A qualitative analysis exploring preferred methods of peer support to encourage adherence to a Mediterranean diet in a Northern European population at high risk of cardiovascular disease.
A qualitative analysis exploring preferred methods of peer support to encourage adherence to a Mediterranean diet in a Northern European population at high risk of cardiovascular disease.
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DOI：
10.1186/s12889-018-5078-5
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发表时间：
2018-02-05
影响因子：
4.5
通讯作者：
Woodside JV
中科院分区：
文献类型：
--
作者：
Erwin CM;McEvoy CT;Moore SE;Prior L;Lawton J;Kee F;Cupples ME;Young IS;Appleton K;McKinley MC;Woodside JV
流行病学和随机对照试验证据表明，坚持地中海饮食（MD）可以降低心血管疾病（CVD）风险。然而，用于支持饮食改变的方法是密集和昂贵的。同伴支持已被建议作为一种可能的成本效益的方法，以鼓励坚持医学博士在高危人群中，虽然这样一个方案的发展尚未探讨。本研究的目的是使用混合的方法来确定首选的同伴支持的方法，以鼓励坚持MD。定性（焦点小组）和定量的方法（问卷和偏好评分表），以确定首选的同伴支持的方法。67名高CVD风险参与者参加了12个焦点小组（60%女性，平均年龄64岁），并完成了问卷调查和偏好评分表。焦点小组的数据进行转录和专题分析。平均偏好得分（1是最喜欢的，5是最不喜欢的）为1.5，相比之下，3.4为同侪辅导，4.0为电话同侪支持和4.0为互联网同侪支持。有效的同伴支持小组的组成部分：围绕小组同伴支持的讨论主要是积极的。有人认为，一个有效的群体是从那些认为自己彼此相似的人面对面的会面中发展起来的，从而形成一个包含信任和诚实的群体身份。催化动力：与会者讨论说，小组同侪支助模式可促进人际动力，包括鼓励、竞争和问责。改变的垫脚石：与会者将变革概念化为一个过程，并讨论了在整个过程中，不同的同伴支持模式可能或多或少有用。从成绩单中确定了三个关键主题：以小组为基础的方法是同伴支持的首选方法，以鼓励CVD高风险人群坚持MD。在制定干预措施以鼓励北方欧洲人群采用MD时，应认识到这一发现。
Epidemiological and randomised controlled trial evidence demonstrates that adherence to a Mediterranean diet (MD) can reduce cardiovascular disease (CVD) risk. However, methods used to support dietary change have been intensive and expensive. Peer support has been suggested as a possible cost-effective method to encourage adherence to a MD in at risk populations, although development of such a programme has not been explored. The purpose of this study was to use mixed-methods to determine the preferred peer support approach to encourage adherence to a MD. Qualitative (focus groups) and quantitative methods (questionnaire and preference scoring sheet) were used to determine preferred methods of peer support. Sixty-seven high CVD risk participants took part in 12 focus groups (60% female, mean age 64 years) and completed a questionnaire and preference scoring sheet. Focus group data were transcribed and thematically analysed. The mean preference score (1 being most preferred and 5 being least preferred) for group support was 1.5, compared to 3.4 for peer mentorship, 4.0 for telephone peer support and 4.0 for internet peer support. Components of an effective peer support group: discussions around group peer support were predominantly positive. It was suggested that an effective group develops from people who consider themselves similar to each other meeting face-to-face, leading to the development of a group identity that embraces trust and honesty. Catalysing Motivation: participants discussed that a group peer support model could facilitate interpersonal motivations including encouragement, competitiveness and accountability. Stepping Stones of Change: participants conceptualised change as a process, and discussed that, throughout the process, different models of peer support might be more or less useful. Three key themes were identified from the transcripts: A group-based approach was the preferred method of peer support to encourage a population at high risk of CVD to adhere to a MD. This finding should be recognised in the development of interventions to encourage adoption of a MD in a Northern European population.
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影响因子：
105.7
作者：
Martinez-Gonzalez, M. A.;de la Fuente-Arrillaga, C.;Bes-Rastrollo, M.
通讯作者：
Bes-Rastrollo, M.
影响因子：
5.1
作者：
Aizawa, Kunihiko;Shoemaker, J. Kevin;Petrella, Robert J.
通讯作者：
Petrella, Robert J.
影响因子：
168.9
作者：
Lopez, Alan D.;Mathers, Colin D.;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
影响因子：
3.2
作者：
Bach-Faig, Anna;Berry, Elliot M.;Serra-Majem, Lluis
通讯作者：
Serra-Majem, Lluis
影响因子：
7
作者：
McKeown, Pascal P.;Logan, Karen;Woodside, Jayne V.
通讯作者：
Woodside, Jayne V.