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实施国家计划,培训和支持医疗保健专业人员进行简短的行为干预:使用理论领域框架进行定性研究
Oonagh Meade1, Lena Aehlig1, Maria O'Brien2
1Health Behaviour Change Research Group, School of Psychology, University of Galway, Galway, Ireland.
在医疗保健中嵌入每一次接触数 (MECC) 需要支持性环境. 关键因素包括资源,例行整合和成功改变行为干预的管理支持.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 改变 改变
- 实施医疗保健系统的实施
背景情况:
- 医疗保健专业人员可以通过机会性干预来促进患者的行为变化.
- 在爱尔兰,Making Every Contact Count (MECC) 计划支持医疗保健专业人员在全国范围内提供简短的行为干预措施.
研究的目的:
- 探索MECC计划在爱尔兰医疗保健系统中嵌入的推动因素和障碍.
主要方法:
- 对36名参与者进行了定性采访研究,他们参与提供或支持MECC干预.
- 半结构面试是根据理论领域框架 (TDF) 指导的框架分析来分析的.
主要成果:
- 八个理论领域影响了MECC的实施,其中环境背景和资源是最重要的.
- 关键因素包括咨询设置,日常整合到实践中,多专业合作,资源可用性,管理支持和流行病影响.
结论:
- 个人因素很重要,但创造有利的环境对于广泛采用像MECC这样的行为改变干预措施至关重要.
- 系统层面的变化是必要的,以促进MECC在医疗保健机构的嵌入.
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