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首页> 外文期刊>Journal of community health >Community Health Advisors' Participation in a Dissemination and Implementation Study of an Evidence-Based Physical Activity and Healthy Eating Program in a Faith-Based Setting
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Community Health Advisors' Participation in a Dissemination and Implementation Study of an Evidence-Based Physical Activity and Healthy Eating Program in a Faith-Based Setting

机译：社区卫生顾问在信仰的环境中参与了对基于证据的身体活动和健康饮食计划的传播和实施研究

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Community health advisors (CHAs) have been widely involved in health promotion, but few details on role expectations, retention, and evaluation have been reported. In a dissemination and implementation (D&I) study of an evidence-based healthy eating and physical activity program, 59 churches were randomized to an intervention (n = 39) or control (delayed intervention) (n = 20) condition. In a novel approach, CHAs worked with church committees rather than congregants by providing training (n = 59) and technical assistance (n = 54) to the committees to implement a program focused on structural and policy-level changes to support congregants' behavioral changes. CHA training comprised self-study via electronic training modules, in-person training, and telephone-based training. Evaluation methods were pilot test participants' and CHAs' ratings of their training; observers' ratings of CHAs' church training delivery; church committee members' ratings of the training experience, including CHAs' performance; and data from the TA database to assess CHAs' adherence to the protocol. The main challenge was the early dropout of one CHA and the reduced role of another. CHAs trained 142 intervention and 60 control church committee members in nine sessions; they covered 99% (intervention) and 90% (control) of training content, indicating high fidelity. Observers' scored CHAs' teaching and facilitation skills at 96.7% (intervention) and 80% (control) of the possible score. CHAs completed 92% of intervention and 93% of control TA calls. The great majority of church participants' comments regarding CHAs were positive. This study demonstrates that with training and support, CHAs demonstrate high levels of intervention fidelity, confidence, and competence.
机译：社区卫生顾问（CHAS）已广泛参与健康促进，但还报告了有关角色期望，保留和评估的少数细节。在传播和实施（D＆I）研究基于证据的健康饮食和身体活动计划的研究中，59名教堂随机化为干预（n = 39）或对照（延迟干预）（n = 20）条件。在一种新的方法中，CHAS通过向委员会提供培训（N = 59）和技术援助（n = 54）来实施专注于结构和政策水平变更，以支持会众的行为变动的计划。 CHA培训通过电子培训模块，培训和基于电话的培训组成了自学。评估方法是试点测试参与者和CHAS'培训的评级;观察员评级Chas'Church培训交付;教会委员会成员的培训经验评级，包括Chas的表现;来自TA数据库的数据，以评估CHAS遵守协议的遵守。主要挑战是一个大小的早期辍学和另一个人的作用减少。 CHAS培训了142次干预和60名九届会议的教会委员会成员;它们涵盖了99％（干预）和90％（控制）的培训内容，表明高保真程度。观察员在96.7％（干预）和80％（控制）的可能分数的96.7％的教学和促进技能Chas完成了92％的干预和93％的控制TA呼叫。关于Chas的大多数教会参与者的评论是积极的。本研究表明，随着培训和支持，CHAS表现出高水平的干预保真度，信心和能力。

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