Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy Living-A Three Case Comparison.
Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy Living-A Three Case Comparison.
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DOI：
10.3390/ijerph13101023
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发表时间：
2016-10-20
影响因子：
--
通讯作者：
Gittelsohn J
中科院分区：
文献类型：
--
作者：
Mikkelsen BE;Novotny R;Gittelsohn J
人们对同时在多个社区环境/机构中进行干预并涉及政策和制度变革的综合和协调方案越来越感兴趣。本文的目的是分析来自世界各地的三个可比较的多层次，多成分干预计划（ML-MC）的案例，以便为该领域的研究，政策和实践提供建议。通过比较三个案例：健康和当地社区（SoL计划），儿童健康生活（CHL）和B 'More儿童健康社区（BHCK），本文探讨了ML-MC社区为基础的公共卫生营养干预措施，以创造可持续的变化的潜力。本文通过分析和研究这些项目的优势和不足，提出了未来研究的方法、指导原则和方向。它们的相似之处在于，它们使当地利益攸关方参与并承诺采取结构化的办法，整合干预措施的组成部分，以确定剂量和强度。这样，它们都为干预后的影响可持续性作出了规定。所有方案都针对儿童和家庭成员的知识、态度、行为、政策层面和环境层面。这项研究说明了社区的多样性以及学校、幼儿园、社区团体和杂货店等场所和环境如何参与这些方案的多样性。各方案在媒体利益攸关方的参与方面也各不相同。对这三种情况的比较表明，需要从一开始就建立合作和伙伴关系，规划足够的强度/剂量，强调/建立干预措施各级和各组成部分的一致性，建立各级的同步，并规划可持续性。
There is increasing interest in integrated and coordinated programs that intervene in multiple community settings/institutions at the same time and involve policy and system changes. The purpose of the paper is to analyse three comparable cases of Multi Level, Multi Component intervention programs (ML-MC) from across the world in order to give recommendations for research, policy and practice in this field. Through the comparison of three cases: Health and Local Community (SoL-program), Children’s Healthy Living (CHL) and B’More Healthy Communities for Kids (BHCK), this paper examines the potential of ML-MC community-based public health nutrition interventions to create sustainable change. The paper proposes methodology, guidelines and directions for future research through analysis and examination strengths and weaknesses in the programs. Similarities are that they engage and commit local stakeholders in a structured approach to integrate intervention components in order to create dose and intensity. In that way, they all make provisions for post intervention impact sustainability. All programs target the child and family members’ knowledge, attitudes, behavior, the policy level, and the environmental level. The study illustrates the diversity in communities as well as diversity in terms of which and how sites and settings such as schools, kindergartens, community groups and grocery stores became involved in the programs. Programs are also different in terms of involvement of media stakeholders. The comparison of the three cases suggests that there is a need to build collaboration and partnerships from the beginning, plan for sufficient intensity/dose, emphasize/create consistency across levels and components of the intervention, build synchronization across levels, and plan for sustainability.
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影响因子：
4.5
作者：
Ganann R;Fitzpatrick-Lewis D;Ciliska D;Peirson L
通讯作者：
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影响因子：
5.1
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作者：
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影响因子：
4.2
作者：
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影响因子：
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作者：
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