A Midpoint Process Evaluation of the Los Angeles Basin Racial and Ethnic Approaches to Community Health Across the US (REACH US) Disparities Center, 2007-2009
A Midpoint Process Evaluation of the Los Angeles Basin Racial and Ethnic Approaches to Community Health Across the US (REACH US) Disparities Center, 2007-2009
复制标题
对洛杉矶盆地全美国社区健康种族和民族方法的中点过程评估 (REACH US) 差异中心，2007-2009 年
DOI：
10.13016/cq1l-wcb5
复制
发表时间：
2011
影响因子：
5.5
通讯作者：
J. Fielding
中科院分区：
文献类型：
--
作者：
A. Maxwell;A. Yancey;Mona AuYoung;J. J. Guinyard;Beth A Glenn;Ritesh Mistry;P. Simon;R. Bastani;W. McCarthy;J. Fielding
背景少数种族/民族群体有更高的风险，由肥胖引起的疾病。社区背景加州大学、洛杉矶和洛杉矶县公共卫生部与社区组织合作，在工作场所传播有文化针对性的体育活动和营养干预措施。方法我们与来自59个政府和非营利卫生和社会服务机构的人员进行了社区对话，以制定在工作场所实施的健康战略。策略包括有组织的团体运动休息和在组织功能提供健康的茶点。在最初的两年里，我们与6个社区组织（主要合作伙伴）分包，他们通过同行建模和社会支持将这些健康策略传播给他们自己的专业网络（二级工作场所）内的29个组织。我们分析了项目前两年的数据，以评估我们的传播方法。结果主要合作伙伴难以在其专业网络中招募组织作为二级合作伙伴，以采用健康战略。在其各自组织内，主要合作伙伴报告说，在促进体育活动和健康饮食的6项核心组织战略中，有2项的执行情况显著增加。完成了两次组织评估的12个二级工作地点报告说，6项核心组织战略中有4项的执行率大幅提高。受过培训的社区组织通过其现有网络（培训员培训）传播组织健康战略的工作成效甚微。因此，我们停止了这种传播方法，并专注于招聘组织网络的领导者。
Background Racial/ethnic minority groups have higher risks for disease resulting from obesity. Community Context The University of California, Los Angeles, and the Los Angeles County Department of Public Health partnered with community organizations to disseminate culturally targeted physical activity and nutrition-based interventions in worksites. Methods We conducted community dialogues with people from 59 government and nonprofit health and social service agencies to develop wellness strategies for implementation in worksites. Strategies included structured group exercise breaks and serving healthy refreshments at organizational functions. During the first 2 years, we subcontracted with 6 community-based organizations (primary partners) who disseminated these wellness strategies to 29 organizations within their own professional networks (secondary worksites) through peer modeling and social support. We analyzed data from the first 2 years of the project to evaluate our dissemination approach. Outcome Primary partners had difficulty recruiting organizations in their professional network as secondary partners to adopt wellness strategies. Within their own organizations, primary partners reported significant increases in implementation in 2 of the 6 core organizational strategies for promoting physical activity and healthy eating. Twelve secondary worksites that completed organizational assessments on 2 occasions reported significant increases in implementation in 4 of the 6 core organizational strategies. Interpretation Dissemination of organizational wellness strategies by trained community organizations through their existing networks (train-the-trainer) was only marginally successful. Therefore, we discontinued this dissemination approach and focused on recruiting leaders of organizational networks.