在使用TICD框架的初级医疗保健机构实施体育活动干预措施的实施决定因素:系统审查
Catarina Santos Silva1,2, Cristina Godinho3,4, Jorge Encantado5
1CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal. catarinasilva@fmh.ulisboa.pt.
BMC health services research
|October 11, 2023
概括
在初级保健中实施体育活动干预措施面临挑战. 关键的障碍和促进者涉及卫生专业人员,干预设计和资源,需要定制的战略以实现有效性.
科学领域:
- 初级保健研究初级保健研究
- 改变健康行为改变健康行为
- 实施科学 实施科学
背景情况:
- 将有效的体育活动干预措施转化为初级保健实践是具有挑战性的,原因是复杂的实施决定因素.
- 检查了四种初级保健干预措施:体育活动评估,咨询,处方和转诊.
研究的目的:
- 确定在初级保健中实施体育活动干预措施的实施障碍和促进因素.
- 了解影响在初级保健机构采用体育活动干预措施的因素.
主要方法:
- 自2016年以来发表的定性,定量和混合方法研究的系统审查.
- 调整"针对慢性疾病的定制实施" (TICD) 框架,用于数据提取和合成.
主要成果:
- 包括62项研究,在7个领域确定了56个障碍和55个促进者.
- 最重要的决定因素包括专业知识/技能,干预可行性,成本/激励,工具/材料和专业态度.
- 身体活动咨询,处方和转诊受所有七个领域的决定因素的影响.
结论:
- 在初级保健中实施体育活动干预受到广泛的决定因素的影响.
- 卫生专业人员,干预特征和资源是最常见的障碍和促进因素.
- 了解当地环境和这些决定因素对于设计定制的实施策略和优化干预效果至关重要.
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