Using community readiness key informant assessments in a randomized group prevention trial: Impact of a participatory community-media intervention

Using community readiness key informant assessments in a randomized group prevention trial: Impact of a participatory community-media intervention
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DOI:
10.1007/s10900-004-6094-1
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发表时间:
2005-02-01
影响因子:
5.9
通讯作者:
Keefe, TJ
Keefe, TJ
中科院分区:
医学4区
文献类型:
--
作者:
Slater, MD;Edwards, RW;Keefe, TJ

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这项研究考察了关键信息提供者社区准备情况评估在一项随机小组试验中的作用,该试验测试了参与性社区媒体干预的影响(这也得到了校内努力的补充)。这些评估被用来帮助在随机分配中配对社区,作为社区形成数据的来源,作为联盟建设讲习班的基础,并作为评估工具,在基线调查后大约两年进行一套后续调查。嵌套随机效应分析的结果表明,干预影响了社区对预防工作的了解,并(在轻微显著的水平上)改善了预防领导素质和支持预防工作的社区氛围。有证据表明,在某些情况下,举报人的专业背景对他们的评估有影响,这种影响可以在分析中加以控制。作者得出结论,在评估基于社区的干预措施时,关键的告密者社区准备情况评估可以有效地补充个人态度和行为的综合测量(在本研究的其他地方报告)。
This study examines the role of key informant community readiness assessments in a randomized group trial testing the impact of a participatory community-media intervention (which was also complemented by in-school efforts). These assessments were used to help match communities in random assignment, as a source of formative data about the community, as the basis for a coalition-building workshop, and as an evaluation tool, with a follow-up set of surveys approximately 2 years after the baseline survey. Results of the nested, random effects analysis indicated that the intervention influenced community knowledge of efforts and (at marginally significant levels) improved prevention leadership quality and community climate supportive of prevention efforts. There was evidence that the professional affiliation of informants in some cases had an effect on their assessments, which could be controlled in the analysis. The authors conclude that key informant community readiness assessments can usefully serve to supplement aggregated measures of individual attitudes and behavior (reported elsewhere for this study) in evaluating community-based interventions.