A peer support dietary change intervention for encouraging adoption and maintenance of the Mediterranean diet in a non-Mediterranean population (TEAM-MED): lessons learned and suggested improvements.
A peer support dietary change intervention for encouraging adoption and maintenance of the Mediterranean diet in a non-Mediterranean population (TEAM-MED): lessons learned and suggested improvements.
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DOI：
10.1017/jns.2023.2
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发表时间：
2023
影响因子：
2.5
通讯作者：
Woodside, Jayne V.
中科院分区：
文献类型：
--
作者：
Appleton, Katherine M.;McEvoy, Claire T.;Lloydwin, Christina;Moore, Sarah;Salamanca-Gonzalez, Patricia;Cupples, Margaret E.;Hunter, Steven;Kee, Frank;McCance, David R.;Young, Ian S.;McKinley, Michelle C.;Woodside, Jayne V.
针对饮食变化的同伴支持干预可能提供成本效益高的替代方案，以取代由卫生专业人员领导的干预。这项旨在鼓励在北欧心血管疾病高危人群中采用和维持地中海饮食的试验(Team-MED)的过程评估旨在调查针对饮食变化实施基于群体的同行支持干预的可行性、干预的积极因素以及可以改进的方面。审议了关于对同伴支持者的培训和支持的数据；干预的忠诚度和可接受性；试验数据收集过程的可接受性以及退出试验的原因。数据是通过观察、问卷调查和与同行支持者和试验参与者的访谈收集的。招募同辈支持者并对其进行培训，以成功实施干预措施；所有预定的会议都已举行，其中包括大部分内容。同伴支持者对培训表示赞赏，参与者的积极评价主要围绕同伴支持者、干预材料和小组会议的支持性。然而，参加小组会议的人数随着干预的进行而减少，这对干预的参与度、积极性和团队凝聚力产生了影响。据报道，出席人数减少是由于会议频率和组织问题，但增加社交活动和以小组为基础的活动也可能增加参与度、群体凝聚力和出席率。同伴支持干预措施得到了成功的实施和测试，但可以提出改进建议，并可能加强这类干预措施的成功性质。对个人喜好的一些考虑也可能会改善结果。
Peer support interventions for dietary change may offer cost-effective alternatives to interventions led by health professionals. This process evaluation of a trial to encourage the adoption and maintenance of a Mediterranean diet in a Northern European population at high CVD risk (TEAM-MED) aimed to investigate the feasibility of implementing a group-based peer support intervention for dietary change, positive elements of the intervention and aspects that could be improved. Data on training and support for the peer supporters; intervention fidelity and acceptability; acceptability of data collection processes for the trial and reasons for withdrawal from the trial were considered. Data were collected from observations, questionnaires and interviews, with both peer supporters and trial participants. Peer supporters were recruited and trained to result in successful implementation of the intervention; all intended sessions were run, with the majority of elements included. Peer supporters were complimentary of the training, and positive comments from participants centred around the peer supporters, the intervention materials and the supportive nature of the group sessions. Attendance at the group sessions, however, waned over the intervention, with suggested effects on intervention engagement, enthusiasm and group cohesion. Reduced attendance was reportedly a result of meeting (in)frequency and organisational concerns, but increased social activities and group-based activities may also increase engagement, group cohesion and attendance. The peer support intervention was successfully implemented and tested, but improvements can be suggested and may enhance the successful nature of these types of interventions. Some consideration of personal preferences may also improve outcomes.
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影响因子：
4.5
作者：
McEvoy, Claire T.;Moore, Sarah E.;Woodside, Jayne V.
通讯作者：
Woodside, Jayne V.
影响因子：
5.9
作者：
Sanches Machado d'Almeida K;Ronchi Spillere S;Zuchinali P;Corrêa Souza G
通讯作者：
Corrêa Souza G
影响因子：
1.9
作者：
Garrett, Nancy;Hageman, Christine M.;Richards, Steven W.
通讯作者：
Richards, Steven W.
影响因子：
2.6
作者：
Bennett, L. Michelle;Gadlin, Howard
通讯作者：
Gadlin, Howard
影响因子：
3.3
作者：
Allman-Farinelli, M.;Nour, M.
通讯作者：
Nour, M.