A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions.
A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions.
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DOI：
10.1353/cpr.2016.0067
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Kaholokula JK
中科院分区：
文献类型：
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作者：
Delafield R;Hermosura AN;Ing CT;Hughes CK;Palakiko DM;Dillard A;Kekauoha BP;Yoshimura SR;Gamiao S;Kaholokula JK
传播是以社区为基础的参与性研究（CBPR）的一项原则;然而，已发表的研究侧重于传播CBPR项目的调查结果，而较少关注通过CBPR方法制定的干预措施的传播。为了传播为夏威夷土著人和太平洋岛民量身定制的循证生活方式干预措施，皮利'Ohana项目（POP）是一项为期11年的CBPR倡议，开发了一种创新的传播模式。本文所描述的社区对社区指导（CCM）模式将CBPR的价值观和原则在干预开发中的应用扩展到干预传播。CCM模型将CBPR导向与创新扩散理论、社会认知理论以及社区组织和社区建设的关键概念相结合，以解决影响循证干预措施吸收的多层次因素。以CBPR原则为基础的模型为干预措施的传播提供了好处，并将社区利益和能力建设作为重点。通过在CCM模式的核心建立平等互利的关系，为建立批判意识，社区能力和社会资本创造了机会。需要更多的研究来确定这种干预传播模式的有效性，这可能会加强CBPR干预措施的传播，并在此过程中赋予社区权力。
Dissemination is a principle within community-based participatory research (CBPR); however, published research focuses on the dissemination of findings from CBPR projects but less on dissemination of interventions developed through CBPR approaches. To disseminate an evidence-based lifestyle intervention tailored for Native Hawaiians and Pacific Islanders, the PILI 'Ohana Project (POP), an 11-year CBPR initiative, developed an innovative dissemination model. The Community-to-Community Mentoring (CCM) model described in this paper extends the application of CBPR values and principles used in intervention development to intervention dissemination. The CCM model combines a CBPR orientation with the Diffusion of Innovation Theory, the Social Cognitive Theory, and key concepts from community organizing and community building to address the multilevel factors that influence uptake of an evidence-based intervention. Grounding the model in CBPR principles provides benefits for intervention dissemination and integrates a focus on community benefits and capacity building. By establishing co-equal, mutually beneficial relationships at the core of the CCM model, opportunities are created for building critical consciousness, community capacity, and social capital. More research is needed to determine the effectiveness of this model of intervention dissemination which may enhance diffusion of CBPR interventions and empower communities in the process.