Facilitators and barriers to implementing lifestyle intervention programme to prevent cognitive decline.
Facilitators and barriers to implementing lifestyle intervention programme to prevent cognitive decline.
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DOI：
10.1093/eurpub/ckab087
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发表时间：
2021-10-11
影响因子：
4.4
通讯作者：
Kivipelto M
中科院分区：
文献类型：
--
作者：
Kulmala J;Rosenberg A;Ngandu T;Hemiö K;Tenkula T;Hyytiä A;Vienola M;Huhtamäki-Kuoppala M;Saarinen A;Korkki S;Laatikainen T;Solomon A;Kivipelto M
芬兰预防认知障碍和残疾干预研究是一项随机对照试验，测试了针对可改变危险因素的多领域干预预防认知障碍/痴呆的疗效。健康饮食、身体、社会和认知活动以及心血管风险管理相结合已被证明是促进老年人大脑健康的有效模式。本定性研究的目的是探讨卫生保健专业人员对在卫生保健中实施这种生活方式方案的促进因素和障碍的看法。在初级保健和非政府组织工作的保健专业人员中进行了四次半结构化焦点小组访谈（N=27）。参与者被要求讨论他们对在临床实践中实施多领域干预的促进因素和障碍的看法。访谈采用内容分析法进行分析。卫生保健专业人员描述的障碍和促进因素与基础设施和资源、客户的个人特征和生活方式干预本身有关。这些主要类别包括与知识、动机、资源、个性化和协作相关的几个子类别。受访者指出，需要更多关于预防痴呆症的教育，工作应有效协调，提供预防保健的资源应充足，需要多专业合作。将生活方式干预从试验环境转移到现实生活中需要了解影响有效实施的因素。确定成功实施的驱动因素和制约因素有助于设计和调整未来的预防规划，提高积极性和依从性，并支持系统变革。
The Finnish Intervention Study to Prevent Cognitive Impairment and Disability is a randomized controlled trial that has tested the efficacy of a multidomain intervention targeting modifiable risk factors to prevent cognitive impairment/dementia. A combination of healthy diet, physical, social and cognitive activity, and management of cardiovascular risks was shown to be an effective model to promote brain health among older people. The aim of this qualitative study was to explore healthcare professionals’ perceptions of facilitators and barriers to implementing this lifestyle programme into health care. Four semi-structured focus group interviews were conducted among healthcare professionals working in primary care and in non-governmental organizations (N=27). Participants were asked to discuss their perceptions of facilitators and barriers for implementing the multidomain intervention into clinical practice. Interviews were analyzed using content analysis. Barriers and facilitators described by the healthcare professionals were related to infrastructure and resources, client’s personal characteristics and the lifestyle intervention itself. These main categories included several sub-categories related to knowledge, motivation, resources, individualization and collaboration. The interviewees pointed out that more education on dementia prevention is needed, the work should be coordinated efficiently, resources to provide preventive health care should be adequate and multiprofessional collaboration is needed. Transferring a lifestyle intervention from a trial-setting to real life requires knowledge about the factors that influence effective implementation. Identifying drivers and constraints of successful implementation helps to design and tailor future prevention programmes, increases motivation and adherence and supports system change.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
3.7
作者：
Rubio-Valera M;Pons-Vigués M;Martínez-Andrés M;Moreno-Peral P;Berenguera A;Fernández A
通讯作者：
Fernández A
影响因子：
2.9
作者：
Ismail, Hanif;Kelly, Shona
通讯作者：
Kelly, Shona
影响因子：
4.4
作者：
Riley, R.;Coghill, N.;Horwood, J.
通讯作者：
Horwood, J.
DOI：
10.1186/s13012-016-0525-0
发表时间：
2016-12-01
期刊：
Implementation science : IS
影响因子：
--
作者：
Sopcak N;Aguilar C;O'Brien MA;Nykiforuk C;Aubrey-Bassler K;Cullen R;Grunfeld E;Manca DP
通讯作者：
Manca DP