在荷兰的一般实践中实施基于群体的生活方式干预计划 (健康的心脏):混合方法研究研究
Anne K Smit1, Rimke C Vos2, Rozemarijn W Bijl2
1Department of Public Health and Primary Care (V-0-P), Leiden University Medical Center, Leiden, The Netherlands a.k.smit@lumc.nl.
实施像健康的心脏 (HH) 这样的生活方式干预计划面临挑战. 患者和医疗保健提供者的障碍,包括时间和风险感知,阻碍参与和转诊,影响心血管疾病预防工作.
科学领域:
- 公共卫生 公共卫生
- 预防心血管疾病 预防心血管疾病
- 健康 行为 改变 改变
背景情况:
- 生活方式干预计划旨在减少心血管疾病 (CVD) 风险因素.
- 这些计划的可持续实施往往是困难的.
- 了解障碍物和促进因素对于最大限度地提高公共卫生影响至关重要.
研究的目的:
- 分析健康心脏 (HH) 生活方式干预计划的覆盖范围,采用和实施情况.
- 从患者和医疗保健提供者的角度确定障碍物和促进者.
主要方法:
- 在荷兰的一般实践中进行的混合方法研究.
- 利用非随机集群阶梯试验 (HH研究) 的定量数据.
- 通过与患者和医疗保健提供者聚焦小组收集定性数据.
主要成果:
- 在73家总诊所中,有55家实施了HH计划.
- 在最初感兴趣的1082名患者中,只有41人参与.
- 关键障碍包括患者的时间投资,低风险感知和提供者时间,缺乏信息和适合性问题.
结论:
- 该研究为患者和医疗保健提供者提供了对实施基于群体的生活方式干预措施的见解.
- 确定障碍物和促进者可以为未来实施类似的心血管疾病预防计划提供信息.
- 建议的改进可以提高计划的覆盖范围和有效性.
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