Yancey Antronette K, Ory Marcia G, Davis Sally M
Department of Health Services, and Center to Eliminate Health Disparities, UCLA School of Public Health, Los Angeles, California, USA.
Am J Prev Med. 2006 Oct;31(4 Suppl):S82-91. doi: 10.1016/j.amepre.2006.06.020.
Achieving minimum physical activity levels of 30 or more minutes per day will require a variety of intervention strategies to engage each segment of an aging and increasingly ethnically diverse U.S. population. This article presents a focused review of the sparse literature on the diffusion of evidence-based physical activity interventions that are culturally appropriate for underserved populations. Related literature and experiential insights inform this discussion, because so few published studies report outcome data beyond the first diffusion phase of intervention development and evaluation. Three brief case studies are presented to further illustrate and exemplify key concepts and processes at several different stages in diffusing physical activity interventions. Successful engagement of underserved populations reflects a delicate balance between embracing group customs and values and recognizing the nonmonolithic nature of any sociodemographically defined group. The costs of failing to promulgate effective physical activity interventions in these groups continue to mount, in dollars, health, and lives. Researchers, practitioners, decision makers, and policymakers must partner to bridge the evidentiary gap so that the physically active lifestyle choices become the easier choices.
要实现每天至少30分钟的身体活动水平，需要采取多种干预策略，以促使美国日益老龄化且种族日益多样化的各阶层人群参与进来。本文重点回顾了关于循证身体活动干预措施传播的稀少文献，这些干预措施在文化上适合服务不足的人群。相关文献和经验见解为此次讨论提供了参考，因为很少有已发表的研究报告干预措施开发与评估的首个传播阶段之后的结果数据。本文呈现了三个简短的案例研究，以进一步说明和举例说明身体活动干预措施传播不同阶段的关键概念和过程。成功促使服务不足的人群参与进来，体现了在接纳群体习俗和价值观与认识到任何社会人口学定义群体的非单一性质之间的微妙平衡。在这些群体中未能推广有效的身体活动干预措施，其成本在金钱、健康和生命方面持续攀升。研究人员、从业者、决策者和政策制定者必须合作弥合证据差距，以便选择积极的生活方式成为更容易的选择。
