健康的なライフスタイルに対する親の洞察を振り返る:定性的な研究
Amanda Spavin1, Alison Moore2, Judith Lunn3
1Lancashire County Council, Preston, UK.
Lancet (London, England)
|November 24, 2023
まとめ
貧困地域では 子どもの肥満率が高くなります 効果的な公衆衛生サービスと行動変化の介入の鍵となるのは,健康的なライフスタイルの地元の障壁と要因を理解することです.
科学分野:
- 公衆衛生
- 健康心理学
- 健康社会学
背景:
- 貧しい地域の子どもたちは 裕福な同級生と比較して 肥満率が高いのです
- 健康の社会的グラデーションは,さまざまな社会経済的グループにおける健康行動に影響を与える様々な障壁と要因によって影響を受けます.
- これらの要因を理解することは 効果的な公衆衛生サービスと介入の開発に不可欠です
研究 の 目的:
- 健康的なライフスタイルに対する住民の理解を調査し,社会的に恵まれない地域での行動変化の障害や要因を特定する.
- コミュニティの洞察を集めることで 子どもの公衆衛生サービスの委託決定に情報を提供すること
- 社会的に恵まれない地域に住む住民の 行動変化をいかに支援できるかを調査する.
主な方法:
- 半構造面接を用いた定性研究設計
- 26人の親や介護者が参加した4つのフォーカスグループが イングランド北西部の貧しい地域で行われました
- 体重管理プログラムに参加した参加者のデータをテーマ別分析
主要な成果:
- 参加者は,食事,運動,精神的健康,家族の価値観,財政的制約,構造的な障壁を含む,子どもと家族の健康に影響を与える様々な要因に気づいていることを示しました.
- 認識された障壁や動機は,単なる知識やスキルを超えたものです.
- 既存の委託介入と参加者の経験の間のギャップを特定しました.
結論:
- 効果的な介入は,知識を超えた障壁を認識し,参加型共同設計と場所ベースのアプローチを組み込む必要があります.
- 行動の変化に成功するためには コミュニティが認識する ドライバーや障壁に敏感なモデルへの移行が必要です
- 委託されたサービスは,既存のコミュニティの知識とスキルを活用し,従来の証拠基盤を超越する必要があります.
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