一个试点实用性随机对照试验,为期12个月的健康生活方式计划:慢性疾病的协作护理模式,解决行为变化问题
Japteg Singh1, David Feeny1, Rebecca Ganann2
1Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
PloS one
|May 14, 2025
概括
健康生活方式计划 (HLP) 显示了通过认知行为疗法来治疗慢性疾病的可行性. 微小的调整可以提高在未来的试验中保留和交付.
科学领域:
- 改变健康行为干预措施
- 慢性疾病管理策略 慢性疾病管理策略
- 基于社区的健康计划.
背景情况:
- 改变生活方式对于治疗慢性疾病至关重要,但需要个性化,耗时的策略.
- 健康生活方式计划 (HLP) 是一个新的12个月的干预,利用认知行为疗法和行为改变理论.
- 这项研究评估了HLP在社区环境中的可行性和实施因素.
研究的目的:
- 评估健康生活方式计划 (HLP) 的可行性.
- 探索影响HPL交付的实施因素.
- 为了确定未来的大规模试验的潜在改进.
主要方法:
- 一个实用的实验性随机对照试验,采用定量和定性方法.
- 干预组中有15名参与者 (每周教育,每月设定目标),对照组中有15名参与者 (每季度设定目标).
- 通过招聘,参与,保留和出席来评估可行性;使用RE-AIM框架评估实施.
主要成果:
- 干预组的保留率为60%,对照组的保留率为47%.
- 在一对一会议上出席率很高 (100%),在小组会议上出席率很高 (平均29/43).
- 干预小组重视整体的护理和协作;地点可访问性促进了实施.
结论:
- 健康生活方式计划 (HLP) 是可行的基于社区的交付.
- 改善的建议包括减少心理社交会议和整合健身房访问.
- 微小的修改可以优化HLP用于更大的试验和更广泛的应用.
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