Online Lifestyle Modification Intervention: Survey of Primary Care Providers' Attitudes and Views.
Online Lifestyle Modification Intervention: Survey of Primary Care Providers' Attitudes and Views.
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DOI：
10.2196/jmir.8616
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发表时间：
2018-06-08
影响因子：
7.4
通讯作者：
McTigue K
中科院分区：
文献类型：
--
作者：
Hanna RM;Fischer G;Conroy MB;Bryce C;Hess R;McTigue K
在线工具是向肥胖成人初级保健患者提供生活方式干预的一种方便有效的方法。转诊模式允许医生在初级保健就诊期间有效地指导患者进行干预。然而，很少有人知道医生的观点和利用转诊模式的在线生活方式改变干预。其目的是评估初级保健提供者（PCP）对实施为期一年的在线干预肥胖成年患者减肥的转诊模式的反应。六个初级保健诊所的PCP被要求将成年肥胖患者转诊到为期一年的在线生活方式干预，为减肥提供自我管理支持。在为期1年的干预后，对参与实践的所有提供者进行了调查，了解他们对该计划的看法。受访者完成了调查项目，评估他们对1年强化减肥干预的态度，并确定他们认为有助于帮助患者减肥的资源。转诊医生被问及他们的满意度水平与实施咨询服务使用标准的电子健康记录转诊流程。比较了转介和非转介提供者对肥胖咨询的态度。肥胖治疗转诊模式与临床工作流程整合的顺利程度也被量化。在完成调查的67名提供者中，非转介提供者（n=17）比转介提供者（n=50）更倾向于自己咨询（P= 0.04），并报告有足够的时间这样做（P= 0.03）。非转诊提供者更有可能报告他们的患者缺乏计算机技能（76%，13/17 vs 34%，17/50）或较少访问互联网（65%，11/17 vs 32%，16/50）。了解提供者关于整合在线工具的观点和障碍，将有助于广泛实施在线生活方式改变干预措施。
Online tools are a convenient and effective method of delivering lifestyle interventions to obese adult primary care patients. A referral model allows physicians to efficiently direct their patients to the intervention during a primary care visit. However, little is known of physicians’ perspectives and utilization of the referral model for an online lifestyle modification intervention. The aim was to evaluate the response of primary care providers (PCPs) to a referral model for implementing a year-long online intervention for weight loss to obese adult patients. The PCPs at six primary care clinics were asked to refer adult obese patients to a year-long online lifestyle intervention providing self-management support for weight loss. Following the 1-year intervention, all providers at the participating practices were surveyed regarding their views of the program. Respondents completed survey items assessing their attitudes regarding the 1-year intensive weight loss intervention and identifying resources they would find helpful for assisting patients with weight loss. Referring physicians were asked about their level of satisfaction with implementing the counseling services using standard electronic health record referral processes. Attitudes toward obesity counseling among referring and nonreferring providers were compared. Impressions of how smoothly the referral model of obesity treatment integrated with the clinical workflow were also quantified. Of the 67 providers who completed the surveys, nonreferring providers (n=17) were more likely to prefer counseling themselves (P=.04) and to report having sufficient time to do so (P=.03) than referring providers (n=50) were. Nonreferring providers were more likely to report that their patients lacked computer skills (76%, 13/17 vs 34%, 17/50) or had less access to the Internet (65%, 11/17 vs 32%, 16/50). Understanding providers’ views and barriers regarding the integration of online tools will facilitate widespread implementation of an online lifestyle modification intervention.
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影响因子：
120.7
作者：
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通讯作者：
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影响因子：
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期刊：
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