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提高健康促进干预措施的效果:关注背景情况。

Enhancing the efficacy of health promotion interventions: A focus on the context.

作者信息

Darlington Emily, Mannix Mc Namara Patricia, Jourdan Didier

机构信息

Université Claude Bernard Lyon 1, - Université de Lyon Health, Systemic, Process EA 4129 Health Services and Performance Research EA 7425 France.

University of Limerick, Ireland.

出版信息

Public Health Pract (Oxf). 2020 Jan 18;1:100002. doi: 10.1016/j.puhip.2020.100002. eCollection 2020 Nov.

Abstract

•Health promotion programmes in various settings are effective means to improve the health of the population.•Despite substantial research, results from programme implementation remain unclear and challenging to evaluate.•A shift from 'one size fits all' evidence-based fidelity to anchoring and tailoring interventions to their contexts is needed.•Recurrences in combinations of contextual factors (namely Typical Contextual Equations) occur in a given type of context.•TCEs focus on a selection of the key critical factors that have drastic impact on implementation.

摘要

•在各种环境中开展的健康促进项目是改善人群健康的有效手段。

•尽管进行了大量研究,但项目实施的结果仍不明确,且难以评估。

•需要从“一刀切”的基于证据的保真度,转向根据具体情况进行干预的锚定和调整。

•在特定类型的环境中,会出现背景因素组合(即典型背景方程)的重复情况。

•典型背景方程关注的是对实施有重大影响的关键因素的选择。

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