Center for Community Health and Evaluation, Kaiser Permanente Washington Health Research Institute, Seattle, Washington.
Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado.
Am J Prev Med. 2018 May;54(5 Suppl 2):S110-S116. doi: 10.1016/j.amepre.2018.01.010.
A major challenge in community-based health promotion is implementing strategies that could realistically improve health at the population level. Population dose methodology was developed to help understand the combined impact of multiple strategies on population-level health behaviors. This paper describes one potential use of dose: as a tool for working collaboratively with communities to increase impact when planning and implementing community-level initiatives. Findings are presented from interviews conducted with 11 coordinators who used dose for planning and implementing local efforts with community coalitions. During early-stage planning, dose was used as a tool for strategic planning, and as a framework to build consensus among coalition partners. During implementation, a dose lens was used to revise strategies to increase their reach (the number of people exposed to the intervention) or strength (the relative change in behavior for each exposed person) to create population-level impact. A case study is presented, illustrating how some community coalitions and evaluators currently integrate dose into the planning and implementation of place-based healthy eating and active living strategies. Finally, a planning checklist was developed for program coordinators and evaluators.
This article is part of a supplement entitled Building Thriving Communities Through Comprehensive Community Health Initiatives, which is sponsored by Kaiser Permanente, Community Health.
以社区为基础的健康促进的一个主要挑战是实施策略，这些策略可以切实提高人口水平的健康水平。人群剂量方法学是为了帮助理解多种策略对人口水平健康行为的综合影响而开发的。本文描述了剂量的一种潜在用途：作为与社区合作的工具，在规划和实施社区层面的举措时增加影响力。本文介绍了 11 名协调员的访谈结果，他们使用剂量来规划和实施社区联盟的地方工作。在早期规划阶段，剂量被用作战略规划的工具，并作为在联盟伙伴之间建立共识的框架。在实施过程中，使用剂量视角来修改策略，以增加其覆盖范围（暴露于干预措施的人数）或强度（每个暴露者行为的相对变化），从而产生人口水平的影响。介绍了一个案例研究，说明了一些社区联盟和评估人员如何将剂量纳入基于场所的健康饮食和积极生活策略的规划和实施中。最后，为项目协调员和评估人员制定了一份规划清单。
本文是题为《通过综合社区卫生倡议建设繁荣社区》的增刊的一部分，该增刊由 Kaiser Permanente、社区卫生赞助。
