'You need a support. When you don't have that . . . chocolate looks real good'. Barriers to and facilitators of behavioural changes among participants of a Healthy Living Program.
'You need a support. When you don't have that . . . chocolate looks real good'. Barriers to and facilitators of behavioural changes among participants of a Healthy Living Program.
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你需要支持。
DOI：
10.1093/fampra/cmt009
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发表时间：
2013
期刊：
影响因子：
2.2
通讯作者：
Carroll,Jennifer
中科院分区：
文献类型：
--
作者：
Russell,HollyAnn;Rufus,Cheryl;Fogarty,ColleenT;Fiscella,Kevin;Carroll,Jennifer
背景健康行为的改变是复杂的，特别是对于服务不足的患者，他们的肥胖率和缺乏体力活动的比例更高。在临床试验中表现出高有效性的行为改变干预措施可能难以传播，在办公室也可能无效。目的我们试图确定在一个服务不足的城市卫生中心进行健康生活方式干预的过去参与者中，促进或阻碍行为改变的因素。方法2011年3月至10月，我们进行了5次焦点小组会议，共有23名过去的参与者。以社会生态模型为编码结构，对焦点小组的成绩单进行了框架分析。结果我们发现社会情境有四个相互关联的层次：个人、人际、计划和社区。社会支持和人际关系对行为改变的重要性在各个层面都被发现。结论社会支持和人际关系是健康生活方式改变的关键促进者，并影响个体的动机和毅力。利用社会支持和动机的力量可能是未来行为改变干预措施弥合功效和有效性之间差距的一种方式。
BackgroundHealth behavioural change is complex, especially for underserved patients who have higher rates of obesity and physical inactivity. Behavioural change interventions that show high efficacy in clinical trials may be difficult to disseminate and may not be effective in the office.ObjectiveWe sought to identify factors that facilitate or hinder behavioural change among past participants of a healthy lifestyle intervention in an urban underserved health centre.MethodsBetween March and October 2011, we conducted five focus group sessions with a total of 23 past participants. The focus group transcripts were analysed with a framework approach using the Social Ecological Model as a coding structure.ResultsWe found four interconnected levels of social contexts: individual, interpersonal, programmatic and community levels. Themes of social support and the importance of relationships for making and maintaining behavioural changes were found at all levels.ConclusionSocial support and relatedness were key facilitators of healthy lifestyle changes and influenced individual motivation and perseverance. Harnessing the power of social support and motivation may be a way for future behavioural change interventions to bridge the gap between efficacy and effectiveness.