Wellbeing and Preventable Chronic Disease Division, Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Faculty of Medicine, Monash University, Melbourne, Vic, Australia.
Health Promot J Austr. 2022 Jan;33(1):245-256. doi: 10.1002/hpja.477. Epub 2021 Mar 29.
Brief interventions (BIs) in primary health care (PHC) settings can be effective in addressing behavioural risk factors of chronic conditions. However, the impact of the characteristics of BI training programs on the uptake of the program and implementation of BIs in Indigenous PHC settings is not fully understood. The B.strong Program was an Indigenous health worker BI training program delivered in Queensland from 2017 to 2020. This study examines the impact of the characteristics of the B.strong Program on its uptake and implementation in PHC settings.
Semi-structured interviews were conducted in 2019 and 2020 with 20 B.strong Program trainees and four health service managers from eight purposively sampled Queensland PHC services, and one Queensland Department of Health manager, to collect their perceptions of the implementation of the B.strong Program. The Consolidated Framework for Implementation Research guided data collection.
Key program characteristics that facilitated both the program uptake and the implementation of BIs were: ensuring the cultural appropriateness of the program from development, to engagement with health services and through to delivery, the applicability of the program to trainees' daily clinical work, program credibility, and its ease of access and availability. Participants preferred face-to-face workshop training for online module training.
Relevance to practice, easy access, program credibility and measures taken to ensure cultural appropriateness of the B.strong Program in development, in engagement stages with health services, and in program delivery facilitated program uptake and implementation of BIs. Online BI training may be of limited value compared to face-to-face training in this setting. SO WHAT?: To enhance participation by Indigenous PHC services in health worker BI training programs and implementation of BIs posttraining by health staff, it is important to ensure the cultural appropriateness of the program's characteristics, and its development, engagement and delivery processes.
初级保健（PHC）环境中的简短干预（BI）可以有效解决慢性病的行为风险因素。然而，BI 培训计划的特征对该计划在原住民 PHC 环境中的采用和实施的影响尚不完全清楚。B.strong 计划是 2017 年至 2020 年在昆士兰州实施的一项针对原住民卫生工作者的 BI 培训计划。本研究旨在考察 B.strong 计划特征对其在 PHC 环境中的采用和实施的影响。
2019 年至 2020 年期间，对 20 名 B.strong 计划培训人员和来自八个有针对性抽样的昆士兰 PHC 服务以及一名昆士兰州卫生部经理的四名卫生服务管理人员进行了半结构化访谈，以收集他们对 B.strong 计划实施的看法。实施研究的综合框架指导了数据收集。
促进计划采用和 BI 实施的关键计划特征包括：从发展到与卫生服务的合作再到交付，确保计划的文化适宜性；计划对培训人员日常临床工作的适用性；计划的可信度；以及其易于获得和提供。参与者更喜欢面对面的研讨会培训而不是在线模块培训。
与实践的相关性、易于获取、计划可信度以及在发展过程中、与卫生服务合作阶段以及在计划交付过程中采取的确保 B.strong 计划文化适宜性的措施，促进了计划的采用和 BI 的实施。与面对面培训相比，在线 BI 培训在这种情况下可能价值有限。那么：为了提高原住民 PHC 服务参与卫生工作者 BI 培训计划的积极性，并提高卫生工作人员培训后实施 BI 的积极性，确保计划特征及其开发、参与和交付过程的文化适宜性非常重要。
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