Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Gerontologist. 2013 Feb;53(1):162-71. doi: 10.1093/geront/gns094. Epub 2012 Aug 30.
Lay health educators (LHEs) offer great promise for facilitating the translation of evidence-based health promotion programs to underserved areas; yet, there is little guidance on how to train LHEs to implement these programs, particularly in the crucial area of empirically validated obesity interventions.
This article describes experiences in recruiting, training, and retaining 20 LHEs who delivered a 12-month evidence-based behavioral lifestyle intervention (based on the Diabetes Prevention Program) in senior centers across a rural state. A mixed method approach was used which incorporated collecting the folllowing: quantitative data on sociodemographic characteristics of LHEs; process data related to training, recruitment, intervention implementation, and retention of LHEs; and a quantitative program evaluation questionnaire, which was supplemented by a qualitative program evaluation questionnaire. Descriptive statistics were calculated for quantitative data, and qualitative data were analyzed using content analysis.
The training program was well received, and the LHEs effectively recruited participants and implemented the lifestyle intervention in senior centers following a structured protocol.
The methods used in this study produced excellent long-term retention of LHEs and good adherence to intervention protocol, and as such may provide a model that could be effective for others seeking to implement LHE-delivered health promotion programs.
现场健康教育者（LHE）在促进将循证健康促进计划转化到服务不足的地区方面具有很大的潜力；然而，关于如何培训 LHE 来实施这些计划，特别是在经验验证的肥胖干预措施方面，几乎没有指导。
本文介绍了在农村州的老年人中心招募、培训和保留 20 名现场健康教育者的经验，这些教育者提供了为期 12 个月的基于循证的行为生活方式干预（基于糖尿病预防计划）。采用了一种混合方法，包括收集以下内容：LHE 的社会人口特征的定量数据；与培训、招募、干预实施和 LHE 保留有关的过程数据；以及定量计划评估问卷，并补充了定性计划评估问卷。对定量数据进行了描述性统计分析，对定性数据采用内容分析法进行分析。
培训计划受到了很好的欢迎，LHE 们有效地在老年人中心招募了参与者，并按照结构化的方案实施了生活方式干预。
本研究中使用的方法产生了 LHE 的良好长期保留和对干预方案的良好依从性，因此可以为其他寻求实施 LHE 提供的健康促进计划的人提供有效的模式。
