Literaturnachweis - Detailanzeige
Autor/inn/en | Pullyblank, Kristin; Brunner, Wendy; Wyckoff, Lynae; Krupa, Nicole; Scribani, Melissa; Strogatz, David |
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Titel | Implementation of Evidence-Based Disease Self-Management Programs in a Rural Region: Leveraging and Linking Community and Health Care System Assets |
Quelle | In: Health Education & Behavior, 49 (2022) 5, S.894-903 (10 Seiten)
PDF als Volltext |
Zusatzinformation | ORCID (Pullyblank, Kristin) |
Sprache | englisch |
Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
ISSN | 1090-1981 |
DOI | 10.1177/10901981221078516 |
Schlagwörter | Rural Areas; Barriers; Self Management; Health Behavior; Health Promotion; Chronic Illness; Diabetes; Workshops; Hypertension; Community Programs; Capacity Building; Program Effectiveness; Primary Health Care; Participation; Referral; Clinics; Agency Cooperation; New York |
Abstract | Context: Rural populations experience both a higher prevalence of and risk for premature death from chronic conditions than do their urban counterparts. Yet barriers to implement community-based chronic disease self-management programs persist. Program: The Living Well program, a multi-sector collaboration between a rural health care system and a network of community-based organizations, has offered the 6-week evidence-based Chronic Disease Self-Management and Diabetes Self-Management workshops since 2017. The program was a response to a quality improvement initiative to improve hypertension and diabetes outcomes throughout the health care system. Implementation: Using the rapid cycling quality improvement process, Living Well developed a self-management program recruitment, referral, and coordinating office for a six-county region. Through continuous capacity-building efforts with community partners, as well as leveraging key health care system assets such as the electronic health record and provider detailing, program reach and adoption was increased. Evaluation: The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework was used for the process evaluation. During 3 years, more than 750 individuals engaged with the program, with nearly 600 completing a workshop. The region saw increased engagement by primary care clinicians to refer, and structural changes were embedded into the health care system to facilitate clinic-community partnerships. Discussion: A coordinated, multi-sector approach is necessary to develop solutions to complex, chronic health problems. A regional coordinating hub is an effective strategy for implementing community-based programs in rural areas. However, low health care system engagement and fragmented funding remain as barriers to optimal implementation. (As Provided). |
Anmerkungen | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com |
Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2024/1/01 |