Schwingel Andiara, Gálvez Patricia, Linares Deborah, Sebastião Emerson
1 University of Illinois at Urbana-Champaign, USA.
J Aging Health. 2017 Jun;29(4):551-593. doi: 10.1177/0898264316641075. Epub 2016 Apr 13.
This study used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate a promotora-led community health program designed for Latinas ages 50 and older that sought to improve physical activity, nutrition, and stress management.
A mixed-methods evaluation approach was administered at participant and organizational levels with a focus on the efficacy, adoption, implementation, and maintenance components of the RE-AIM theoretical model.
The program was shown to be effective at improving participants' eating behaviors, increasing their physical activity levels, and lowering their depressive symptoms. Promotoras felt motivated and sufficiently prepared to deliver the program. Some implementation challenges were reported. More child care opportunities and an increased focus on mental well-being were suggested.
The promotora delivery model has promise for program sustainability with both promotoras and participants alike expressing interest in leading future programs.
本研究使用RE-AIM（覆盖范围、有效性、采用率、实施情况和维持情况）框架来评估一项由健康促进员主导的社区健康项目，该项目针对50岁及以上的拉丁裔女性，旨在改善身体活动、营养状况和压力管理。
在参与者和组织层面采用了混合方法评估方法，重点关注RE-AIM理论模型的有效性、采用率、实施情况和维持情况等组成部分。
该项目被证明在改善参与者的饮食行为、提高身体活动水平和减轻抑郁症状方面是有效的。健康促进员有动力且准备充分来实施该项目。报告了一些实施方面的挑战。建议增加儿童保育机会，并更加关注心理健康。
健康促进员实施模式有望实现项目的可持续性，健康促进员和参与者都表示有兴趣主导未来的项目。
