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

基本信息

批准号：
10247147
负责人：
Cherise Baldwin Harrington
金额：
$ 6.87万
依托单位：
NORTH CAROLINA CENTRAL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-29 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10247147
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 Health Promotion 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 Privatization Process Program Sustainability Research Research Personnel Resources Risk Schools Self Efficacy Smoking Time Training Trust Update Work actigraphy anticancer research base bone cancer health disparity cancer prevention colorectal cancer screening community based participatory research community organizations community setting design effective intervention evidence base fitbit health disparity health goals high risk improved innovation meetings member men mortality next generation novel strategies outreach programs social factors successful intervention theories therapy design

项目摘要

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.

基于证据的干预措施的开发商希望保持其努力的有益健康成果即使在捐助机构的外部支持或基金已终止。基于社区的参与研究，我们的跨学科研究团队已经制定了各种有效的干预措施，专注于解决癌症分布和基于与300家美容院，80个理发店和超过3000多个美容院的牢固合作伙伴关系顾客。不幸的是，研究完成后，有效性的证据，这些程序通常不会继续进行。拟议的飞行员外展项目的目标是严格系统地研究影响Fitshop的可持续性的因素，Fitshop是最近基于理发店的，基于证据的干预措施旨在促进非裔美国人的体育锻炼。这混合方法，两阶段概念证明研究将在3年内进行，并通过计划进行指导可持续性方法我们将从Shediac-Rizkallah＆Bone（1998）和Scheirer的工作中适应（2013）。在第1阶段，目标1-3中，我们将进行130次访谈和社区讨论小组探索影响可持续性的三个假设的因素：1）广泛的社会，政治和经济较大社区的因素； 2）组织影响力（理发店和护发行业）； 3）与FitShop干预有关的程序设计和实施因素。使用这些结果，第2阶段将实施一种理论引导的方法来维持北达勒姆的Fitshop干预措施卡罗来纳州 - 一个癌症发病率和死亡率高的社区（AIM 4）。与原始的Fitshop研究一致，我们将测量六个月的体育活动结果（例如维护健康福利）在10个理发店的100位客户中使用这两个目标（Actigraph/fitbit）和自我报告（图表）措施。这项研究将产生有关的重要新知识如何到1）遵循理论上的过程，以计划基于证据的干预措施的可持续性； 2）确定和努力提高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，组织/社区能力建设以及编程的制度化）； 3）评估可以在多大程度上持续的程度社区。我们的结果具有重要的含义，通过开发一种新的方法来计划早期维持干预措施的初始资金期限，并将提高下一代的可持续性基于证据的干预措施，以帮助消除持续的健康和癌症分布。