A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas.
A Dissemination Strategy to Identify Communities Ready to Implement a Pediatric Weight Management Intervention in Medically Underserved Areas.
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DOI：
10.5888/pcd18.200248
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发表时间：
2021-02-11
影响因子：
5.5
通讯作者：
Estabrooks PA
中科院分区：
文献类型：
--
作者：
Golden CA;Hill JL;Heelan KA;Bartee RT;Abbey BM;Malmkar A;Estabrooks PA
我们开发了一个有竞争力的应用程序，以测试基金和合同传播策略的可行性，以确定和参与社区，这些社区表现出必要的资源和动机，以采用，实施和维持儿科体重管理干预，建立健康的家庭，在内布拉斯加州的农村和小城市（<50，000居民）社区。从2019年4月到12月，一个社区咨询委员会与农村和小城市临床，公共卫生，教育和娱乐组织的代表合作开发了一个申请请求，作为基金和合同传播策略，以鼓励社区采用建立健康家庭。定量评估包括确定申请请求的分布，评估组织变革准备评估（ORCA）评级（1到5分，从强烈反对到强烈同意组织准备变革），以及审查社区咨询委员会成员对申请的评级。我们从社区叙述中收集了定性数据，这些叙述是为了回应申请和社区咨询委员会对申请的审查。申请书已分发给内布拉斯加州的所有93个县。在提交意向书的8个社区中，7个社区提交了社区说明。在8个社区中，31个ORCA由组织决策者（n = 15）和负责筛选、招募或实施干预的工作人员（n = 16）完成。总体平均ORCA评分因证据（4.1-4.6）、背景（4.2-4.9）和促进（4.3-4.8）的评分而异，表明准备程度很高。社区咨询委员会对申请的评分范围为2.3至3.4（满分4分）。定性数据表明，社区叙述得分较低主要是由于执行和可持续性计划不力。研究结果提供了指导翻译儿科体重管理计划在医疗服务不足的地理区域，通过最大限度地提高成功采用和实施的可能性，通过基金和合同传播策略。
We developed a competitive application process to test the feasibility of a fund and contract dissemination strategy to identify and engage communities that demonstrated the necessary resources and motivation to adopt, implement, and sustain a pediatric weight management intervention, Building Healthy Families, in rural and micropolitan (<50,000 residents) communities in Nebraska. From April through December 2019, a community advisory board with representation from rural and micropolitan clinical, public health, education, and recreational organizations collaboratively developed a request for applications, as a fund and contract dissemination strategy, to encourage community adoption of Building Healthy Families. Quantitative assessments included determining the distribution of requests for applications, evaluating organizational readiness to change assessment (ORCA) ratings (on a scale of 1 to 5, from strongly disagree to strongly agree that the organization is ready to change), and reviewing community advisory board member ratings of applications. We gathered qualitative data from community narratives provided in response to the request for applications and community advisory board reviews of the applications. The request for applications was distributed to all 93 counties in Nebraska. Of the 8 communities that submitted a letter of intent, 7 submitted a community narrative. Across the 8 communities, 31 ORCAs were completed by the organizational decision makers (n = 15) and staff members (n = 16) who would be responsible for screening, recruiting, or implementing the intervention. Overall mean ORCA scores varied by ratings of evidence (4.1–4.6), context (4.2–4.9), and facilitation (4.3–4.8), indicating a high degree of readiness. Community advisory board ratings of applications ranged from 2.3 to 3.4 of 4 points. Qualitative data indicated that lower community narrative scores were primarily caused by weak implementation and sustainability plans. Findings provide guidance for translating pediatric weight management programs in medically underserved geographic areas by maximizing the probability of successful adoption and implementation through a fund and contract dissemination strategy.
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DOI：
10.1080/15374416.2014.963854
发表时间：
2015-07-04
影响因子：
4.2
作者：
Altman, Myra;Wilfley, Denise E.
通讯作者：
Wilfley, Denise E.
DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
3.6
作者：
Golan, M;Kaufman, V;Shahar, DR
通讯作者：
Shahar, DR
影响因子：
4.2
作者：
Epstein, Leonard H.;Paluch, Rocco A.;Beecher, Meghan D.
通讯作者：
Beecher, Meghan D.
影响因子：
3.8
作者：
McCormack, B;Kitson, A;Seers, K
通讯作者：
Seers, K