在初级保健戒烟计划中实施简短的体育活动和饮食干预措施的医疗保健提供者的观点:一种定性研究
Nadia Minian1,2,3,4,5, Kamna Mehra1, Mathangee Lingam1
1INTREPID Lab, Centre for Addiction and Mental Health, Toronto, Canada.
与戒烟同时实施身体活动和饮食的行为改变干预措施需要灵活的方法. 医疗保健提供者需要支持和资源,以有效地解决患者的需求和健康的社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 实施科学 实施科学
背景情况:
- 戒烟后体重增加是戒烟的一个重要障碍.
- 综合体力活动和饮食干预措施可能会影响戒烟的结果.
- "提升PACE"研究之前没有发现身体活动,饮食或戒烟的显著变化.
研究的目的:
- 探索影响PACE干预实施的因素.
- 将有关PACE干预有效性的定量发现置于背景.
- 了解医疗保健提供者关于将生活方式变化纳入戒烟计划的观点.
主要方法:
- 使用半结构面试对25名医疗保健提供者进行定性研究.
- 采访以国家实施研究网络的六角工具为指导.
- 使用标准框架分析方法分析数据.
主要成果:
- 医疗保健提供者认识到身体活动和饮食对戒烟的重要性,但指出在向患者解释这一点方面存在挑战.
- 健康的社会决定因素 (例如,低收入,粮食不安全) 被确定为实施的主要障碍.
- 培训被视为促进者,但时间限制和需要个性化患者方法的需求是显著的障碍. 此外,COVID-19大流行也影响了实施.
结论:
- 为了将体力活动和饮食干预措施纳入戒烟计划中,需要一种灵活,适应性的方法.
- 干预措施必须考虑临床环境,患者的需求和生活环境.
- 医疗保健提供者需要额外的支持和资源来成功实施.
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