Implementation partnerships in a community-based intergenerational oral health study
Implementation partnerships in a community-based intergenerational oral health study
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DOI：
10.1922/cdh_3378huebner05
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发表时间：
2014-12-01
影响因子：
1.7
通讯作者：
Riedy, C. A.
中科院分区：
文献类型：
--
作者：
Huebner, C. E.;Milgrom, P.;Riedy, C. A.
背景：大学-社区伙伴关系是实施社区健康促进试验的常见策略，但很少有已发表的研究详细报道了这些相互作用。“婴儿微笑”是在美国俄勒冈州进行的一项为期五年的干预研究。这项研究涉及四个农村县的400名怀孕期间和产后的低收入妇女。在本报告中，我们描述和评估了为支持干预而形成的四个大学-社区卫生伙伴关系。方法：在四个参与县分别成立社区卫生伙伴关系咨询小组。小组成员从9人到23人不等。在两年半的时间里，对这些小组进行了五次调查。该调查询问了成员对干预目标、科学依据和与他们组织的相关性的看法。问题还询问了成员对口腔健康的知识、对本国低收入孕妇和儿童获得牙科保健的看法以及他们的组织如何运作。结果：在干预期间，尽管伙伴关系组的结构、关注点和成员流动率存在差异，但各伙伴关系组的总体支持度均较高。对特定调查项目的回答表明了对口腔保健的错误信息或负面意见，用于解决整个研究过程中研究实施中的弱点。结论：系统监测社区对多年口腔健康干预的支持是可行的，并且可以在研究进行时确定需要解决的潜在障碍。
Background: University-community partnerships are a common strategy used in implementing community-based health promotion trials, yet few published studies report these interactions in detail. "Baby Smiles" was a five-year intervention study in Oregon, USA. The study involved 400 low-income women during and after pregnancy across four rural counties. In this report, we describe and assess four university-community health partnerships formed to support the intervention. Methods: A community health partnership advisory group for the study was established in each of the four participating counties. Group membership ranged from 9 to 23 individuals. A survey was administered to the groups five times in a 2.5 year period. The survey asked members' opinions of the intervention's goals, scientific basis and relevance to their organisation. Questions also asked about members' knowledge of oral health, beliefs about access to dental care for low-income pregnant women and children in their county and how their organisation functioned. Results: There was strong overall support by each partnership group despite differences in the groups' structure, foci and turnover in membership during intervention period. Responses to specific survey items indicating misinformation or negative opinions about oral health care were used to address weaknesses in study implementation throughout the conduct of the study. Conclusion: Systematic monitoring of community support for a multi-year oral health intervention is feasible and can identify potential barriers to address while the study is underway.