环境,PPR实施的特点会有所不同,从而影响到计划的有效性.
- 根据特定环境定制实施策略对于最大限度地提高PPR影响至关重要.
- 加强医疗保健组织的参与对于成功的PPR扩展至关重要.
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