背景:美国和加拿大的许多土著社区经历了不成比例的健康差异负担。有效的计划和干预措施对于建立不同年龄段的保护技能以改善健康结果至关重要。了解成功传播的相关障碍和促进者,实施,在土著社区保留基于证据的干预措施和/或循证方案可以帮助指导其传播。
目标:确定传播和实施(D&I)的共同障碍,以及用于在美洲印第安人/阿拉斯加原住民(AI/AN)成功传播和实施基于证据的干预措施和/或基于证据的计划的有效缓解框架和策略。夏威夷原住民/太平洋岛民(NH/PI),加拿大土著社区。
方法:范围审查,根据约克方法论,包括五个步骤:(1)确定研究问题;(2)搜索相关研究;(3)选择与研究问题相关的研究;(4)数据图表;(5)整理,总结,并报告结果。已建立的D&ISISTER战略分类法提供了对报告战略进行分类的标准。
结果:符合纳入/排除标准的候选研究来自PubMed(n=19),Embase(n=18),和Scopus(n=1)。17项研究在全面审查后被排除,导致21项纳入研究。最常被引用的障碍类别是“社区健康的社会决定因素”。“43%的障碍被归类为SEM的社区/社会政策级别,大多数研究(n=12,57%)引用了这一类别。16项研究(76%)使用D&I框架或模型(主要是CBPR)在土著社区传播和实施基于证据的健康促进计划。排名最高的策略(80%)与以前确定为D&I的“重要”和“可行”的策略相对应。最常报告的SISTER策略是“建立伙伴关系(即,联盟)以支持实施\“(86%)。
结论:D&I框架和策略越来越多地被引用为采用提供信息,实施,以及土著社区内循证方案的可持续性。这项研究有助于确定障碍和有效的D&I框架和战略,这对于提高土著社区循证计划的覆盖面和可持续性至关重要。
背景:不适用(范围审查)。
BACKGROUND: Many Indigenous communities across the USA and Canada experience a disproportionate burden of health disparities. Effective programs and interventions are essential to build protective skills for different age groups to improve health outcomes. Understanding the relevant barriers and facilitators to the successful dissemination, implementation, and retention of evidence-based interventions and/or evidence-informed programs in Indigenous communities can help guide their dissemination.
OBJECTIVE: To identify common barriers to dissemination and implementation (D&I) and effective mitigating frameworks and strategies used to successfully disseminate and implement evidence-based interventions and/or evidence-informed programs in American Indian/Alaska Native (AI/AN), Native Hawaiian/Pacific Islander (NH/PI), and Canadian Indigenous communities.
METHODS: A scoping
review, informed by the York methodology, comprised five steps: (1) identification of the research questions; (2) searching for relevant studies; (3) selection of studies relevant to the research questions; (4) data charting; and (5) collation, summarization, and reporting of results. The established D&I SISTER strategy taxonomy provided criteria for categorizing reported strategies.
RESULTS: Candidate studies that met inclusion/exclusion criteria were extracted from PubMed (n = 19), Embase (n = 18), and Scopus (n = 1). Seventeen studies were excluded following full
review resulting in 21 included studies. The most frequently cited category of barriers was \"Social Determinants of Health in Communities.\" Forty-three percent of barriers were categorized in this community/society-policy level of the SEM and most studies (n = 12, 57%) cited this category. Sixteen studies (76%) used a D&I framework or model (mainly CBPR) to disseminate and implement health promotion evidence-based programs in Indigenous communities. Most highly ranked strategies (80%) corresponded with those previously identified as \"important\" and \"feasible\" for D&I The most commonly reported SISTER strategy was \"Build partnerships (i.e., coalitions) to support implementation\" (86%).
CONCLUSIONS: D&I frameworks and strategies are increasingly cited as informing the adoption, implementation, and sustainability of evidence-based programs within Indigenous communities. This study contributes towards identifying barriers and effective D&I frameworks and strategies critical to improving reach and sustainability of evidence-based programs in Indigenous communities.
BACKGROUND: N/A (scoping
review).