应用RE-AIM框架来评估通过食品银行提供的糖尿病预防干预措施
Elizabeth M Felter1, Morgan Smith2, Kate Cheyne3
1Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, United States.
Evaluation and program planning
|June 20, 2025
概括
食品银行可以帮助有糖尿病前期风险的粮食不安全个体改善饮食和身体活动. 然而,将糖尿病预防计划 (DPP) 整合到现有的食品银行基础设施中,带来了重大的扩展挑战.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 预防慢性疾病 预防慢性疾病
背景情况:
- 粮食不安全与健康状况不佳,慢性疾病风险增加 (包括糖尿病) 和医疗保健成本增加有关.
- 糖尿病前期影响人口的很大一部分,特别是那些面临粮食不安全的人.
研究的目的:
- 评估食品银行为患有糖尿病前期风险的食物不安全客户提供食品银行干预措施的可行性和有效性.
- 应用RE-AIM (覆盖范围,有效性,采用,实施,维护) 框架来评估干预的影响.
主要方法:
- 一个为期12个月的计划招募了249名食品银行客户,提供健康食品,通过短信提供健康教育,并推糖尿病预防计划 (DPP).
- 通过调查,采访和文本参与收集的数据,使用RE-AIM框架进行分析.
- RE-AIM组件评估了计划的覆盖范围,有效性,采用,实施和维护.
主要成果:
- 观察到高客户资格和对该计划的兴趣.
- 参与者在体育活动,营养和粮食安全方面显著改善,满意度很高.
- 由于DPP计划基础设施的局限性,将参与者连接到DPP服务是很困难的.
结论:
- 粮食银行有效地解决了粮食不安全人口中糖尿病前期风险因素.
- 扩大糖尿病预防计划 (DPP) 基础设施的规模,为面临风险的人群提供,仍然是一个重大挑战.
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