Implementation of a cancer prevention program for working class, multiethnic populations
Implementation of a cancer prevention program for working class, multiethnic populations
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DOI：
10.1016/j.ypmed.2003.12.025
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发表时间：
2004-06-01
影响因子：
5.1
通讯作者：
Emmons, KM
中科院分区：
文献类型：
--
作者：
Lobb, R;Suarez, EG;Emmons, KM
背景本文介绍了实施健康指导，健康中心的干预，并检查参与者完成干预活动的特点。健康指导-健康中心的目的是解决社会背景因素相关的癌症预防干预措施，为工人阶级，多民族人群。10个社区卫生中心配对，并随机分配到干预或对照。居住在低收入，多民族社区的患者参与。这项研究针对水果和蔬菜消费，红肉消费，多种维生素摄入和体育活动。干预组成部分包括。(1)一个简短的研究从临床医生的认可;（2）与健康顾问面对面的咨询会议;（3）四个后续的电话咨询会议;（4）定制材料的多次分发。在1，088名干预组参与者中，978名参与者（90%）完成了六项干预活动中的至少五项。错过临床预约的参与者不太可能完成干预的所有组成部分。参与者的特征，预测收到临床医生的认可不同的特征，预测完成健康顾问活动。一旦参与者被招募，低文化适应并没有对干预措施的实施构成障碍。过程评估结果的收集和报告有助于解释项目实施中的差异。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. This paper describes the implementation of the Healthy Directions-Health Centers intervention and examines the characteristics of participants associated with completion of intervention activities. Healthy Directions-Health Centers was designed to address social contextual factors relevant to cancer prevention interventions for working class, multi-ethnic populations.Methods. Ten community health centers were paired and randomly assigned to intervention or control. Patients who resided in low income, multi-ethnic neighborhoods were approached for participation. This study targeted fruit and vegetable consumption, red meat consumption, multi-vitamin intake, and physical activity. The intervention components consisted of. (1) a brief study endorsement from a clinician; (2) an in-person counseling session with a health advisor; (3) four follow-up telephone counseling sessions; and (4) multiple distributions of tailored materials.Results. Among the 1,088 intervention group participants, 978 participants (90%) completed at least five out of six intervention activities. Participants who missed clinical appointments were less likely to complete all components of the intervention. Participant characteristics that predicted receipt of clinician endorsement differed from characteristics that predicted completion of health advisor activities. Low acculturation did not present a barrier to delivery of the intervention once the participant was enrolled.Conclusions. Collection and reporting on process evaluation results can help explain variations in program implementation. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.