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首页> 外文期刊>Journal of health care for the poor and underserved >Adapting an Evidence-Based Cardiovascular Disease Risk Reduction Intervention to Urban American Indians
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Adapting an Evidence-Based Cardiovascular Disease Risk Reduction Intervention to Urban American Indians

机译：调整基于证据的心血管疾病风险降低到城市美国印第安人

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Purpose. Using the RE-AIM framework, the primary purpose of this qualitative study was to conduct focus groups to identify areas for future adaptation of an evidence-based cardiovascular disease (CVD) risk intervention (COACH) developed for an urban primary care setting to urban American Indian (AI)-serving settings. Methods. This qualitative study involved conducting three focus groups with 31 urban AI patients with two or more CVD risk factors to maximize reach and efficacy of COACH. The patients had not yet participated in an adapted COACH program. Results. Findings from the focus groups indicate that a culturally adapted CVD risk reduction program modeled after COACH would be acceptable among urban AI populations. Recommendations for cultural adaptation include a need for images of AI people, traditional AI exercise activities and AI foods, information on the portion sizes of traditional foods, and expanded information on tobacco use and resources. Conclusion. With cultural adaptations, the COACH program can be pilot-tested in urban AI-serving primary care settings to address health concerns and behaviors that affect cardiovascular health outcomes.
机译：目的。利用重新瞄准框架，该定性研究的主要目的是进行焦点小组，以确定未来适应基于证据的心血管疾病（CVD）风险干预（教练）为城市初级护理环境开发的区域印度（AI） - 服务设置。方法。这种定性研究涉及与31名城市AI患者进行三个焦点群，具有两个或更多CVD危险因素，以最大限度地提高教练的达累和疗效。患者还没有参加适应的教练计划。结果。来自焦点小组的调查结果表明，在教练之后建模的文化适应的CVD风险减少计划将在城市AI人群中获得。文化适应的建议包括需要AI人，传统的AI行使活动和AI食物的图像，有关传统食品部分尺寸的信息，以及扩展有关烟草使用和资源的信息。结论。凭借文化适应，教练计划可以在城市AI服务的初级保养环境中进行试验，以解决影响心血管健康结果的健康问题和行为。

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