Challenges of Integrating an Evidence-based Intervention in Health Departments to Prevent Excessive Gestational Weight Gain among Low-income Women
Challenges of Integrating an Evidence-based Intervention in Health Departments to Prevent Excessive Gestational Weight Gain among Low-income Women
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DOI：
10.1111/phn.12255
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发表时间：
2016-05-01
影响因子：
2.1
通讯作者：
Asafu-Adjei, Josephine K.
中科院分区：
文献类型：
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作者：
Yeo, SeonAe;Samuel-Hodge, Carmen D.;Asafu-Adjei, Josephine K.
目的：检查卫生部门（HD）的能力，以适应和实施干预，以防止过度妊娠体重增加。设计和样品：9个人道主义机构的77名利益攸关方（护士、营养师、社会工作者、卫生教育工作者、卫生主任和多语言服务提供者）参加了会议。一个描述性的混合方法的方法被用来收集数据，在研讨会上举行的现场介绍循证干预（EBI），并讨论其适应。措施：进行了一项调查，以评估干预措施是否符合人类发展障碍的背景。使用广义logit混合模型对调查数据进行分析。改编的讨论进行了录音和主题分析，以确定影响执行的因素。结果如下：大多数利害关系方希望参加扩展的基础设施的培训部分，但他们不愿意采用这一部分，并指出缺乏足够的资源。从录音叙述中，出现了三个主题：（1）患者的需求和资源，（2）对EBI适应性的看法，（3）EBI对怀孕人群的复杂性。结论：虽然EBI是有效的低收入非怀孕人口在东南部地区，怀孕和复杂的产前服务，使这种干预不切实际的适应作为产前保健的一部分，在HDs。
Objective: To examine health departments (HD) capacity to adapt and implement an intervention to prevent excessive gestational weight gain. Design and Sample: Seventy-seven stakeholders (nurses, nutritionists, social workers, health educators, health directors, and multilingual service providers) in nine HDs participated. A descriptive mixed methods approach was used to collect data at workshops held onsite to introduce the evidence-based intervention (EBI) and discuss its adaptation. Measures: A survey was administered to assess the interventions fit with the HDs context. Generalized logit mixed models were used to analyze the survey data. The discussions of adaptation were audiotaped and thematically analyzed to identify factors influencing implementation. Results: The majority of stakeholders desired to participate in the training portion of the EBI, but they were reluctant to adopt it, and noted a lack of adequate resources. From the audiotaped narratives, three themes emerged: (1) Patient needs and resources, (2) Perception about adaptability of the EBI, and (3) The complexity of the EBI for pregnant populations. Conclusion: Although the EBI was effective for low-income nonpregnant populations in southeastern regions, pregnancy and complex antenatal services make this intervention unrealistic to be adapted as a part of prenatal care at HDs.