Prevention Research Center in St Louis, George Warren Brown School of Social Work, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8109, St Louis, MO 63110, USA.
Health Educ Res. 2012 Apr;27(2):292-306. doi: 10.1093/her/cyr063. Epub 2011 Sep 5.
Within the realm of obesity prevention research, there have been many promising interventions to improve physical activity and nutrition among diverse target populations. However, very little information is known about the dissemination and replication of these interventions. In 2007 and 2008 as part of a larger obesity prevention initiative, Missouri Foundation for Health funded 19 community-based programs throughout the state that showed promise of being model practices and committed to promoting their dissemination. Semi-structured key informant interviews were conducted with 64 individuals across the grant sites to help stage their readiness for dissemination. Through these interviews, the project team was able to identify the variables that impact a program's readiness for widespread distribution. Some factors contributing to readiness include: strong intervention planning and an existing sustainability plan; physical space available for the intervention; staff and monetary resources; administrative buy-in; community buy-in and engagement; a strong partner base and an agency with a healthy and active mission. These findings add to the literature by systematically identifying a set of key contextual variables. The qualitative data collected support a proposed framework and helps to establish a process for maintaining successful interventions based on several important factors that impact dissemination.
在肥胖预防研究领域，已经有许多有前途的干预措施可以改善不同目标人群的身体活动和营养。然而，对于这些干预措施的传播和复制，我们知之甚少。2007 年和 2008 年，作为一项更大的肥胖预防计划的一部分，密苏里健康基金会资助了全州 19 个基于社区的项目，这些项目有望成为模范实践，并致力于促进其传播。对资助项目中的 64 个人进行了半结构化的关键知情人访谈，以帮助评估其传播准备情况。通过这些访谈，项目团队能够确定影响计划广泛传播的准备情况的变量。一些有助于准备的因素包括：强有力的干预计划和现有的可持续性计划；用于干预的可用物理空间；人员和资金资源；行政认可；社区认可和参与；强大的合作伙伴基础以及一个健康积极的使命的机构。这些发现通过系统地确定一组关键背景变量，为文献增添了内容。收集的定性数据支持一个拟议的框架，并有助于根据影响传播的几个重要因素，建立维持成功干预的过程。
