以人为中心的设计对食品的应用是医学干预:THRIVE试点试验
Khadijat Adeleye1, Kennedy McDaniel2, Irma Iribe2
1Elaine Marieb College of Nursing University of Massachusetts Amherst MA USA.
Journal of the American Heart Association
|July 23, 2025
概括
以人为中心的设计 (HCD) 用于共同创建THRIVE计划,这是一个食品是药物干预. 这种方法增强了社区参与,并为黑人和西班牙裔成年人开发了一个文化上有能力,公平的心血管健康计划.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 实施科学 实施科学
背景情况:
- 食品是药物干预措施有望改善心血管健康,特别是在黑人和西班牙裔人口中.
- 社区共同创作往往缺乏干预发展,影响接受性和可行性.
- 以人为中心的设计 (HCD) 方法可以通过共同设计过程来增强干预设计.
研究的目的:
- 共同设计THRIVE计划 (适应型个性化饮食师辅导和与产品处方进行信息传递以改善健康的饮食行为).
- 在健康食品优先领域为患有高血压的黑人和西班牙裔成年人量身定制干预措施.
- 在干预开发中利用HCD原则促进社区参与.
主要方法:
- 采用社会认知理论和HCD双钻框架进行代的共同设计.
- 进行了三次共同设计会议:虚拟导向/倾听和两次现场原型/流程映射会议.
- 包括各种各样的利益相关者:高血压社区居民,医疗保健提供者,食品系统代表和社区领导人. 数据收集包括笔记,调查,原型和视觉输出;内容分析确定了实施主题.
主要成果:
- 三十六个社区利益相关者 (29名女性,6名男性,17名英语,18名西班牙语/双语) 参加了会议.
- 出现的关键主题是: (1) 医疗保健系统整合 (个性化,有文化能力的饮食师支持), (2) 食品获取和教育 (灵活的产品处方,实用营养教育),以及 (3) 社区赋权 (同行支持网络).
- 过程评估显示了高参与度:100%的贡献被评价,92%的建议类似的方法.
结论:
- HCD有效指导社区参与开发适合环境的食品是药物干预措施.
- 共同设计的THRIVE计划展示了文化能力和社区驱动的健康解决方案的潜力.
- 将HCD与实施科学的整合可以产生更有效,更公平,更可持续的健康干预措施.
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