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首页> 外文期刊>Frontiers in Public Health >Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities
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Evaluating “Take the Stairs, Wyoming!” Through the RE-AIM Framework: Challenges and Opportunities

机译：评估“坐下来，怀俄明！” 通过重新瞄准框架：挑战和机遇

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Introduction: Health promotion delivery systems are increasingly being asked to implement policy, systems, and environmental interventions (PSEs). However, evaluating PSEs is challenging, especially in low-resource community settings. This paper describes the use of RE-AIM to evaluate a physical activity PSE delivered through University of Wyoming Extension and highlights challenges and opportunities in pragmatic, real-world program evaluation. Methods: Extension health educators adapted a point-of-decision prompt intervention encouraging stairway use through posters, called Take the Stairs, Wyoming! Reach was assessed through estimates of daily traffic, effectiveness was assessed through opportunistic interviews, adoption was calculated as the number and proportion of sites that agreed to hang posters, implementation was calculated as the proportion of sites with a poster in place at a 2-weeks follow-up visit, and maintenance was assessed through 6-months opportunistic interviews (individual level) and proportion of sites with a poster in place (organizational level). Results: Overall, the posters were widely adopted and most posters were implemented as intended. However, capturing reach, effectiveness , and maintenance was challenging, as health educators found the evaluation burdensome. Therefore, it was difficult to determine if the posters were effective at increasing physical activity levels. Discussion: Suggestions are provided for capturing reach, effectiveness , and maintenance data in community settings. Future efforts are needed to create evaluation tools to pragmatically measure effectiveness of PSEs on changing behaviors, as well as to prioritize program evaluation in Extension.
机译：简介：越来越多地要求健康促销交付系统实施政策，系统和环境干预措施（PSES）。然而，评估PSE是具有挑战性的，特别是在低资源社区环境中。本文介绍了重新旨在评估通过怀俄明大学延伸，并突出务实，现实世界计划评估中的挑战和机遇来评估挑战和机遇。方法：延伸卫生教育者适应了决策点促进干预促进楼梯通过海报使用，称为楼梯，怀俄明！通过估算日常交通评估，通过机会主义访谈评估有效性，通过计算作为同意悬挂海报的网站的数量和比例，计算为2周的海报的景点的比例计算通过6个月的机会主义访谈（个人级别）（个人级别）和与海报的比例进行后续访问和维护（组织层面）。结果：总体而言，海报被广泛采用，大多数海报按预期实施。然而，随着卫生教育者发现评估繁琐，捕捉到达，有效性和维护是具有挑战性的。因此，难以确定海报是否有效在增加身体活性水平。讨论：提供了在社区设置中捕获覆盖，有效性和维护数据的建议。未来的努力需要创造评估工具，以便务实测量PSE对不断变化行为的有效性，以及在扩展方面的节目评估优先考虑。

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