Program Sustainability: Hearing Loss and Tinnitus Prevention in American Indian Communities
Program Sustainability: Hearing Loss and Tinnitus Prevention in American Indian Communities
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DOI：
10.1016/j.amepre.2016.10.031
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发表时间：
2017-03-01
影响因子：
5.5
通讯作者：
Becker, Thomas M.
中科院分区：
文献类型：
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作者：
Martin, William Hal;Sobel, Judith L.;Becker, Thomas M.
简介：任何健康促进工作的一个重要目标是随着时间的推移保持其交付和有效性。本研究的目的是建立一个以社区为基础的噪音引起的听力损失和耳鸣预防计划在三种不同类型的美国印第安人社区和评估他们的证据的长期sustainability.Methods：目标人群是四年级和五年级的学生从三个不同的模型的美国印第安人社区。以证据为基础的DangerousDecibels（R）计划进行了调整，包括当地媒体，课堂教育，家庭和社区外展，以及基于网络的活动。可持续性是试图通过促进资金的稳定性，政治支持，合作伙伴关系，组织能力，程序适应，程序评估，通信，公共卫生的影响，和战略planning.Results：目前，有证据表明，听力健康促进计划是自我维持在所有三个美国印第安人社区。干预措施在改变目标人群的知识、态度、信念和行为方面是有效的，但项目采用和自我维持面临挑战，需要项目团队的耐心、毅力和创造力。干预的组成部分继续交付由当地成员的每个community.Conclusions：导致自我维持的方案的关键因素包括批准社区领导人和社区成员参与的设计，管理和评估的努力;使用一个完善的，以证据为基础的干预措施;对当地参与者进行高水平培训，使他们能够在逐步过渡到独立后自信有效地继续实施该方案。(C)2016年美国预防医学杂志。爱思唯尔公司出版
Introduction: An important goal of any health promotion effort is to have it maintained in delivery and effectiveness over time. The purpose of this study was to establish a community-based noise-induced hearing loss and tinnitus prevention program in three different types of American Indian communities and evaluate them for evidence of long-term sustainability.Methods: The target population was fourth-and fifth-grade students from three different models of American Indian communities. The evidenced-based DangerousDecibels (R) program was adapted to include local media, classroom education, family and community outreach, and web-based activities. Sustainability was attempted by promoting funding stability, political support, partnerships, organizational capacity, program adaptation, program evaluation, communications, public health impacts, and strategic planning.Results: Currently, there is evidence suggesting that the hearing health promotion program is self-sustaining in all three American Indian communities. The intervention was effective at changing knowledge, attitudes, beliefs, and behaviors in the target population, but program adoption and self-sustenance faced challenges that required patience, persistence, and creativity by the program team. Components of the intervention continue to be delivered by local members of each community.Conclusions: Critical factors that led to self-sustaining programs included approval of community leaders and engagement of community members in the design, administration, and evaluation of the effort; use of a well-developed, evidence-based intervention; and high-level training of local participants who could confidently and effectively continue delivering the program following a gradual transition to independence. (C) 2016 American Journal of Preventive Medicine. Published by Elsevier Inc.