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Expanding the Reach of Evidence-Based Self-Management Education and Physical Activity Interventions: Results of a Cross-Site Evaluation of State Health Departments

机译:扩大循证自我管理教育和体育活动干预的范围:州卫生部门的跨站点评估结果

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Participation in community-based self-management education and physical activity interventions has been demonstrated to improve quality of life for those who have arthritis and other chronic diseases. The Centers for Disease Control and Prevention Arthritis Program funded 21 state health departments to expand the reach (defined as the number of people who participate in interventions) of 10 evidence-based interventions in community settings. The Arthritis Centralized Evaluation assessed the strategies and tactics used by state health departments to expand the reach of these evidence-based interventions. The evaluation compared and contrasted processes used by the states to expand reach. Engaging multisite delivery system partners, prioritizing reach, embedding interventions within partners’ routine operations, and collaborating across chronic disease program areas were all dissemination strategies that were correlated with expanded intervention reach. However, states also encountered challenges that limited their ability to successfully engage delivery systems as partners. These barriers included difficulty identifying delivery system partners and the lengthy time periods partners needed to adopt and embed the interventions.
机译:事实证明,参加社区自我管理教育和体育锻炼干预措施可以改善患有关节炎和其他慢性病的人们的生活质量。疾病控制和预防关节炎中心计划资助了21个州卫生部门,以扩大10种基于证据的社区干预措施的范围(定义为参与干预的人数)。关节炎集中评估评估了州卫生部门用来扩大这些循证干预措施的策略和策略。评估比较并对比了各州用来扩大影响范围的过程。与多站点交付系统合作伙伴进行合作,确定覆盖范围的优先级,将干预措施嵌入合作伙伴的常规操作中以及在慢性病计划领域进行合作,这些都是与扩大干预范围相关的传播策略。但是,各州还遇到了限制其成功参与交付系统作为合作伙伴的能力的挑战。这些障碍包括确定交付系统合作伙伴的困难以及合作伙伴采用和嵌入干预措施所需的漫长时间。

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