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基于信仰的领导人对巴巴多斯教会实施促进健康生活方式计划的看法-混合方法分析分析
Natasha P Sobers1, Madhuvanti Murphy2, Saria Hassan3
1George Alleyne Chronic Disease Centre, Caribbean Institute for Health Research, The University of the West Indies, Cave Hill Campus, Barbados. natasha.sobers@uwi.edu.
BMC public health
|July 3, 2025
概括
巴巴多斯的教会领袖发现,卫生计划是非常可接受和适当的,与宗教信仰保持一致. 然而,由于财务限制和需要在健康沟通方面培训领导者的需要,计划的可行性受到阻碍.
科学领域:
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
- 卫生教育卫生教育教育
背景情况:
- 小岛屿发展中国家 (SIDS) 面临着高血压和糖尿病等慢性疾病的高负担.
- 小岛屿国家的政府正在与民间社会组织合作实施基于社区的健康教育计划.
- 基于信仰的组织 (FBO) 是小岛屿国家公共卫生倡议的关键合作伙伴.
研究的目的:
- 探索教会领袖对实施自我管理健康计划的可接受性,适当性和可行性的看法.
- 评估基于信仰的组织在巴巴多斯应对慢性疾病方面的潜在作用.
主要方法:
- 一个并发的嵌套混合方法研究,结合了定量调查和定性半结构面试.
- 使用的验证尺度:干预措施的可接受性 (AIM),干预适当性措施 (IAM) 和干预措施的可行性 (FIM).
- 对采访成绩单进行了主题分析,使用基于Proctor实施结果的演代码.
主要成果:
- 教会领导人报告说,卫生计划的接受度 (82%) 和适当性 (90%) 很高.
- 领导人认为这些节目与教会教义相符,并引用"身体是上帝的圣殿.
- 可行性得分较低 (60%),领导者引用财务障碍,高食品成本和需要医疗保健提供者的支持.
结论:
- 整合到教堂中的卫生计划与宗教教义相一致.
- 成功实施需要为领导人提供健康对话和圣经敏感信息的技能.
- 解决金融障碍和提供量身定制的支持对于计划的成功至关重要.
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