Modifying an evidence-based lifestyle programme for individuals with traumatic brain injury
Modifying an evidence-based lifestyle programme for individuals with traumatic brain injury
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DOI：
10.1080/02699052.2017.1346286
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发表时间：
2017-01-01
期刊：
影响因子：
1.9
通讯作者：
Kramer, Kaye
中科院分区：
文献类型：
--
作者：
Driver, Simon;Reynolds, Megan;Kramer, Kaye
目的：外伤性脑损伤（TBI）患者存在肥胖相关慢性疾病的风险；然而，目前还没有基于证据的策略来支持这一人群的体重管理。本研究的目的是采用参与式行动研究来修改超重/肥胖TBI患者的糖尿病预防计划群体生活方式平衡（DPP-GLB）计划。DPP-GLB方案向个人提供教育和自我管理技能，以便通过健康饮食和体育活动实现其生活方式目标。方法：由包括临床医生、患者和护理人员在内的10名利益相关者组成的委员会审查并修改了超重/肥胖TBI患者的DPP-GLB。利益相关者建议对内容、布局、格式、语言、行为改变策略和交付方法进行修改。该小组还提供了改进DPP-GLB的研究应用，包括招募策略、研究设计和以患者为中心的结果测量。结果：在这一人群中成功实施的策略侧重于确定(1)纳入项目的资格标准和(2)适应DPP-GLB课程，包括护理人员参与、tbi特定的身体活动和营养建议，以及内容的跟踪和呈现。结论：如果在这一人群中被证明是有效的，改良的DPP-GLB将为在各种社区环境中实施提供一个模型。
Objective: Individuals with traumatic brain injury (TBI) are at a risk of obesity-related chronic diseases; yet, no evidence-based strategies exist to support weight management in this population. The purpose of this study was to use participatory action research to modify the Diabetes Prevention Program Group Lifestyle Balance (DPP-GLB) programme for overweight/obese people with TBI. The DPP-GLB programme provides education and self-management skills for individuals to reach their lifestyle goals through healthy eating and physical activity. Methods: A committee of 10 stakeholders including clinicians, patients and caregivers reviewed and modified the DPP-GLB for overweight/obese individuals with TBI. Stakeholders suggested modifications to the content, layout, format, language, behaviour-changing strategies and delivery approaches. The group also provided input on research applications of the modified DPP-GLB including recruitment strategies, study design and patient-centred outcome measures. Results: Strategies for successful implementation in this population focused on determining (1) eligibility criteria for programme inclusion and (2) adaptations to the DPP-GLB curriculum including caregiver involvement, TBI-specific physical activity and nutrition recommendations and tracking and presentation of the content. Conclusions: If it is shown to be effective in this population, the modified DPP-GLB for TBI will provide a model for implementation in a variety of community settings.