促进者,障碍和支持需要GLA:D练习坚持 - 一个混合方法研究研究
Franziska Matile1, Irina Nast1, Karin Niedermann2
1ZHAW School of Health Professions, Institute of Physiotherapy, Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, Winterthur, 8401, Switzerland.
BMC sports science, medicine & rehabilitation
|June 13, 2024
概括
丹麦"带有骨关节炎的美好生活" (GLA:D) 计划的大多数参与者在计划后保持了体力活动水平. 然而,对GLA:D练习 (GE) 的坚持有所不同,自律是关键障碍. 需要支持策略,如更短的炼程序和持续的小组会议.
科学领域:
- 骨关节炎管理 骨关节炎管理
- 练习坚持性 练习坚持性
- 自主管理策略 自主管理策略
背景情况:
- 膝盖和部的骨关节炎 (OA) 是一个普遍存在的全球肌肉骨疾病.
- 国际准则提倡运动和教育作为主要的OA管理策略.
- 丹麦骨关节炎良好生活计划 (GLA:D) 通过团体炼和教育促进自我管理,鼓励持续体育活动.
研究的目的:
- 为了调查自我报告的体力活动 (PA) 和遵守GLA:D练习 (GE) 计划后5-17个月.
- 探讨长期 GE 遵守的障碍,促进者和支持需求.
主要方法:
- 混合方法研究,采用探索性的顺序设计.
- 定性阶段:半结构面试和重点小组,以告知问卷的开发.
- 定量阶段:在瑞士对前GLA:D参与者的在线调查,包括描述性统计数据和组比较.
主要成果:
- 84%的参与者达到推的PA水平; 53%的人坚持GE.
- 坚持 GE 的最大障碍:缺乏自律 (40%). 顶级促进者:易于执行GE (93%).
- 最需要的支持:缩短GE家庭计划 (75%),每月监督GE组 (65%) 和进度监测 (65%).
结论:
- 在GLA:D计划中,应解决GE遵守的障碍和促进因素.
- 制定缩短的 GE 计划,计划后的支持小组和进度监测对于提高长期坚持至关重要.
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