Kozlowski L A, Zotti M E
Peace Corps in Uganda, East Africa.
Public Health Nurs. 1994 Oct;11(5):343-51. doi: 10.1111/j.1525-1446.1994.tb00197.x.
The threefold goal of this quasi-experimental study was to have an impact on knowledge, beliefs and intentions of community leaders related to promoting prenatal care for low-income women. Using a twenty-one community leaders from a selected urban community in Wisconsin participated in an educational intervention that used a pre- and post-test design. The primary goal of the intervention (based on change theory) was to increase community leaders' motivation and decrease their resistance to promoting prenatal care for low-income women in their communities. Various media were used to illustrate and emphasize important prenatal concepts. Community leaders were also given information on the status of maternal and infant statistics and health practices in their communities. This intervention significantly increased community leaders' general knowledge related to prenatal issues; positive beliefs toward the promotion of prenatal care; and intent to engage in activities to promote prenatal care for low-income women. This study reveals that community health nurses can function effectively as agents of change with community leaders.
这项准实验研究的三重目标是对社区领袖在促进低收入妇女产前护理方面的知识、信念和意图产生影响。来自威斯康星州一个选定城市社区的21名社区领袖参与了一项采用前后测试设计的教育干预。干预的主要目标（基于变革理论）是增强社区领袖的积极性，并减少他们在社区中推广低收入妇女产前护理的阻力。使用了各种媒体来说明和强调重要的产前概念。还向社区领袖提供了他们所在社区母婴统计数据和健康实践状况的信息。这项干预显著提高了社区领袖与产前问题相关的一般知识；对推广产前护理的积极信念；以及参与促进低收入妇女产前护理活动的意图。这项研究表明，社区健康护士可以有效地作为与社区领袖一起推动变革的推动者。
