社区卫生工作者在妇女倡议中坚持自决理论 支持基于干预的健康干预研究
Antoinette T Nguyen1, Josephine Powers1, Peter Braick1
1University of Rochester Medical Center, Rochester, New York, USA.
概括
社区卫生工作者在WISH干预中有效地使用了自决理论 (SDT) 原则来支持女性.
科学领域:
- 实施科学 实施科学
- 健康 行为 改变 改变
- 公共卫生干预 公共卫生干预
背景情况:
- 自决理论 (SDT) 是一种行为改变的框架,侧重于自主,能力和相关性.
- 妇女倡议支持健康 (WISH) 干预培训社区卫生工作者 (CHWs) 拥有监禁经验,以帮助最近获释的艾滋病毒,型肝炎和物质使用护理的妇女.
- 评估CHW对SDT,激励面试和创伤反应实践的忠诚度对于干预的有效性至关重要.
研究的目的:
- 评估社区卫生工作者 (CHW) 在妇女倡议支持健康 (WISH) 干预中遵守自决理论 (SDT) 原则.
- 探索CHW忠实于激励面试和创伤反应实践.
- 评估CHW支持对患者自主,能力和相关性的影响.
主要方法:
- 使用混合方法的方法,分析了15个转录的WISH干预会议.
- 使用主题编码,以SDT构造和监督员现场笔记为指导.
- 医疗保健气候调查问卷 (HCCQ) 量化了支持自主性的行为,并根据健康公平实施框架进行了分析.
主要成果:
- 医疗保健工作者表现出强烈遵守SDT原则,经常支持自主性 (56例),能力 (54) 和相关性 (39).
- 在22个案例中观察到创伤反应方法,所有HCCQ得分均为8.4 (10分之一),表明良好的临床实践.
- 虽然总体上是成功的,但偶尔的指令建议表明了加强自主支持的领域.
结论:
- 医疗保健中心成功实施了基于SDT的策略,在WISH干预中培养了关键的心理需求.
- 这些发现支持使用SDT原则培训医疗保健工作者,以满足弱势群体的复杂健康需求.
- 建议进行持续的培训和反,以进一步提高社区环境中基于SDT的干预措施的忠实性和可持续性.
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