Can you see me? Participant experience of accessing a weight management programme via group videoconference to overcome barriers to engagement.
Can you see me? Participant experience of accessing a weight management programme via group videoconference to overcome barriers to engagement.
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DOI：
10.1111/hex.13148
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Bishop S
中科院分区：
文献类型：
--
作者：
Cliffe M;Di Battista E;Bishop S
对传统体重管理团体项目的参与度很低。了解学员通过视频会议访问改编后的课程的体验。威尔士国民健康服务机构的肥胖成年人(体重指数和≥为35公斤/平方米)被提供了一个团体视频会议体重管理计划，作为面对面小组的可选选择。被招募到两个视频会议组的13名参与者(平均年龄48.5±220.2岁，女性8人)接受了采访。一名注册营养师使用Skype for Business在6个半月的时间里进行了10次会议，提供了一个行为程序。参与者从任何连接互联网的设备上通过网络摄像头加入小组。参与者的观点在一对一的半结构化访谈中被录音。访谈被逐字转录，并以自决理论为理论框架进行主题分析。确定了十个主题，三个与服务参与有关，七个与行为改变促进有关。参与度的关键主题包括“减轻负担”，被描述为节省时间和旅行，以及“减少威胁”，因为参与者认为，与面对面参加小组相比，从家里加入小组不那么令人望而生畏。尽管参与者报告了在建立视频和音频连接方面的一些初始技术困难，但他们描述了有益的同伴支持，尽管不是与其他小组成员的身体支持。通过视频会议访问团体体重管理方案可能是一些参与者的首选选择，克服了获得标准面对面方案的一些障碍，特别是在农村地区。参与者可以通过视频会议体验同行支持。在新冠肺炎大流行期间，体重管理方案可以利用视频会议小组继续提供支持。
Engagement with conventional weight management group programmes is low. To understand participant experience of accessing an adapted programme via videoconference. Adults with obesity (BMI ≥ 35kg/m2), referred to an NHS Dietetics service in Wales, were offered a group videoconference weight management programme as an optional alternative to in‐person groups. Thirteen participants (mean age 48.5 ± 20.2 years, 8 female) recruited to two videoconference groups were interviewed. A Registered Dietitian delivered a behavioural programme using Skype for Business in 10 sessions over 6 months. Participants joined the groups from any Internet‐connected device with a webcam. Participant perspectives were audiorecorded in one‐to‐one, semi‐structured interviews. Interviews were transcribed verbatim and thematically analysed using self‐determination theory as a theoretical framework. Ten themes were identified, three relating to service engagement and seven relating to behaviour change facilitation. Key themes in engagement included ‘reduced burden’, described as saving time and travel and ‘reduced threat’ as participants perceived joining a group from home as less daunting compared to attending in‐person. Despite reporting some initial technical difficulties with establishing video and audio connection, participants described beneficial peer support although not physically with other group members. Accessing a group weight management programme via videoconference may be the preferred option for some participants, overcoming some of the barriers to access to standard in‐person programmes, particularly in rural areas. Participants are able to experience peer support via videoconference. During the COVID‐19 pandemic, weight management programmes could utilize videoconference groups to continue to provide support.
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