确定中风后采用健康生活方式的调解者:使用理论领域框架指导分析的焦点小组研究
Patricia Hall1,2, Paula da Cruz Peniche3, Julianne Hickey4,5
1School of Public Health, Physiotherapy and Sports Science, Health Science Centre, University College Dublin, Dublin, Ireland. patricia.hall@ucdconnect.ie.
卒中幸存者经常独立管理生活方式的变化,知识和社会支持是关键的动机. 了解这些因素可以改善二次预防策略.
科学领域:
- 神经科学是一个神经科学.
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 二次性中风预防强调生活方式的改变与药物治疗一起.
- 在中风后保持健康的行为需要持续的动力,受到社会和文化因素的影响.
- 这项研究通过全面的理论框架探索了中风幸存者的生活方式风险修改经验.
研究的目的:
- 分析中风幸存者应对生活方式相关风险的经验.
- 识别对行为变化的认知,情感,社会和环境影响.
- 利用患者和公众参与 (PPI) 来提高研究质量和透明度.
主要方法:
- 与35名中风患者和3名家属/护理人员进行了8次焦点小组讨论.
- 员工半结构化问题与PPI小组共同开发.
- 利用诱导编码和分类,以推理方式映射到理论领域框架 (TDF) 进行行为变化分析.
主要成果:
- 幸存者认为生活方式的变化是自我引导的;经验映射到10个TDF领域.
- 知识和社会影响是突出的调解者;关于目标的讨论有限表明利用不足.
- 心理社会挑战,情绪反应和认知困难是显著的; 行为改变的"技巧"往往缺乏.
结论:
- TDF有效地将幸存者的经历和需求与行为改变结构联系起来.
- 这些发现为未来的干预提供了理论驱动的见解,以支持中风后风险降低.
- 了解幸存者的观点对于优化二次预防策略至关重要.
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