Elder John P, Ayala Guadalupe X, Arredondo Elva M, Talavera Gregory A, McKenzie Thomas L, Hoffman Lisa, Cuestas Lisa, Molina Marisa, Patrick Kevin
San Diego Prevention Research Center, San Diego, CA, USA.
J Prim Prev. 2013 Apr;34(1-2):17-29. doi: 10.1007/s10935-013-0292-5.
Over 20 years ago, university-community partnerships (i.e., Prevention Research Centers [PRCs]) across the United States were funded by the Centers for Disease Control and Prevention to conduct research and training in order to promote health and prevent disease in underserved populations. In 2004, the San Diego PRC (SDPRC) became the first PRC to focus on obesity prevention and control in a community of mostly Mexican Americans/Mexican immigrants. The SDPRC was also the first PRC to comprise a university-community partnership with a school of public health, a school of medicine, and a federally qualified health center. In conjunction with two additional funded community partners and involvement of a community advisory board, the SDPRC seeks to develop effective intervention strategies that ultimately lead to behavior change. Now in its second cycle of funding, the SDPRC has identified three primary principles that are important for these and similar efforts: (1) developing culturally appropriate interventions requires community engagement; (2) building the evidence in a systematic and rigorous way yields meaningful strategies for translation to practice; and (3) translating evidence-based interventions to practice involves capacity building for both researchers and community partners. This article describes these principles to help others involved in similar intervention efforts identify the best approach for promoting health in their own communities.
20多年前,美国各地的大学-社区伙伴关系(即预防研究中心[PRC])由疾病控制与预防中心资助,开展研究与培训,以促进弱势群体的健康并预防疾病。2004年,圣地亚哥预防研究中心(SDPRC)成为首个专注于在一个主要由墨西哥裔美国人/墨西哥移民组成的社区预防和控制肥胖的预防研究中心。SDPRC也是首个由公共卫生学院、医学院和一家联邦合格健康中心组成大学-社区伙伴关系的预防研究中心。与另外两个获得资助的社区伙伴合作,并在社区咨询委员会的参与下,SDPRC致力于制定最终能带来行为改变的有效干预策略。如今在其第二轮资助周期中,SDPRC确定了对这些及类似工作至关重要的三项主要原则:(1)开发适合文化背景的干预措施需要社区参与;(2)以系统且严谨的方式积累证据能产生有意义的策略以供转化为实践;(3)将基于证据的干预措施转化为实践涉及研究人员和社区伙伴双方的能力建设。本文描述这些原则,以帮助参与类似干预工作的其他人确定在自己社区促进健康的最佳方法。