实施社区项目培训对健康促进者有积极影响:JC FAMILY 项目。
Training to implement a community program has positive effects on health promoters: JC FAMILY Project.
机构信息
School of Public Health, The University of Hong Kong, Hong Kong, SAR, China.
Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, United States of America.
出版信息
Transl Behav Med. 2018 Nov 21;8(6):838-850. doi: 10.1093/tbm/iby070.
To ease the shortage of professionals, lay volunteers were trained to become health promoters and role models for a large community program to enhance physical activity, well-being, and neighborhood cohesion in socioeconomically disadvantaged groups in Hong Kong. This study aimed to examine the effects on health promoters (trainees) and the feasibility and acceptability of capability-building train-the-trainer workshops (TTTs) using Zero-time Exercise (ZTEx) to implement a community program for about 1,000 participants. A four-session (totally 8 hours) TTT introduced an evidence-based ZTEx intervention to enhance physical activity and well-being, and build capacity for community program implementation. Twenty-eight trainees actively participated in the TTT. Twenty-five and 21 trainees completed the 1- and 3-month questionnaires, respectively. Eleven trainees attended the 1-year focus group interview. Repeated measures analysis of variance and Friedman test were used to compare the parametric and nonparametric data, respectively. Qualitative data were analyzed using thematic content analysis. The trainees reduced their sedentary behavior and improved their interpersonal communication skills, knowledge, and attitude toward ZTEx, grip strength, balance, and perceived well-being. The community participants reported improvements in neighborhood cohesion and grip strength. The 1-year qualitative results supported the 3-month quantitative findings. This brief and innovative TTT affirmed the feasibility of using ZTEx and the role modeling approach for lay health promoters to reduce sedentary behavior and enhance physical activity, fitness, and well-being. They then contributed to the successful implementation of community programs that benefited many. This study provides a new model for building capacity for health promotion in the community.
为缓解专业人员短缺的问题,培训了非专业志愿者,让他们成为健康促进者,并为香港一个大型社区项目担任榜样,以提高社会经济弱势群体的身体活动水平、健康和邻里凝聚力。本研究旨在考察健康促进者(培训生)的影响,以及使用零时间锻炼(ZTEx)为大约 1000 名参与者实施社区项目的能力建设培训师培训 (TTT) 的可行性和可接受性。四节(共 8 小时)的 TTT 介绍了一种基于证据的 ZTEx 干预措施,以增强身体活动和健康水平,并为社区项目实施提供能力。28 名培训生积极参加了 TTT。25 名和 21 名培训生分别完成了 1 个月和 3 个月的问卷。11 名培训生参加了为期 1 年的焦点小组访谈。重复测量方差分析和 Friedman 检验分别用于比较参数和非参数数据。使用主题内容分析对定性数据进行分析。培训生减少了久坐行为,提高了人际沟通技巧、对 ZTEx 的知识和态度、握力、平衡和感知健康。社区参与者报告邻里凝聚力和握力有所改善。1 年的定性结果支持 3 个月的定量发现。这个简短而创新的 TTT 肯定了使用 ZTEx 和非专业健康促进者榜样的方法来减少久坐行为和提高身体活动水平、健康和幸福感的可行性。然后,他们为成功实施使许多人受益的社区项目做出了贡献。本研究为社区健康促进提供了一种新的能力建设模式。