在州惩戒机构中最大限度地提高慢性疾病自我管理计划的可扩展性:一个研究协议
Rodlescia S Sneed1,2,3, Elaina R Reese4, Ernestine G Jennings5,6
1Institute of Gerontology, Wayne State University, Detroit, MI, USA. sneedrod@wayne.edu.
Implementation science communications
|November 7, 2025
概括
在老年监狱人口中扩大慢性疾病自我管理计划至关重要. 这项研究评估了扩大老年囚犯慢性疾病自我管理计划 (CDSMP) 的策略,旨在改善健康并降低成本.
科学领域:
- 校正医疗保健机构的医疗保健.
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 监狱中的老龄化人口面临越来越多的慢性疾病负担.
- 监狱医疗保健通常优先考虑传染病而不是慢性疾病.
- 慢性疾病自我管理计划 (CDSMP) 是一种基于证据的慢性疾病自我管理干预措施.
研究的目的:
- 评估和开发一种实施方法,以扩大CDSMP在州惩戒系统中的规模.
- 为了最大限度地提高CDSMP的可扩展性,在惩戒机构中的老年人中.
- 解决对惩戒医疗保健有效扩展战略的研究差距.
主要方法:
- 一种混合方法的方法,以扩展管理框架为指导.
- 量化调查数据和与机构领导人,监狱工作人员和被监禁人员的定性访谈.
- 为未来的随机试验进行测试,开发一个扩展的手册.
主要成果:
- 从60名参与者 (20名外部机构领导,20名监狱工作人员,20名被监禁人员) 收集数据.
- 洞察监狱中CDSMP实施和扩大规模的障碍和促进者的洞察力.
- 作为指导未来大规模实施的手册的基础.
结论:
- 在监狱中扩大慢性疾病管理计划对于降低发病率,死亡率和医疗保健成本至关重要.
- 需要有效的扩展战略来管理老龄化监狱人口中日益增长的慢性疾病负担.
- 这项研究确定并将测试在惩教机构实施基于证据的慢性疾病自我管理的策略.
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