Formative Evaluation and Adaptation of a Hypertension Extension for Community Health Outcomes Program for Healthcare Workers within the Federal Capital Territory, Nigeria.
Formative Evaluation and Adaptation of a Hypertension Extension for Community Health Outcomes Program for Healthcare Workers within the Federal Capital Territory, Nigeria.
复制标题
DOI：
10.5334/gh.1277
复制
发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Hirschhorn LR
中科院分区：
文献类型：
--
作者：
Baldridge AS;Goldstar N;Bellinger GC;DeNoma AT;Orji IA;Shedul GL;Okoli RCB;Ripiye NR;Odukwe A;Dabiri O;Mobisson LN;Ojji DB;Huffman MD;Kandula NR;Hirschhorn LR
社区健康成果延伸 (ECHO) 模式已被广泛使用，将农村社区的护理提供者与专家联系起来，旨在改善当地患者的护理。这项定性研究的目的是评估可行性、可接受性、感知需求和背景因素，以指导尼日利亚联邦首都地区社区健康推广工作者 (CHEW) 实施以高血压为重点的 ECHO 计划。从 2020 年 9 月到 2020 年 12 月，我们对七个提供心血管疾病或肾脏病学 ECHO 培训的全球组织（中心）进行了关键知情人访谈，以确定每个中心使用的背景因素和实施策略。 2022 年 2 月，联邦首都地区 42 名一线医护人员进行了 7 次焦点小组讨论，为当地高血压 ECHO 计划的调整提供信息。定向内容分析确定了映射到实施研究综合框架的主要主题。使用 Dedoose 进行定性分析，并使用实施研究逻辑模型综合结果。我们在实施研究综合框架领域中发现了障碍和促进因素，它们映射到每个领域的许多结构。这些分析结果证实，ECHO 模型的核心组成部分是对医护人员高血压教育的可行且适当的干预措施。然而，在联邦首都地区实施 ECHO 计划可能需要采取一些策略，例如有效利用通信资源、制定激励措施以激励初始参与以及为持续参与提供奖励或认可。这些结果提供了宝贵的形成性见解，可指导我们提议的尼日利亚联邦首都地区 CHEW 高血压 ECHO 计划的实施。这些信息用于以下方面的关键决策：1) 培训的范围和内容，2) 形式和频率，3) 实施策略的选择，以及 4) 建立实践社区。
The Extension for Community Health Outcomes (ECHO) model has been used extensively to link care providers in rural communities with experts with the aim of improving local patient care. The aim of this qualitative research study was to assess the feasibility, acceptability, perceived needs, and contextual factors to guide implementation of a hypertension focused ECHO program for Community Health Extension Workers (CHEWs) in the Federal Capital Territory, Nigeria. From September 2020 to December 2020, key informant interviews were performed with seven global organizations (hubs) providing ECHO training focused on cardiovascular disease or nephrology to identify contextual factors and implementation strategies used by each hub. In February 2022, seven focus group discussions were performed with 42 frontline healthcare workers in the Federal Capital Territory to inform local adaptation of a hypertension ECHO program. Directed content analysis identified major themes which were mapped to the Consolidated Framework for Implementation Research. Qualitative analyses were performed using Dedoose, and results were synthesized using the Implementation Research Logic Model. We found both barriers and facilitators across the Consolidated Framework for Implementation Research domains that mapped to a number of constructs in each one. The results of these analyses confirmed that the core components of the ECHO model are a feasible and appropriate intervention for hypertension education of healthcare workers. However, implementing the ECHO program within the Federal Capital Territory may require strategies such as utilizing communications resources effectively, developing incentives to motivate initial participation, and providing rewards or recognition for ongoing engagement. These results provide valuable formative insights to guide implementation of our proposed hypertension ECHO program for CHEWs in the Federal Capital Territory, Nigeria. This information was used for key decisions around: 1) scope and content of training, 2) format and frequency, 3) selection of implementation strategies, and 4) building a community of practice.
登录
查看更多内容
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
4.6
作者：
Agley J;Delong J;Janota A;Carson A;Roberts J;Maupome G
通讯作者：
Maupome G
影响因子：
3.5
作者：
Shea, Christopher M.;Gertner, Alex K.;Green, Sherri L.
通讯作者：
Green, Sherri L.
影响因子：
--
作者：
Johnson, Kurt L;Hertz, Deborah;Scott, John D
通讯作者：
Scott, John D
影响因子：
4.5
作者：
Bikinesi, Leonard;O'Bryan, Gillian;Struminger, Bruce
通讯作者：
Struminger, Bruce