实施骨关节炎运动和教育计划的障碍和促进因素:使用实施研究综合框架进行定性研究
Avantika Bhardwaj1,2, Christine FitzGerald3,4, Margaret Graham4,5
1School of Allied Health, University of Limerick, Limerick, V94 T9PX, Ireland. avantika.bhardwaj@ul.ie.
Rheumatology international
|April 22, 2024
概括
实施骨关节炎 (OA) 运动计划需要了解障碍物和促进者. 丹麦的骨关节炎良好生活计划 (GLA:D) 是有前途的,但公共机构需要更多的资金和资源来成功地进行骨关节炎自我管理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 骨关节炎 (OA) 自主管理计划对于患者的福祉至关重要.
- 了解实施障碍和促进者是广泛采用的关键.
- 丹麦的骨关节炎良好生活 (GLA:D) 是一个基于指导方针的OA计划.
研究的目的:
- 探索在爱尔兰医疗保健机构实施GLA:D计划的障碍和促进因素.
- 确定利益相关者对OA自我管理计划实施的看法.
- 为提高开放式学习计划交付的策略提供信息.
主要方法:
- 使用与物理治疗师 (PT) 和OA (PwOA) 患者的采访进行定性研究.
- 实施研究综合框架 (CFIR) 用于编码采访数据.
- 对CFIR构造的协作评级,以确定实施决定因素.
主要成果:
- 无论是PT还是PwOA都认为GLA:D是基于证据的,满足参与者的需求.
- 促进者包括可访问的教育,可适应的材料和感知到的临床优势.
- 公共场所面临的挑战包括资金,空间,营销,培训和人员.
结论:
- 量身定制的教育和灵活的培训对于开放式教育计划的实施至关重要.
- 需要额外的组织,规划和资金支持,特别是在公共卫生保健机构.
- 解决特定障碍可以加强基于指导方针的OA管理计划的实施.
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