School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Center for Health Promotion and Disease Prevention, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Public Health Nurs. 2019 Sep;36(5):676-682. doi: 10.1111/phn.12649. Epub 2019 Aug 8.
In this case report, we describe the one-year formative phase of a five-year study to develop, implement, and test a community health worker (CHW)-delivered cardiovascular disease (CVD) prevention intervention. The purpose of the formative phase was to engage community partners in the adaptation of an existing evidence-based CVD prevention intervention to fit the needs and preferences of a rural, predominantly African-American community. The formative work was guided by a framework for adapting evidence-based interventions and involved engaging stakeholders in assessing the intervention's fit with the local context and then applying assessment findings to iteratively adapt the intervention's contents, materials, and delivery methods. Findings from the formative work were then applied to develop CHW position descriptions, workflow diagrams, and a training plan. Findings also were applied to adapt intervention materials and protocols to fit the needs of the community. This case report illustrates how community-engaged formative work can be applied to adapt an evidence-based intervention to fit community needs and resources.
在本病例报告中，我们描述了一项为期五年的研究的一年形成阶段，该研究旨在开发、实施和测试由社区卫生工作者（CHW）提供的心血管疾病（CVD）预防干预措施。形成阶段的目的是让社区合作伙伴参与到对现有基于证据的 CVD 预防干预措施的改编中，以适应农村、主要是非洲裔美国人社区的需求和偏好。形成阶段的工作以适应基于证据的干预措施的框架为指导，涉及让利益相关者参与评估干预措施与当地环境的契合度，然后将评估结果应用于迭代式地调整干预措施的内容、材料和交付方法。形成阶段的结果随后被用于制定 CHW 职位描述、工作流程图和培训计划。研究结果还被用于调整干预材料和方案以满足社区的需求。本病例报告说明了如何应用社区参与的形成性工作来改编基于证据的干预措施，以适应社区的需求和资源。
