构建减少伤害的社区能力:在俄俄州阿巴拉契亚农村地区的适应性实施科学方法
Adams L Sibley1, Christine A Schalkoff2, David C Colston2
1Injury Prevention Research Center, University of North Carolina at Chapel Hill, NC, USA.
Substance use : research and treatment
|February 2, 2026
概括
一种能力建设方法通过解决污名和提供者限制,提高了俄俄州农村地区对减少危害的社区准备. 该战略通过优先考虑社区参与和适应性实施,促进了可持续创新.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 基于社区的干预措施.
背景情况:
- 农村社区面临着解决过量疫情的重大障碍,包括有限的治疗选择和耻辱感.
- 社会和政治反对往往阻碍了这些环境中的基于证据的干预.
研究的目的:
- 采用能力建设方法克服结构性障碍,提高社区对减少危害和治疗创新的准备.
- 针对俄俄州阿巴拉契亚农村地区的耻辱,机构间的分裂和供应商能力不足的问题.
主要方法:
- 应用实施项目使用证据制造干预框架和过程评估.
- 混合方法研究,包括利益相关者和药物使用者采访,调查,网络分析和数据审查.
- 社区领导委员会共同开发了干预措施,社区成员积极参与研究和实施.
主要成果:
- 实施了20多项活动,包括减少耻辱,机构间协调和提供者能力建设.
- 主要活动包括同行支持培训,执法研讨会和远程医疗伙伴关系.
- 社区合作伙伴支持多项倡议,包括资源清算中心和综合降害协议.
结论:
- 能力建设 实施科学可以克服结构性障碍,在抗性农村地区减少危害.
- 社区共同创作和适应性实施促进了可持续的减少伤害的创新.
- 这种方法尊重当地环境和变革的准备,建立当地公共卫生能力.
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