实施科学框架应用于社区健康饮食和活动干预:一个横截面分析
Rachel G Tabak1, Cynthia D Schwarz1, Debra Haire-Joshu1
1School of Public Health, Washington University in St. Louis, St. Louis, MO, United States.
这项研究应用了实施研究综合框架 (CFIR) 和覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架在家庭访问组织中. 调查结果显示,CFIR内部存在显著的相关性,但与RE-AIM结果的联系有限.
科学领域:
- 实施科学 实施科学
- 公共卫生干预措施 公共卫生干预措施
- 社区卫生计划 社区卫生计划
背景情况:
- 实施科学框架对于理解干预有效性至关重要.
- 实施研究综合框架 (CFIR) 和RE-AIM (覆盖范围,有效性,采用,实施和维护) 被广泛使用.
- 在社区环境中应用这些框架对于优化公共卫生倡议至关重要.
研究的目的:
- 描述评估CFIR和RE-AIM结构的调查.
- 在一个家庭访问组织中探索CFIR和RE-AIM构造之间的相关性.
- 为了告知未来的实施科学研究营养和体力活动.
主要方法:
- 一个集群随机试验的横截面,基线二次分析.
- 利用来自社区家庭访问组织的家长教育工作者和站点领导人.
- 采用在线调查评估CFIR背景/先例结果和RE-AIM结果,使用Cronbach的alpha,ICCs和Pearson相关性进行分析.
主要成果:
- 271名家长教育工作者和26名网站领导者完成了调查.
- 可靠性分析显示可接受到优良的内部一致性 (Alphas 0.70-0.95).
- 在现场的家长教育者之间发现了有限的协议 (ICCs 0-0.24);在CFIR内部存在显著的相关性,但很少有RE-AIM结果.
结论:
- 展示了CFIR和RE-AIM在社区环境中的实际应用.
- 强调需要检查实施决定因素和结果之间的关系.
- 结果可以指导未来的研究在健康促进计划中实施科学.
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