Lorthios-Guilledroit Agathe, Richard Lucie, Filiatrault Johanne
School of Public Health, Université de Montréal, P.O. Box 6128, Centre-Ville Station, Montreal, Quebec, H3C 3J7, Canada; Université de Montréal Public Health Research Institute, 7101 du Parc Avenue, P.O. Box 6128, Centre-Ville Station, Montreal, Quebec, H3C 3J7, Canada; Centre de recherche, Institut universitaire de gériatrie de Montréal, 4545 Queen Mary Road, Montreal, Quebec, H3W 1W4, Canada.
Université de Montréal Public Health Research Institute, 7101 du Parc Avenue, P.O. Box 6128, Centre-Ville Station, Montreal, Quebec, H3C 3J7, Canada; Faculty of Nursing Sciences, Pavillon Marguerite-d'Youville, Université de Montréal, P.O. Box 6128, Centre-ville Station, Montreal, Quebec, H3C 3J7, Canada.
Eval Program Plann. 2018 Jun;68:19-33. doi: 10.1016/j.evalprogplan.2018.01.008. Epub 2018 Feb 3.
Peer education is growing in popularity as a useful health promotion strategy. However, optimal conditions for implementing peer-led health promotion programs (HPPs) remain unclear. This scoping review aimed to describe factors that can influence implementation of peer-led HPPs targeting adult populations. Five databases were searched using the keywords "health promotion/prevention", "implementation", "peers", and related terms. Studies were included if they reported at least one factor associated with the implementation of community-based peer-led HPPs. Fifty-five studies were selected for the analysis. The method known as "best fit framework synthesis" was used to analyze the factors identified in the selected papers. Many factors included in existing implementation conceptual frameworks were deemed applicable to peer-led HPPs. However, other factors related to individuals, programs, and implementation context also emerged from the analysis. Based on this synthesis, an adapted theoretical framework was elaborated, grounded in a complex adaptive system perspective and specifying potential mechanisms through which factors may influence implementation of community-based peer-led HPPs. Further research is needed to test the theoretical framework against empirical data. Findings from this scoping review increase our knowledge of the optimal conditions for implementing peer-led HPPs and thereby maximizing the benefits of such programs.
同伴教育作为一种有效的健康促进策略，正日益受到欢迎。然而，实施同伴主导的健康促进项目（HPPs）的最佳条件仍不明确。本范围综述旨在描述可能影响针对成年人群体的同伴主导的HPPs实施的因素。使用关键词“健康促进/预防”“实施”“同伴”及相关术语检索了五个数据库。如果研究报告了至少一个与基于社区的同伴主导的HPPs实施相关的因素，则将其纳入。选取了55项研究进行分析。采用“最佳拟合框架综合法”对所选论文中确定的因素进行分析。现有实施概念框架中包含的许多因素被认为适用于同伴主导的HPPs。然而，分析中还出现了其他与个体、项目和实施背景相关的因素。基于这一综合分析，构建了一个适应性理论框架，该框架基于复杂适应系统视角，明确了各因素可能影响基于社区的同伴主导的HPPs实施的潜在机制。需要进一步开展研究，根据实证数据对该理论框架进行检验。本范围综述的结果增加了我们对实施同伴主导的HPPs的最佳条件的认识，从而使此类项目的效益最大化。
