Using an Intervention Mapping Approach to Develop a Program for Preventing High Blood Pressure in a Marginalized Afro-Colombian Population: A Community-Based Participatory Research.
Using an Intervention Mapping Approach to Develop a Program for Preventing High Blood Pressure in a Marginalized Afro-Colombian Population: A Community-Based Participatory Research.
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使用一种干预映射方法来制定一个计划，以防止边缘化的非洲裔哥伦比亚人口：一项基于社区的参与性研究。
DOI：
10.1007/s10935-022-00668-1
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Peña M
中科院分区：
文献类型：
--
作者：
Guzman-Tordecilla DN;Lucumi D;Peña M
预防高血压是全球一项重要的公共卫生倡议，因为高血压是心血管疾病的主要风险因素，并增加了冠状病毒疾病2019年造成的损害(新冠肺炎)。我们设计、实施和评估了一项计划，以确定有效和可持续的干预措施，以预防被边缘化的黑人人口中的高血压。我们的研究是在哥伦比亚贫困率最高的城市基布多进行的，该市位于太平洋海岸，是哥伦比亚高血压病患病率最高的次区域。我们遵循以社区为基础的参与式研究方法的干预地图框架。数据收集使用了焦点小组、PhotoVoice、文献综述和横断面定量调查。社区选择体育活动的时间、地点和类型；领导体育活动；并加强他们在社区寻找资源以维持该计划的技能。评估的目的是确定干预措施是否能够实现该计划的主要目标。我们使用之前(2016年9月)和之后(2017年12月)的设计进行评估。为了减少选择偏差，并允许在同质组之间进行比较，我们使用了倾向分数匹配技术。详细提供了创建自给自足的体力活动计划所需的步骤。治疗后血压下降(收缩压下降13.4%，p = 下降0.018，舒张压下降6.5%，p = 下降0.002)。该计划可能是一种有效和自我维持的干预措施，政策制定者可以复制该计划，并在其他人口群体中实施。
The prevention of high blood pressure (HBP) is an important public health initiative worldwide, since HBP is the main risk factor for cardiovascular diseases and increases the damage caused by coronavirus disease 2019 (COVID-19). We designed, implemented, and evaluated a program to identify effective and sustainable interventions for preventing HBP in a marginalized black population. Our study was conducted in Quibdó, a city in Colombia with the highest poverty rate and located in the Pacific coast, a subregion in Colombia with the highest prevalence of HBP. We followed an intervention mapping framework using a community-based participatory research approach. Focus groups, photovoice, literature reviews, and cross-sectional quantitative surveys were used for data collection. The community chose the time, place, and type of physical activity; led the physical activities; and strengthened their skills in seeking resources in their community to sustain the program. The evaluation was aimed at determining whether the interventions were able to achieve the program’s primary aim. We used a before (September 2016) and after (December 2017) design for the evaluation. To decrease the selection bias and allow comparisons between homogeneous groups, we used a propensity score matching technique. The steps required to create a self-sustaining physical activity program were provided in detail. The pre-post test showed a decrease of the HBP (systolic, 13.4% points; p = 0.018; diastolic, 6.5% points; p = 0.002). The program may be an effective and self-sustaining intervention, and it can be replicated by policymakers and implemented in other population groups.
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影响因子：
5.6
作者：
Diaz, Keith M.;Shimbo, Daichi
通讯作者：
Shimbo, Daichi
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
DOI：
10.1111/j.1464-0597.2008.00341.x
发表时间：
2008-10-01
影响因子：
7.2
作者：
Michie, Susan;Johnston, Marie;Eccles, Martin
通讯作者：
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影响因子：
5.5
作者：
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通讯作者：
Lindsay, Sue
影响因子：
3.1
作者：
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通讯作者：
Stoutenberg, Mark