期刊论文详细信息
Preventing chronic disease
Methods for Translating Evidence-Based Behavioral Interventions for Health-Disparity Communities
Anna Maria Nápoles1 
关键词: Preventing Chronic Disease;    PCD;    CDC;    minority health;    health status disparities;    persons with disabilities;    evidence-based practice;    information dissemination;    translational research;    vulnerable populations;    health behavior;   
DOI  :  10.5888/pcd10.130133
学科分类:医学(综合)
来源: U.S. Centers for Disease Control and Prevention * National Center for Chronic Disease Prevention and Health Promotion
PDF
【 摘 要 】

Populations composed of racial/ethnic minorities, disabled persons, and people with low socioeconomic status have worse health than their counterparts. Implementing evidence-based behavioral interventions (EBIs) to prevent and manage chronic disease and disability in community settings could help ameliorate disparities. Although numerous models of implementation processes are available, they are broad in scope, few offer specific methodological guidance, and few address the special issues in reaching vulnerable populations. Drawing from 2 existing models, we describe 7 methodological phases in the process of translating and implementing EBIs in communities to reach these vulnerable groups: establish infrastructure for translation partnership, identify multiple inputs (information gathering), review and distill information (synthesis), adapt and integrate program components (translation), build general and specific capacity (support system), implement intervention (delivery system), and develop appropriate designs and measures (evaluation). For each phase, we describe specific methodological steps and resources and provide examples from research on racial/ethnic minorities, disabled persons, and those with low socioeconomic status. Our methods focus on how to incorporate adaptations so that programs fit new community contexts, meet the needs of individuals in health-disparity populations, capitalize on scientific evidence, and use and build community assets and resources. A key tenet of our approach is to integrate EBIs with community best practices to the extent possible while building local capacity. We discuss tradeoffs between maintaining fidelity to the EBIs while maximizing fit to the new context. These methods could advance our ability to implement potentially effective interventions to reduce health disparities.

【 授权许可】

CC BY   

【 预 览 】
附件列表
Files Size Format View
RO201904283437750ZK.pdf 356KB PDF download
  文献评价指标  
  下载次数:27次 浏览次数:10次