Tailoring evidence-based interventions for new populations: a method for program adaptation through community engagement.

Tailoring evidence-based interventions for new populations: a method for program adaptation through community engagement.
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DOI:
10.1177/0163278712442536
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发表时间:
2013-03
影响因子:
2.9
通讯作者:
Pillemer K
Pillemer K
中科院分区:
医学4区
文献类型:
--
作者:
Chen EK;Reid MC;Parker SJ;Pillemer K

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基于证据的干预措施(EBI)是社区卫生从业人员的重要工具,但在EBI被验证的人群与将使用EBI的目标人群之间往往存在不匹配。计划适应方法识别新目标人群的差异,并试图对EBI进行改变,以适应这些差异,而不会稀释计划的有效性。这篇文章概述了一种创新的方法,以引出方案修改的想法和决定方案的变化。通过社区参与的项目适应方法(M-PACE)利用项目参与者的系统和详细的反馈来指导适应。作者描述了获得高质量参与者反馈和裁决建议以决定程序更改的程序。M-PACE是一项基于证据的老年人关节炎自我管理项目的一部分。以该实例为例,介绍了M-PACE方法的应用和结果。
Evidence-based interventions (EBIs) are an important tool for community health practitioners, but there is often a mismatch between the population in which the EBI was validated and the target population in which it will be used. Methods of planned adaptation identify differences in the new target population and attempt to make changes to the EBI that accommodate these differences without diluting the program’s effectiveness. This article outlines an innovative method for eliciting ideas for program modifications and deciding on program changes. The Method for Program Adaptation through Community Engagement (M-PACE) uses systematic and detailed feedback from program participants to guide adaptation. The authors describe procedures for obtaining high-quality participant feedback and adjudicating recommendations to decide on program changes. M-PACE was developed as part of the adaptation of an evidence-based, arthritis self-management program for older adults. The application and results of the M-PACE method are presented using this case as an example.
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