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在社区环境中实施代际最佳实践:初步研究。

Implementing Intergenerational Best Practices in Community-Based Settings: A Preliminary Study.

机构信息

The Ohio State University, Columbus, OH, USA.

Appalachian State University, Boone, NC, USA.

出版信息

Health Promot Pract. 2022 May;23(3):473-481. doi: 10.1177/1524839921994072. Epub 2021 Mar 3.

Abstract

Evidence-based intergenerational (IG) programs bring youth and older adults together in shared activities and promote socioemotional health across age-groups. The core components of these IG programs include 14 IG "best practices" that should be implemented during IG program sessions to optimize program effectiveness for both youth and older adult participants. Despite the proliferation of IG programs across the United States, it is unclear the extent to which these IG best practices have been implemented in the community. This preliminary study assesses the implementation of IG best practices at two community-based sites by program leaders who participated in a multifaceted professional education intervention for IG best practice use. Implementation of best practices was measured through the Best Practices Checklist completed by program leaders and trained coders as well as through narrative written comments. Program leaders indicated that they were able to consistently implement six out of the 14 IG best practices in 46 IG sessions, whereas the best practice named "Adaptations to equipment were made" was least likely to be implemented. Analysis of narrative comments indicated that (a) the group arrangement of participants and (b) program leaders' familiarity with activities also influenced implementation. While many IG best practices can be implemented in the community, some best practices can be implemented with greater ease and consistency. Training resources can support IG best practice implementation; however, our multifaceted professional education intervention may benefit from the addition of case examples or vignettes to depict potential strategies for optimizing evidence-based IG practices.

摘要

基于证据的代际(IG)计划将青年和老年人聚集在一起进行共同活动,并促进各年龄段的社会情感健康。这些 IG 计划的核心组成部分包括 14 项 IG“最佳实践”,在 IG 计划会议期间应实施这些最佳实践,以优化青年和老年参与者的计划效果。尽管在美国各地涌现出了许多 IG 计划,但尚不清楚这些 IG 最佳实践在社区中实施的程度。这项初步研究通过参与多方面专业教育干预措施以使用 IG 最佳实践的两个社区基地的计划领导者来评估 IG 最佳实践的实施情况。通过计划领导者和经过培训的编码人员填写的最佳实践清单以及通过书面叙述性评论来衡量最佳实践的实施情况。计划领导者表示,他们能够在 46 个 IG 课程中始终如一地实施 14 项 IG 最佳实践中的 6 项,而“对设备进行了调整”这一最佳实践最不可能被实施。对叙述性评论的分析表明,(a)参与者的分组安排和(b)计划领导者对活动的熟悉程度也会影响实施情况。虽然许多 IG 最佳实践可以在社区中实施,但有些最佳实践可以更轻松和更一致地实施。培训资源可以支持 IG 最佳实践的实施;然而,我们的多方面专业教育干预措施可能受益于增加案例示例或情景描述,以描绘优化基于证据的 IG 实践的潜在策略。

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