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在芝加哥南区进行多层次社区减少干预的背景因素和实施策略:定性研究
Olutobi A Sanuade1, Allison J Carroll2, Ricky Watson3
1Department of Population Health Sciences, Division of Health System Innovation and Research, Spencer Fox Eccles School of Medicine at The University of Utah, Salt Lake City, UT, USA. Olutobi.sanuade@hsc.utah.edu.
在芝加哥实施"减少的行为影响通讯" (COMBI-SR) 干预措施需要解决社会经济和文化障碍,以减少摄入量和改善心血管健康.
科学领域:
- 公共卫生 公共卫生
- 社区干预 社区干预
- 心血管健康 心血管健康
背景情况:
- 高摄入量会加剧高血压,特别是在非洲裔美国成年人中.
- 关于减少的行为影响通讯 (COMBI-SR) 的干预措施在国际上有效地减少了摄入量.
- 这项研究将COMBI-SR调整为美国在芝加哥南区实施,这是高高血压率的地区.
研究的目的:
- 探索在芝加哥实施COMBI-SR干预的背景因素 (障碍和促进因素).
- 在美国社区环境中确定有效的减少的实施策略.
主要方法:
- 与社区成员,大使和医疗保健专业人员进行了定性访谈和重点小组.
- 实施研究综合框架 (CFIR) 2.0指导数据收集和分析.
- 专题分析使用CFIR 2.0和专家推实施变革 (ERIC) 编,确定了障碍,促进者和实施策略.
主要成果:
- 关键障碍包括低意识,社会经济差异和文化饮食习惯.
- 促进者包括强大的社区伙伴关系,基于信仰的组织和技术采用 (例如移动应用程序).
- 有效的策略包括简化信息传递,演示,社区外展和个性化营养教育.
结论:
- 在芝加哥成功实施COMBI-SR需要解决金融,教育和文化障碍.
- 利用社区结构和文化定制的信息对可持续的减少至关重要.
- 结果将为未来美国实施COMBI-SR提供信息,通过社区参与来增强心血管健康.
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