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A protocol paper:community engagement interventions for cardiovascular disease prevention in socially disadvantaged populations in the UK:an implementation research study

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Global Health Research and Policy 2020年第1期5卷 335-343页

作者： Papreen Nahar Harm van Marwijk linda gibson Geofrey Musinguzi Sibyl Anthierens Elizabeth Ford Stephen A.Bremner Mark Bowyer Jean Yves Le Reste Tholene Sodi Hilde Bastiaens Department of Global Health and Infection Brighton and Sussex Medical SchoolThe University of SussexBrightonUK Department of Primary Care and Public Health Brighton and Sussex Medical SchoolThe University of SussexBrightonUK School of Social Sciences Nottingham Trent UniversityNottinghamUK Department of Disease Control and Environmental Health School of Public HealthCollege of Health SciencesMakerere UniversityKampalaUganda Department of Primary and Interdisciplinary Care University of AntwerpAntwerpBelgium EA 7479 SPURBO Facultéde Médecine et des Sciences de la SantéUniversitéde Bretagne OccidentaleBrestFrance Department of Psychology University of LimpopoMankwengSouth Africa

Background:Cardiovascular disorders(CVD)are the single greatest cause of mortality *** the UK,the National Health Service(NHS)has launched an initiative of health checks over and above current care to tackle ***,the uptake of Health Checks is poor in disadvantaged *** protocol paper sets out a UK-based study(Sussex and Nottingham)aiming to co-produce a community delivered CVD risk assessment and coaching intervention to support community members to reduce their risk of *** overall aim of the project is to implement a tailored-to-context community engagement(CE)intervention on awareness of CVD risks in vulnerable populations in high,middle and low-income *** specific objectives of the study are to enhance stakeholder’engagement;to implement lifestyle interventions for cardiovascular primary prevention,in disadvantaged populations and motivate uptake of NHS health ***:This study uses both qualitative and quantitative methods in three phases of evaluation,including pre-,per-and *** ensure contextual appropriateness the‘Scaling-up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-Saharan Africa:An implementation research’(SPICES)project will organize a multi-component community-engagement *** the qualitative component,the pre-implementation phase will involve a contextual assessment and stakeholder mapping,exploring potentials for CVD risk profiling strategies and led by trained Community Health Volunteers(CHV)to identify accessibility and *** per-implementation phase will involve healthy lifestyle counselling provided by CHVs and evaluation of the outcome to identify fidelity and *** post-implementation phase will involve developing sustainable community-based strategies for CVD risk *** three components will include a process evaluation.A stepped wedge cluster randomised trial of the roll out will

关键词： Implementation research CVD risk prevention Community engagement Stepped-wedge cluster randomised trial

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