266 research outputs found

    No Easy Answers: Avoiding Potential Pitfalls of Deā€implementation

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    In 2012, the Centers for Disease Control and Prevention (CDC) began to deā€emphasize and deā€implement multiple evidenceā€based HIV prevention practices that had been around for 20 years, thus changing the scope of implementation across the globe. The authors provide evidence how existing interventions (e.g., CDC HIV interventions) may influence implementation of interventions that came after the program was discontinued. Deā€implementation is an ecological event that influences, and is influenced by, many parts of a system, for instance, implementation of one type of intervention may influence the implementation of other interventions (biomedical and/or behavioral) after a longā€running program is discontinued. Researchers and policy makers ought to consider how deā€implementation of behavioral interventions is influenced by biomedical interventions massā€produced by companies with lobbying power. The scientific study of deā€implementation will be inadequate without consideration of the political climate that surrounds deā€implementation of certain types of interventions and the promotion of moreā€profitable ones.HighlightsImplementation of one type of intervention (behavioral) influences implementation of other types (biomedical) interventions.The surge of biomedical interventions influenced deā€implementation of behavioral interventions.Political climate and community exclusion from implementation decisionā€making may lead to early deā€implementation.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/148259/1/ajcp12298.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/148259/2/ajcp12298_am.pd

    Reducing Risk Behaviors Linked to Noncommunicable Diseases in Mongolia: A Randomized Controlled Trial

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    Objectives. We tested the efficacy of a 6-session, evidence-based health promotion intervention aimed at reducing noncommunicable disease (NCD) risk behaviors. Methods. Two hundred male and female factory workers in Ulaanbaatar, Mongolia were randomly assigned to groups receiving either the health promotion intervention or a time-matched financial literacy control intervention. Results. The health promotion intervention increased daily fruit and vegetable intake and physical activity, increased readiness for NCD risk behavior reduction and health promotion knowledge, and reduced the number of daily alcoholic drinks and diabetes symptoms 3 months after the intervention. Conclusions. The findings support the efficacy of the intervention to reduce risk behaviors associated with NCDs. Dissemination of the intervention may improve productivity, reduce costs of health services, and better the quality of life for Mongolians

    Risk and resilience factors for depression and suicidal ideation in Mongolian college students

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    There were 16 state and 84 private universities in Mongolian and 67% of high school graduates were enrolled in higher levels of education in 2014 (Ministry of education, 2015). Over 67% of total students who enrolled in the higher levels of education were females. This cross-sectional study is a secondary analysis of data from a research project originally designed to describe the overall health and wellness of college students at a technical college in Ulaanbaatar, Mongolia
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