在英格兰NHS低热量饮食计划中,是否可以改善行为支持的提供? 对行为改变技术的观察性研究
Tamla S Evans1, Kevin J Drew1, Jim McKenna2
1Obesity Institute and School of Health, Leeds Beckett University, Leeds, UK.
Diabetic medicine : a journal of the British Diabetic Association
|November 1, 2023
概括
在NHS英格兰低热量饮食 (NHS-LCD) 计划中,行为改变技术 (BCT) 在分娩期间显示出低至中度的忠实性. 改进可能涉及加强员工培训和结构化的计划调整,以更好地支持自我监管.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 之前的研究表明,在NHS英格兰低热量饮食 (NHS-LCD) 计划的设计过程中,行为改变技术 (BCT) 的忠实性发生了变化.
- 这项研究评估了干预交付的忠实性,并确定了NHS-LCD计划中BCT交付的障碍和促进者.
研究的目的:
- 评估英格兰NHS低热量饮食 (NHS-LCD) 计划的干预交付效率.
- 识别影响行为改变技术 (BCT) 交付的障碍和促进者的障碍.
主要方法:
- 使用了一种混合方法的顺序解释设计.
- 通过使用基于BCT分类学v1.1的BCT检查清单观察了远程,一对一和基于组的节目交付.
- 现场笔记的关系内容分析确定了忠诚度的障碍和促进者.
主要成果:
- 在8个样本和2个服务提供商的122个会话中进行了观察.
- BCT交付的忠实度在33%至70%之间,在以小组为基础的 (64%) 与一对一 (46%) 交付模型中的忠实度更高.
- 关键的障碍和促进因素包括与目标行为保持一致,会话内容,时间管理,远程交付和与会话计划的偏差.
结论:
- 在NHS-LCD程序中,行为改变技术 (BCT) 具有低至中度的忠实度,表明在交付过程中稀释.
- 在英格兰的不同节目中观察到忠诚度的变化.
- 建议包括加强对BCT交付实践的员工培训和程序层面的变化,如结构化活动和适当的时间分配,以改善自律的BCT交付.
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