疾病预防控制中心消息：扩大可持续干预措施的提供——从疾病预防控制中心关节炎项目中吸取的经验教训。
News from the CDC: Scaling up sustainable intervention delivery-lessons learned from the CDC arthritis program.
机构信息
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA USA.
出版信息
Transl Behav Med. 2012 Mar;2(1):3-5. doi: 10.1007/s13142-011-0105-4.
Expanding behavior change programs into widespread use with meaningful population impact is a public health challenge. This report described the CDC Arthritis Program's strategic approach to fostering widespread availability and sustainability of community-based self-management education and physical activity interventions, and reviews common errors observed in efforts to disseminate and implement these interventions. The Arthritis Program strategic approach focuses on embedding interventions in delivery systems to facilitate spread and sustainability. Minimizing common implementation errors, such as pay-to-play partnerships, unsustainable delivery models, non-strategic growth strategies, non-selective training, imbalance between delivery and demand, infrequent interventions, and inadequate attention to data collection, can also enhance scaling up and sustaining behavior change interventions.
将行为改变计划扩展为具有重大人口影响的广泛应用是公共卫生面临的挑战。本报告介绍了疾病预防控制中心关节炎计划的战略方法，以促进基于社区的自我管理教育和体育活动干预措施的广泛提供和可持续性，并回顾了在传播和实施这些干预措施过程中观察到的常见错误。关节炎计划的战略方法侧重于将干预措施嵌入到提供系统中，以促进传播和可持续性。减少常见的实施错误，如付费合作、不可持续的交付模式、非战略性的增长策略、非选择性培训、供应与需求之间的不平衡、干预不频繁以及对数据收集的关注不足，也可以增强行为改变干预措施的扩展和维持。
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