对农村社区实施支持计划的评估,使用双层嵌入式框架
Michelle B Shin1,2, Thuy Vu3, Manal Masud3
1Department of Child, Family, and Population Health Nursing, School of Nursing, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195, USA. mbyshin@uw.edu.
Cancer causes & control : CCC
|July 31, 2025
概括
社区卫生工作者 (CHWs) 使用实施工作室提供基于证据的干预措施 (EBIs),提高了西班牙裔/拉丁裔社区的癌症查率. 该工作室增强了CBO能力和EBI实施,显示了未来公共卫生倡议的前景.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 社区组织 (CBO) 在提供卫生干预方面发挥着至关重要的作用.
- 基于证据的干预措施 (EBI) 的有效实施对于改善健康结果至关重要.
- 针对服务不足的人群,如西班牙裔/拉丁裔/亚裔社区的癌症查仍然是优先事项.
研究的目的:
- 评估实施研究对CBOs实施EBI的能力的影响.
- 为了评估乳腺和结直肠癌 (CRC) 查状况在西班牙裔/拉丁裔/EBI接受者中的变化.
- 通过Proctor的实施研究成果框架,探索CBO工作人员对EBI实施的看法.
主要方法:
- 一个双层框架,结合了EBI交付前/后调查 (n=38) 和与CBO领导人和社区卫生工作者 (CHW) 的半结构面试 (n=13).
- 调查评估了最新的乳腺和CRC查状态.
- 采访探讨了实施结果 (可接受性,适当性,可行性,成本,可持续性) 使用快速定性分析.
主要成果:
- 最新的癌症查增加了16.6%的乳腺癌和19.3%的CRC,虽然不是统计学上显著的 (p=0.168).
- 据CBOs报告,工作人员能力和信心 (可接受性) 得到了增强.
- 医疗保健中心使用Studio工具有效地调整和实施EBI,改善社区适应性 (适当性) 和可访问性 (可行性).
结论:
- 公共公共组织成功实施了CHW领导的EBI,导致农村西班牙裔/拉丁裔/a个人的癌症查增加.
- 实施工作室是一个有前途的策略,用于建立CBO实施EBI的能力.
- 这些发现突显了Studio在改善服务不足人群癌症查率方面的潜力.
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