基于实践的糖尿病预防项目的过程评估：实施挑战有哪些？
Process Evaluation of Practice-based Diabetes Prevention Programs: What Are the Implementation Challenges?
作者信息
Carroll Jennifer, Winters Paul, Fiscella Kevin, Williams Geoffrey, Bauch Jean, Clark Linda, Sutton James, Bennett Nancy
机构信息
University of Rochester Medical Center, Family Medicine Research Programs, Rochester, New York (Dr Carroll, Mr Winters, Dr Fiscella)
University of Rochester Medical Center, Center for Community Health, Rochester, New York (Dr Carroll, Dr Williams)
出版信息
Diabetes Educ. 2015 Jun;41(3):271-9. doi: 10.1177/0145721715572444. Epub 2015 Mar 10.
PURPOSE
The purpose of this report is to describe lessons learned about the feasibility of recruitment and implementation of low-income adults with prediabetes in primary care clinics into diabetes prevention programs.
METHODS
Mixed methods process evaluation of a pragmatic 2-group pilot comparative effectiveness study of a community-developed Healthy Living Program (HLP) and a Diabetes Prevention Program (DPP) with 58 adults.
RESULTS
Of the total (n = 1215) assessed for eligibility, 7% (n = 92) were randomized, 58 completed the baseline assessment, and 31 completed the intervention. The process evaluation identified difficulty in systematically screening potentially eligible patients. There were several logistic and staffing challenges with program planning and initial start-up.
CONCLUSIONS
Addressing challenges to feasibility is required for successful translation of evidence-based programs to clinical settings.
目的
本报告旨在描述在基层医疗诊所将患有糖尿病前期的低收入成年人纳入糖尿病预防项目的招募及实施可行性方面所汲取的经验教训。
方法
对一项实用的两组试点比较效果研究进行混合方法过程评估，该研究涉及社区开发的健康生活项目（HLP）和糖尿病预防项目（DPP），共有58名成年人参与。
结果
在总共评估的1215名符合条件者中，7%（n = 92）被随机分组，58人完成了基线评估，31人完成了干预。过程评估发现，在系统筛查潜在合格患者方面存在困难。在项目规划和初始启动方面存在一些后勤和人员配备方面的挑战。
结论
要将循证项目成功转化到临床环境中，就需要应对可行性方面的挑战。
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