根据计划,NHS的低热量饮食计划是否得到执行? 一项观察性研究,检查干预交付是否符合服务规范
Jordan Marwood1, Karina Kinsella1, Catherine Homer2
1Obesity Institute and School of Health, Leeds Beckett University, Leeds, UK.
Clinical obesity
|March 2, 2024
概括
针对2型糖尿病 (T2DM) 的NHS低热量饮食计划显示了对服务规格的多变遵守. 一对一的会议和教练技能改善了以人为中心的交付,为未来的T2DM干预措施提出了改进建议.
科学领域:
- 代谢障碍 代谢障碍 代谢障碍
- 公共卫生干预措施 公共卫生干预措施
- 行为科学是一种行为科学.
背景情况:
- 肥胖和2型糖尿病 (T2DM) 对健康和经济造成重大负担.
- 英国国民健康服务局试行了为T2DM治疗的52周低卡路里饮食计划,利用全方位的饮食替代和行为改变支持.
- 评估是否遵守服务规范对于计划的有效性至关重要.
研究的目的:
- 评估提供者和教练对英格兰NHS服务规范的遵守,以针对T2DM的低热量饮食计划.
- 根据交付方式 (一对一与小组) 和服务提供商,检查依从度的变化.
主要方法:
- 采用了一种观察性定性研究设计.
- 在两个服务提供商和八个交付样本中观察到122个程序会话.
- 数据收集的重点是遵守具体的,可衡量的结果,以及不那么有形的元素,如以人为中心的护理.
主要成果:
- 与以人为中心的方面相比,可测量的结果 (体重,血糖) 的坚持率更高.
- 一对一的会议在以人为中心的交付方面取得了更大的成功.
- 教练的技能显著影响了对服务规范的遵守.
- 在供应商和交付方式之间注意到了遵守的变化.
结论:
- 根据NHS的低卡路里饮食计划,它在反映预期的服务规范方面表现出差异性.
- 未来的计划应该优先考虑与同行支持的一对一会议.
- 建议提供者进行标准化培训和加强质量保证,以改善规范的遵守.
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