Pilot Project 1: Planning for Sustainability of Evidence-based Interventions

试点项目 1：规划循证干预措施的可持续性

• 批准号: 9044452
• 负责人: LAURA A LINNAN
• 金额: $ 9.51万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-28 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9044452
• 关键词: Address; African American; Arts; Awareness; Barbering; Beauty; Cancer Control; Cancer Information Service; Caring; Communities; Cosmetics; County; Economic Factors; Effectiveness; Enrollment; Evidence based intervention; Evidence based program; Funding; Future; Goals; Hair; Health; Health Benefit; Hospitals; Incidence; Individual; Industry; Institutionalization; Interdisciplinary Study; Intervention; Interview; Investigation; Knowledge; Link; Literature; Maintenance; Malignant Neoplasms; Malignant neoplasm of prostate; Measures; Methods; National Cancer Institute; North Carolina; Outcome; Patient Self-Report; Phase; Physical activity; Pilot Projects; Policies; Political Factor; Positioning Attribute; Process; Program Sustainability; Research; Research Personnel; Resources; Risk; Schools; Self Efficacy; Smoking; Time; Training; Trust; Update; Work; abstracting; anticancer research; base; bone; cancer health disparity; cancer prevention; colorectal cancer screening; community based participatory research; community setting; design; effective intervention; evidence base; high risk; improved; innovation; meetings; member; men; mortality; next generation; novel strategies; outreach; programs; social; successful intervention; theories; therapy design

Abstract Developers of evidence-based interventions want to maintain the beneficial health outcomes of their efforts and “sustain” them over an extended period of time, even after external support from a donor agency or funder is terminated. Grounded in community-based participatory research, our interdisciplinary research team has produced a wide array of effective interventions focused on addressing cancer disparities and based on a strong, 15 year partnership with 300 beauty salons, 80 barbershops, and over than 3000 customers. Unfortunately, and despite evidence of effectiveness, when the study was completed, these programs were typically not continued. The goal of the proposed pilot outreach project is to rigorously and systematically investigate factors that influence the sustainability of FITShop, a recent barbershop-based, evidence-based intervention designed to promote physical activity among African American men. This mixed-methods, two-phase proof-of-concept study will occur over 3 years and be guided by a planning for sustainability approach we will adapt from the work of Shediac-Rizkallah & Bone (1998) and Scheirer (2013). In Phase 1, Aims 1-3, we will conduct 130 interviews and community discussion groups to explore three hypothesized set of factors that influence sustainability: 1) Broad social, political and economic factors in the larger community; 2) Organizational influences (barbershop and hair care industry); and, 3) Program design and implementation factors that relate to the FITShop intervention. Using these results, Phase 2 will implement a theory-guided approach to sustain the FITShop intervention in Durham, North Carolina – a community with disproportionately high cancer incidence and mortality rates (Aim 4). Consistent with the original FITShop study, we will measure six month physical activity outcomes (e.g. maintenance of health benefits) among 100 customers from 10 barbershops using both objective (Actigraph/FITBit) and self-report (CHART) measures. This study will yield important new knowledge about how to 1) follow a theory-informed process to plan for sustainability of evidence-based interventions; 2) identify and work to advance theory and develop new measures of sustainability outcomes (e.g. maintenance of health benefits at the individual level, organizational/community capacity building, and institutionalization of programming); and, 3) assess the extent to which FITShop can be sustained in one community. Our results have important implications by developing a new approach to plan early in the initial funding period to sustain interventions, and, will enhance the sustainability of the next generation of evidence-based interventions, to help eliminate persistent health and cancer disparities.

抽象的 循证干预措施的开发者希望维持其努力带来的有益健康成果 并在很长一段时间内“维持”它们，即使是在获得捐助机构或外部支持之后 我们的跨学科研究以社区为基础的参与性研究被终止。 团队制定了一系列有效的干预措施，重点关注解决癌症差异和 基于与 300 家美容院、80 家理发店和 3000 多家理发店长达 15 年的牢固合作关系 不幸的是，尽管有证据表明其有效性，但当研究完成时，这些 拟议的试点外展项目的目标通常是严格且持续的。 明确调查影响 FITShop（最近一家以理发店为基础的）可持续性的因素， 旨在促进非裔美国男性身体活动的基于证据的干预措施。 混合方法、两阶段概念验证研究将在三年内进行，并以以下规划为指导： 我们将借鉴 Shediac-Rizkallah & Bone (1998) 和 Scheirer 的工作来采用可持续发展方法 (2013) 在第一阶段的目标 1-3 中，我们将进行 130 次访谈和社区讨论小组来探索。 三个鼓励影响可持续性的因素：1）广泛的社会、政治和经济 更大社区的因素；2) 组织影响（理发店和护发行业）；3) 与 FITShop 干预相关的计划设计和实施因素 使用这些结果， 第二阶段将实施理论指导的方法来维持北达勒姆的 FITShop 干预 卡罗莱纳州——癌症发病率和死亡率极高的社区（目标 4）。 与最初的 FITShop 研究一致，我们将测量六个月的身体活动结果（例如 来自 10 家理发店的 100 名顾客使用这两个目标 （Actigraph/FITBit）和自我报告（CHART）措施这项研究将产生有关的重要新知识。 如何 1) 遵循理论指导流程来规划循证干预措施的可持续性；2) 确定并努力推进理论并制定可持续性成果的新衡量标准（例如 维持个人层面的健康福利、组织/社区能力建设，以及 3) 评估 FITShop 能够在多大程度上维持在一项 通过在早期制定新的计划方法，我们的结果具有重要意义。 维持干预措施的初始资助期，并将增强下一代项目的可持续性 基于证据的干预措施，帮助消除持续存在的健康和癌症差异。