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A theory based evaluation of an intervention to promote positive health behaviors and reduce social isolation in people experiencing homelessness

机译:基于理论的干预措施评估旨在促进积极的健康行为并减少无家可归者的社会隔离

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摘要

Homelessness adversely affects an individual's ability to access healthcare, opportunities for social interaction and recreational activities such as physical activity. This study aimed to evaluate the impact of a community-based physical activity and peer support intervention on the health and wellbeing of homeless participants. This study employed semi-structured interviews to investigate the perceived impact of the Street Fit Scotland intervention on the health and wellbeing of 10 homeless adults. Interviews were audio recorded and transcribed verbatim. A thematic analysis was conducted. Participants reported that their health and wellbeing had improved since attending the intervention. This was attributed to improvements in self-esteem, social interaction and mental wellbeing. Participants generally felt that their physical activity had increased since attending Street Fit Scotland, and a number of individuals reported that they were making healthier choices with regards to health behaviors. A theory of change logic model was developed that demonstrated how each component of the intervention influences the observed and intended outcomes. Attendance of Street Fit Scotland had positive effects on participant's health and wellbeing, particularly concerning self-esteem, health behaviors, social interaction, and physical activity. More efforts should be made to evaluate small-scale interventions that are reaching vulnerable population groups.
机译:无家可归者对个人获得医疗保健的能力,社交互动机会和娱乐活动(例如体育活动)产生不利影响。这项研究旨在评估基于社区的体育活动和同伴支持干预对无家可归者健康和福祉的影响。这项研究采用半结构化访谈,以调查“苏格兰街头健身”干预措施对10名无家可归成年人的健康和福祉的感知影响。访谈是录音和逐字记录。进行了主题分析。参加者报告说,自参加干预以来,他们的健康和福祉已有所改善。这归因于自尊,社交互动和心理健康的改善。与会人员普遍认为,自参加Street Fit Scotland以来,他们的体育锻炼有所增加,许多人报告说,他们在健康行为方面做出了更健康的选择。建立了变更逻辑模型理论,该模型演示了干预的每个组成部分如何影响观察到的结果和预期结果。参加Street Fit Scotland会对参与者的健康和福祉产生积极影响,特别是在自尊,健康行为,社交互动和体育锻炼方面。应该作出更大的努力来评估正在触及脆弱人群的小规模干预措施。

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