Barriers, frameworks, and mitigating strategies influencing the dissemination and implementation of health promotion interventions in indigenous communities: a scoping review.
Barriers, frameworks, and mitigating strategies influencing the dissemination and implementation of health promotion interventions in indigenous communities: a scoping review.
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DOI：
10.1186/s13012-022-01190-y
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发表时间：
2022-02-21
期刊：
影响因子：
--
通讯作者：
Markham C
中科院分区：
文献类型：
--
作者：
Sacca L;Shegog R;Hernandez B;Peskin M;Rushing SC;Jessen C;Lane T;Markham C
美国和加拿大的许多原住民社区都承受着不成比例的健康差距负担。有效的方案和干预措施对于为不同年龄组建立保护技能以改善健康结果至关重要。了解在土著社区成功传播、实施和保留循证干预措施和/或循证知情方案的相关障碍和促进因素，有助于指导其传播。确定传播和实施（D&I）的共同障碍以及有效的缓解框架和战略，用于在美洲印第安人/阿拉斯加原住民（AI/AN），夏威夷原住民/太平洋岛民（NH/PI）和加拿大土著社区成功传播和实施循证干预措施和/或循证知情计划。根据约克方法进行的范围界定审查包括五个步骤：（1）确定研究问题;（2）搜索相关研究;（3）选择与研究问题相关的研究;（4）数据图表;（5）整理、总结和报告结果。既定的D&I SISTER战略分类为所报告的战略的分类提供了标准。从PubMed（n = 19）、Embase（n = 18）和Scopus（n = 1）中提取符合入选/排除标准的候选研究。17项研究在全面审查后被排除，导致21项研究被纳入。最常提到的障碍类别是“社区健康的社会决定因素”。43%的障碍被归类在SEM的社区/社会政策层面，大多数研究（n = 12，57%）引用了这一类别。16项研究（76%）使用了D&I框架或模型（主要是CBPR）在土著社区传播和实施健康促进循证方案。排名最高的战略（80%）与以前确定的D&I“重要”和“可行”战略相一致。支持执行”（86%）。D&I框架和战略越来越多地被引用为土著社区内循证方案的采用、实施和可持续性提供信息。这项研究有助于确定障碍和有效的D&I框架和战略，这些框架和战略对提高土著社区循证方案的覆盖面和可持续性至关重要。N/A（范围审查）在线版本包含补充材料，可通过10.1186/s13012-022-01190-y获得。
Many Indigenous communities across the USA and Canada experience a disproportionate burden of health disparities. Effective programs and interventions are essential to build protective skills for different age groups to improve health outcomes. Understanding the relevant barriers and facilitators to the successful dissemination, implementation, and retention of evidence-based interventions and/or evidence-informed programs in Indigenous communities can help guide their dissemination. To identify common barriers to dissemination and implementation (D&I) and effective mitigating frameworks and strategies used to successfully disseminate and implement evidence-based interventions and/or evidence-informed programs in American Indian/Alaska Native (AI/AN), Native Hawaiian/Pacific Islander (NH/PI), and Canadian Indigenous communities. A scoping review, informed by the York methodology, comprised five steps: (1) identification of the research questions; (2) searching for relevant studies; (3) selection of studies relevant to the research questions; (4) data charting; and (5) collation, summarization, and reporting of results. The established D&I SISTER strategy taxonomy provided criteria for categorizing reported strategies. Candidate studies that met inclusion/exclusion criteria were extracted from PubMed (n = 19), Embase (n = 18), and Scopus (n = 1). Seventeen studies were excluded following full review resulting in 21 included studies. The most frequently cited category of barriers was “Social Determinants of Health in Communities.” Forty-three percent of barriers were categorized in this community/society-policy level of the SEM and most studies (n = 12, 57%) cited this category. Sixteen studies (76%) used a D&I framework or model (mainly CBPR) to disseminate and implement health promotion evidence-based programs in Indigenous communities. Most highly ranked strategies (80%) corresponded with those previously identified as “important” and “feasible” for D&I The most commonly reported SISTER strategy was “Build partnerships (i.e., coalitions) to support implementation” (86%). D&I frameworks and strategies are increasingly cited as informing the adoption, implementation, and sustainability of evidence-based programs within Indigenous communities. This study contributes towards identifying barriers and effective D&I frameworks and strategies critical to improving reach and sustainability of evidence-based programs in Indigenous communities. N/A (scoping review) The online version contains supplementary material available at 10.1186/s13012-022-01190-y.
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影响因子：
4
作者：
Bunger AC;Powell BJ;Robertson HA;MacDowell H;Birken SA;Shea C
通讯作者：
Shea C
影响因子：
3.7
作者：
Boyd, Meredith R.;Powell, Byron J.;Lewis, Cara C.
通讯作者：
Lewis, Cara C.
影响因子：
1.3
作者：
Counil, Emilie;Gauthier, Marie-Josee;Dewailly, Eric
通讯作者：
Dewailly, Eric
影响因子：
5.1
作者：
Chaffin M;Bard D;Bigfoot DS;Maher EJ
通讯作者：
Maher EJ
DOI：
10.1007/s11121-019-01017-1
发表时间：
2019-08
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
Cook CR;Lyon AR;Locke J;Waltz T;Powell BJ
通讯作者：
Powell BJ