University of Waikato, Hamilton, New Zealand.
Health Educ Behav. 2022 Aug;49(4):724-731. doi: 10.1177/10901981211033228. Epub 2021 Oct 26.
The literature regarding implementation science of evidence-based health interventions in Māori communities is limited, and there is a push for new and innovative delivery methods of health interventions in New Zealand. The purpose of the study was to identify the facilitators and barriers in implementing a health intervention designed by others and was framed by the Consolidated Framework for Implementation Research (CFIR). This study explored general perceptions of the implementation process and also included a case study, the Kaumātua Mana Motuhake (older people's autonomy and self-actualization) project; a codesigned peer education intervention for older Māori. Semistructured interviews ( = 17) were conducted via face-to-face, phone, or Zoom with health and social service professionals with experience working with Māori communities. Thematic analysis was used to analyze the data. The facilitators included community engagement, program structure, program adaptability and creators' experience. The barriers consisted of funding access, funding constraints and organizational constraints. The findings support key elements within the CFIR, highlighting the importance of community engagement and adaptability. Additionally, this study identified nuanced aspects of funding and resources that constrain organisations in employing health interventions designed by others.
关于在毛利社区实施基于证据的健康干预措施的实施科学的文献有限,新西兰也在推动新的和创新的健康干预措施的提供方法。本研究的目的是确定实施由他人设计并由实施研究综合框架(CFIR)框架的健康干预措施的促进因素和障碍。这项研究探讨了对实施过程的一般看法,还包括一个案例研究,即 Kaumātua Mana Motuhake(老年人的自治和自我实现)项目;一个针对毛利老年人的同行教育干预措施的共同设计。通过面对面、电话或 Zoom 与有与毛利社区合作经验的卫生和社会服务专业人员进行了半结构化访谈(n = 17)。使用主题分析来分析数据。促进因素包括社区参与、计划结构、计划适应性和创作者的经验。障碍包括资金获取、资金限制和组织限制。研究结果支持 CFIR 的关键要素,强调了社区参与和适应性的重要性。此外,本研究还确定了资金和资源的细微方面,这些方面限制了组织采用他人设计的健康干预措施。