دورية أكاديمية
أعرض في EDS

Core health-components, contextual factors and program elements of community-based interventions in Southeast Asia - a realist synthesis regarding hypertension and diabetes.

التفاصيل البيبلوغرافية
العنوان: Core health-components, contextual factors and program elements of community-based interventions in Southeast Asia - a realist synthesis regarding hypertension and diabetes.
المؤلفون: Pardoel ZE; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands. z.e.pardoel@umcg.nl., Reijneveld SA; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands., Lensink R; Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands., Widyaningsih V; Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia., Probandari A; Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia., Stein C; HelpAge International, Yangon, Myanmar., Hoang GN; Health Strategy and Policy Institute, Hanoi, Vietnam., Koot JAR; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands., Fenenga CJ; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands., Postma M; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.; Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands.; Department of Pharmacology and Therapy, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.; Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia., Landsman JA; Department of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
المصدر: BMC public health [BMC Public Health] 2021 Oct 22; Vol. 21 (1), pp. 1917. Date of Electronic Publication: 2021 Oct 22.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Diabetes Mellitus*/prevention & control , Hypertension*/prevention & control, Community Health Workers ; Exercise ; Health Promotion ; Humans
مستخلص: Background: In Southeast Asia, diabetes and hypertension are on the rise and have become major causes of death. Community-based interventions can achieve the required behavioural change for better prevention. The aims of this review are 1) to assess the core health-components of community-based interventions and 2) to assess which contextual factors and program elements affect their impact in Southeast Asia.
Methods: A realist review was conducted, combining empirical evidence with theoretical understanding. Documents published between 2009 and 2019 were systematically searched in PubMed/Medline, Web of Science, Cochrane Library, Google Scholar and PsycINFO and local databases. Documents were included if they reported on community-based interventions aimed at hypertension and/or diabetes in Southeast Asian context; and had a health-related outcome; and/or described contextual factors and/or program elements.
Results: We retrieved 67 scientific documents and 12 grey literature documents. We identified twelve core health-components: community health workers, family support, educational activities, comprehensive programs, physical exercise, telehealth, peer support, empowerment, activities to achieve self-efficacy, lifestyle advice, activities aimed at establishing trust, and storytelling. In addition, we found ten contextual factors and program elements that may affect the impact: implementation problems, organized in groups, cultural sensitivity, synergy, access, family health/worker support, gender, involvement of stakeholders, and referral and education services when giving lifestyle advice.
Conclusions: We identified a considerable number of core health-components, contextual influences and program elements of community-based interventions to improve diabetes and hypertension prevention. The main innovative outcomes were, that telehealth can substitute primary healthcare in rural areas, storytelling is a useful context-adaptable component, and comprehensive interventions can improve health-related outcomes. This extends the understanding of promising core health-components, including which elements and in what Southeast Asian context.
(© 2021. The Author(s).)
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فهرسة مساهمة: Keywords: Community-based interventions; Contextual factors; Core health-components; Diabetes; Hypertension; Non-communicable diseases; Program elements; Realist synthesis/review; Southeast Asia
تواريخ الأحداث: Date Created: 20211023 Date Completed: 20211101 Latest Revision: 20211101
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8539840
DOI: 10.1186/s12889-021-11244-3
PMID: 34686171
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-021-11244-3