关心社区对社区采用和实施基于证据的预防计划的早期影响:准实验研究的结果
L Decker1, I von Holt2, S Ünlü2
1Hannover Medical School, Institute for Epidemiology, Social Medicine and Health System Research, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. decker.lea@mh-hannover.de.
关心社区 (CTC) 在德国社区显著增加了基于证据的预防计划 (EBP) 的采用. 虽然覆盖范围增加,但实施忠实度仍然很高,这表明CTC.
科学领域:
- 公共卫生 公共卫生
- 社区心理学 社区心理学
- 计划实施科学 计划实施科学
背景情况:
- 在德国,基于证据的预防计划 (EBP) 的实施有限.
- 像关心社区 (CTC) 这样的预防支持系统可能会提高EBP的采用和忠诚度.
- 对CTC对EBP影响的研究需要在德国社区传播.
研究的目的:
- 调查CTC的实施是否会导致德国社区更广泛地采用EBP.
- 评估CTC对实施的EBP数量和所接触的人数的影响.
- 评估在CTC支持的社区中EBP实施的质量.
主要方法:
- 准实验性研究设计,包括22个干预社区 (IC) 和22个比较社区 (CC).
- 在两个时间点 (T0: 2021/2022,T1: 2023/2024) 收集的EBP实施,覆盖范围和忠实性的数据.
- 分析包括17个IC和12个CC,比较T0和T1之间的变化.
主要成果:
- 干预社区 (IC) 显示,每1万居民实施的EBP平均数量显著增加 (3.57至8.57,p=.004).
- 对比社区 (CC) 的EBP实施率没有显著增加 (1.88至3.41,p=.089).
- 两组都看到覆盖范围的增加,但都没有达到统计学意义;实施忠实度仍然很高.
结论:
- 关心社区 (CTC) 显示出鼓励更多采用基于证据的预防计划 (EBP) 的潜力.
- 调查结果表明,CTC可能会促进EBP的传播,尽管混因素和短暂的观察期需要谨慎.
- 建议进行进一步的随访研究,以确认CTC对EBP实施和覆盖范围的长期影响.
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