使用RE-AIM框架比较两种食品是药物试验
medRxiv : the preprint server for health sciences
|November 24, 2025
概括
食品是药物 (FIM) 干预措施显示出希望,但面临数字化访问和零售集成的挑战. 成功扩展需要混合型号,强有力的伙伴关系和可持续的资金来实现公平的医疗保健.
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:
- 食品是药物 (FIM) 干预措施越来越多地融入医疗保健.
- 试点研究得到了美国心脏协会的Healthcare by Food计划的支持,以测试可扩展的FIM模型.
- 这项研究比较了两个试点FIM干预措施:NutriConnect和Makin'健康杂货.
研究的目的:
- 使用RE-AIM框架比较两个试点食品是药物 (FIM) 干预措施.
- 确定FIM设计,交付和实施的跨站点教训.
- 为可扩展的FIM模型提供未来政策和实践的信息.
主要方法:
- 两个FIM试验的比较分析:NutriConnect和Makin'健康的杂货.
- 应用RE-AIM框架 (覆盖范围,有效性,采用,实施,维护).
- 检查参与者特征,干预交付,操作挑战和上下文促进者.
主要成果:
- 数字障碍 (例如,电子邮件赎回,数字素养) 在这两项试验中都限制了覆盖范围.
- 零售系统的准备程度影响了采用,更紧密的整合被证明是有益的.
- 实施面临员工负担和定制需求,而维护则突出了成本和资金依赖.
结论:
- FIM试验的设计和交付是异质的,需要与参与者的行为和零售系统保持一致.
- 成功扩展需要混合技术-人类模式,跨部门合作伙伴关系和可持续的补偿.
- 试点洞察力指导开发公平的FIM实施战略.
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