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Expanding Implementation Research to Prevent Chronic Diseases in Community Settings
Annual Review of Public Health ( IF 21.4 ) Pub Date : 2021-04-02 , DOI: 10.1146/annurev-publhealth-090419-102547
Stephanie Mazzucca 1 , Elva M Arredondo 2 , Deanna M Hoelscher 3 , Debra Haire-Joshu 1 , Rachel G Tabak 1 , Shiriki K Kumanyika 4 , Ross C Brownson 1, 5
Affiliation  

Chronic disease prevention continues to be inadequate, overall and in achieving health equity, in spite of the many evidence-based practices and policies (EBPPs) available to address risk behaviors such as unhealthful eating, lack of physical activity, and tobacco use. Although clinical settings are needed for EBPPs that involve medical procedures such as immunization or early detection, dissemination of EBPPs can be effective in a variety of settings such as schools and childcare centers, worksites, social service organizations, and religious organizations. More implementation research is needed to meet challenges of effective application of EBPPs in such community settings, in which primary missions, capacity, cultures, and values do not focus on health services delivery. To address health equity, consideration of social and economic contexts of people reached in these settings is essential. This review presents lessons learned from past studies to guide future implementation research and practice across diverse settings and geographies.

中文翻译:



扩大社区环境中预防慢性病的实施研究



尽管有许多循证实践和政策(EBPP)可用于解决不健康饮食、缺乏体力活动和吸烟等风险行为,但总体而言,慢性病预防在实现健康公平方面仍然不足。尽管 EBPP 需要涉及免疫或早期检测等医疗程序的临床环境,但 EBPP 的传播可以在各种环境中有效,例如学校和儿童保育中心、工作场所、社会服务组织和宗教组织。需要更多的实施研究来应对在此类社区环境中有效应用 EBPP 的挑战,在这些社区环境中,主要使命、能力、文化和价值观并不关注卫生服务的提供。为了解决健康公平问题,必须考虑这些环境中人们的社会和经济背景。本综述介绍了从过去的研究中吸取的经验教训,以指导未来跨不同环境和地区的实施研究和实践。

更新日期:2021-04-04
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