了解轻度脆弱的老年人如何改变行为以支持他们的独立性:一项定性研究
Yolanda Barrado-Martín1, Rachael Frost2, Jessica Catchpole2
1Centre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK y.barrado@ucl.ac.uk.
BMJ open
|January 31, 2025
概括
个性化的支持和目标设定使轻度虚弱的老年人能够改变行为. 有形的结果和增加的自我效能维持了变化,而健康挑战可能是障碍.
科学领域:
- 老年学是一门学科.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 轻度虚弱会影响社区生活的老年人,影响他们改变健康行为的能力.
- 了解障碍物和促进因素对于有效的干预至关重要.
研究的目的:
- 探索轻度虚弱的老年人行为改变的障碍和促进因素.
- 识别影响参与和维持行为变化的因素.
主要方法:
- 使用半结构面试对49名老年人,7名服务人员和8名利益相关方进行定性研究.
- 采访的重点是6个月的家庭,个性化的目标设定干预 (HomeHealth试验) 的经验.
- 能力-机会-动机-行为模型指导了干预和分析.
主要成果:
- 关键主题包括管理脆弱症状,自我效能,目标设定熟悉性,服务可访问性和社会支持.
- 个性化,有意义的目标与有形的结果和增加的自我效能促进了行为变化.
- 障碍包括新的健康挑战和缺乏内在动机.
结论:
- empathic,以人为中心的支持赋予有动力,轻微脆弱的个体改变行为.
- 识别愿意并能够认识到他们需要改变的个人是最大化干预影响的关键.
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