从"实施研究综合框架"中获得的实施成果和相关构造,在教会中进行在线培训,以在国家实施研究中实施信仰,活动和营养
Sara Wilcox1,2, Ruth P Saunders1, Andrew T Kaczynski1,3
1Prevention Research Center, University of South Carolina, Arnold School of Public Health, 921 Assembly Street, Columbia, SC, 29208, USA.
Translational behavioral medicine
|May 29, 2025
概括
在线培训有效地改善了教会在12个月内身体活动和健康饮食的健康实践. 这种可扩展的方法显示了在服务不足的社区推进种族健康平等的前景.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 健康 公平 卫生 公平
背景情况:
- 教会对于接触患有高慢性病率的人群至关重要.
- 对于基于信仰的健康干预,只有很少有大规模的实施研究.
- 基于证据的干预措施可以改善教会对体力活动 (PA) 和健康饮食 (HE) 的组织实践.
研究的目的:
- 在将面对面培训转换为在线培训后,检查基于证据的干预措施的12个月实施结果.
- 评估相关的实施研究综合框架 (CFIR) 构造.
- 评估信仰,活动和营养 (FAN) 干预对教会PA/HE实践的影响.
主要方法:
- 107个美国教会参加了8个在线课程.
- 协调员完成了对教会PA/HE实践和CFIR构造的基线和12个月调查.
- 混合效应回归和线性回归分析了变化和关联.
主要成果:
- 在12个月后,PA/HE实践的实施显著增加.
- 在基线时,亲自运营的教会对特定的PA和HE组件表现出更大的影响.
- 四个领域的CFIR构造与实施结果有关.
结论:
- 在线培训是一种可扩展的方法,用于改善基于教会的PA / HE实践.
- 实施结果和CFIR关联与面对面培训研究相似.
- 在线提供的FAN干预有潜力推进种族健康平等.
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