Implementation and evaluation of a physical activity counselling programme in primary care among cancer survivors: SoDA study protocol.

Implementation and evaluation of a physical activity counselling programme in primary care among cancer survivors: SoDA study protocol.
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DOI:
10.1136/bmjopen-2021-060098
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发表时间:
2022-03-02
期刊:
影响因子:
2.9
通讯作者:
Brandenbarg D
Brandenbarg D
中科院分区:
医学3区
文献类型:
--
作者:
Huizinga F;Westerink NL;Berendsen AJ;Walenkamp AME;de Greef MHG;de Bock GH;Berger MY;Brandenbarg D

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身体活动(PA)对癌症幸存者的各种健康结果产生有利影响,但对如何在初级保健中实施PA计划知之甚少。因此,我们的目标是实施和评估这样一个方案的癌症幸存者在一般的做法。日常活动的刺激研究是一项实施研究,采用单臂纵向设计,在15个荷兰的一般做法。年龄≥18岁且在6个月前完成癌症治疗的患者将有资格入选。干预将包括在9个月内与实习护士进行6次辅导,寻求在日常活动中增加PA,并使用活动跟踪器进行目标设定和反馈。将采用“覆盖范围、有效性、采用、实施和维持”框架,采用混合方法,从卫生成果、实施程度以及实施障碍和促进因素等方面评价实施情况。定量数据将进行描述性分析和线性混合模型分析,而焦点小组和访谈的定性数据将通过主题分析进行分析。荷兰格罗宁根大学医学中心医学研究伦理委员会得出结论,本研究不受荷兰涉及人类受试者的医学研究法案(注册号:201900586)的约束。研究结果将通过(国际)国家出版物和会议、通讯、公开摘要和(社交)媒体提供给患者和全科医生。
Physical activity (PA) favourably affects various health outcomes in cancer survivors, but little is known about how to implement a PA programme in primary care. We therefore aim to implement and evaluate such a programme for cancer survivors in general practice. The Stimulation of Daily Activity study is an implementation study with a single-arm longitudinal design in 15 Dutch general practices. Patients aged ≥18 years who finished cancer treatment more than 6 months ago will be eligible for inclusion. The intervention will comprise six coaching sessions with the practice nurse in 9 months, seeking to increase PA in daily activities and using an activity tracker for goal setting and feedback. The Reach, Effectiveness, Adoption, Implementation and Maintenance framework will be used to evaluate implementation in terms of the health outcomes, extent of implementation and barriers and facilitators to implementation, using a mixed methods approach. Descriptive analyses and linear mixed model analyses will be performed on the quantitative data, while qualitative data from focus groups and interviews will be analysed by thematic analyses. The Medical Research Ethics Committee of the University Medical Centre Groningen, the Netherlands, concluded that this study was not subject to the Dutch Medical Research Involving Human Subjects Act (registration number: 201900586). The study results will be made available to patients and general practitioners via (inter)national publications and conferences, newsletters, public summaries and via (social) media.
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