智利实施冰岛青少年药物使用预防模式的便利因素和障碍:一项重点小组研究。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Practice Pub Date : 2024-09-01 Epub Date: 2023-10-16 DOI:10.1177/15248399231201551
Carolina Sepúlveda, Carlos Ibáñez, Nicolás Libuy, Viviana Guajardo, Ana María Araneda, Lorena Contreras, Paula Donoso, Adrian P Mundt
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引用次数: 0

摘要

酒精和其他药物的使用是青少年时期的一个主要公共卫生问题。在全球南方,循证预防战略的实施仍然很少。本研究旨在评估冰岛青少年药物使用预防模式在智利实施的促进因素和障碍。在智利圣地亚哥大都会区的六个市镇实施IPM的过程中,我们对利益相关者进行了定性研究。我们召集了六个重点小组,成员包括来自学校和市政预防小组的家长和专业人员(38名参与者)。录音被转录并提交给六步专题分析。出现了以下促进者:参与者重视IPM对阐明现有项目和团队、其社区重点以及通过调查获得的当地数据的贡献。还有几个障碍:这些障碍包括对采用外国模式的抵制、制定当地战略和寻找确保实施忠诚度的措施之间的紧张关系、市镇之间和市镇内部的社会经济差异、智利父母的低风险观念和监督、,以及一种通常不会阻止青少年使用药物的文化。IPM的实施在很大程度上得到了利益相关者的认可,他们同意该模式的社区方法。需要考虑的主要障碍与文化和社会经济因素有关,这些因素需要在进一步研究中加以解决,并可能限制该模型在智利的影响。
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Facilitating Factors and Barriers to the Implementation of the Icelandic Prevention Model of Adolescent Substance Use in Chile: A Focus Group Study.

The use of alcohol and other drugs is a major public health problem in adolescence. The implementation of evidence-based prevention strategies is still scarce in the global south. This study aimed to evaluate facilitators and barriers to the implementation of the Icelandic prevention model of adolescent substance use (IPM) in Chile. We conducted a qualitative study of stakeholders during the implementation process of the IPM in six municipalities of the Metropolitan Region of Santiago, Chile. We convened six focus groups with parents and professionals from schools and municipal prevention teams (38 participants). Recordings were transcribed and submitted to a six-step thematic analysis. The following facilitators emerged: Participants valued the contribution of the IPM to articulate existing programs and teams, its community focus, and the local data obtained through the survey. There were also several barriers: Those included resistance to adopting a foreign model, the tension between generating local strategies and looking for measures to ensure the fidelity of the implementation, socioeconomic differences between and within municipalities, low-risk perception and supervision of parents in Chile, and a culture that generally does not discourage adolescent substance use. Implementation of the IPM was largely accepted by the stakeholders who agreed with the community approach of the model. The main barriers to consider were related to cultural and socioeconomic factors that need to be addressed in further research and may limit the effects of the model in Chile.

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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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