定性过程评估的结果如何应用于管理、改进和修改预防社区试验？IHHP 研究。
How can the results of a qualitative process evaluation be applied in management, improvement and modification of a preventive community trial? The IHHP Study.
机构信息
Isfahan Cardiac Rehabilitation Research Center, Isfahan Cardiovascualr Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Arch Public Health. 2011 Dec 5;69(1):9. doi: 10.1186/0778-7367-69-9.
BACKGROUND
This study reports the results of the qualitative process evaluation (PE) of the Isfahan Healthy Heart Program (IHHP), an integrated community-based trial for prevention and control of non-communicable diseases in Iran.
METHODS
The study explored the overall quality of program implementation. The participants, including designers of IHHP, stakeholders and community members (n = 60) were purposefully recruited from the intervention areas. Data collected from semi-structured interviews and field notes were analyzed using a modified thematic analysis.
RESULTS
Four main themes were identified. Our findings highlighted the key role of the resources as both facilitating and hindering factors. IHHP directors faced incompatibilities arising from negative perceptions/attitudes which resulted in decreased adherence to the program. Hence various strategies were used to motivate, strengthen and organize the human workforce implementing the program.
CONCLUSION
Recommendations arising from evaluation of the program were used in subsequent stages of implementation. Qualitative research is an important component of community trials which can improve their implementation.
背景
本研究报告了伊朗伊斯法罕健康心脏计划（IHHP）的定性过程评估（PE）结果，该计划是一项针对非传染性疾病预防和控制的综合社区试验。
方法
本研究探讨了该计划实施的整体质量。参与者包括 IHHP 的设计者、利益相关者和社区成员（n=60），是从干预地区有目的地招募的。从半结构化访谈和实地笔记中收集的数据采用改进的主题分析进行分析。
结果
确定了四个主要主题。我们的研究结果强调了资源的关键作用，它既是促进因素，也是阻碍因素。IHHP 主任面临着由于负面看法/态度而产生的不兼容，导致对该计划的遵守度降低。因此，采用了各种策略来激励、加强和组织实施该计划的人力资源。
结论
从对该计划的评估中提出的建议被用于实施的后续阶段。定性研究是社区试验的一个重要组成部分，它可以提高其实施效果。
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