Division of Nutritional Sciences, Cornell University, Ithaca, NY.
Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
J Nutr Educ Behav. 2019 Feb;51(2):138-149. doi: 10.1016/j.jneb.2018.10.011.
To evaluate the implementation of a community-based cardiovascular disease prevention program for rural women: Strong Hearts, Healthy Communities (SHHC).
Mixed-methods process evaluation.
SETTING/PARTICIPANTS: A total of 101 women from 8 rural towns were enrolled in the SHHC program; 93 were enrolled as controls. Eligible participants were aged ≥40 years, sedentary, and overweight or obese. Local health educators (n = 15) served as program leaders within each town.
Reach, fidelity, dose delivered, dose received, and program satisfaction were assessed using after-class surveys, participant satisfaction surveys, interviews with program leaders, and participant focus groups.
Descriptive statistics, chi-square tests of independence, and thematic analysis were employed.
Intervention sites reported high levels of fidelity (82%) and dose delivered (84%). Overall reach was 2.6% and program classes were rated as effective (3.9/5). Participants were satisfied with their experience and reported benefits such as camaraderie and awareness of healthy eating and exercise strategies. Common recommendations included increasing class time and enhancing group discussion.
Implementation was good in terms of fidelity, dose delivered, and satisfaction, although low reach. Findings from this research have informed a second round of implementation and evaluation of the SHHC program in rural communities.
评估一项针对农村女性的基于社区的心血管疾病预防计划——“强健之心，健康社区”（SHHC）的实施情况。
混合方法的过程评估。
设置/参与者：共有 101 名来自 8 个农村城镇的女性参加了 SHHC 项目；93 名作为对照组。符合条件的参与者年龄≥40 岁，久坐不动，超重或肥胖。当地的健康教育家（n=15）作为每个城镇的项目负责人。
使用课后调查、参与者满意度调查、与项目负责人的访谈以及参与者焦点小组评估来评估覆盖范围、保真度、剂量交付、剂量接收和项目满意度。
采用描述性统计、独立性卡方检验和主题分析。
干预地点报告了高保真度（82%）和剂量交付（84%）水平。总体覆盖率为 2.6%，项目课程的评价为有效（3.9/5）。参与者对他们的体验感到满意，并报告了一些益处，如友谊和对健康饮食和锻炼策略的认识。常见的建议包括增加课程时间和加强小组讨论。
在保真度、剂量交付和满意度方面实施情况良好，尽管覆盖率较低。这项研究的结果为“强健之心，健康社区”项目在农村社区的第二轮实施和评估提供了信息。
