Developing a Primary Care-Focused Intervention to Engage Patients With Osteoarthritis in Physical Activity: A Stakeholder Engagement Qualitative Study.
Developing a Primary Care-Focused Intervention to Engage Patients With Osteoarthritis in Physical Activity: A Stakeholder Engagement Qualitative Study.
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DOI：
10.1177/1524839920947690
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发表时间：
2022-01
影响因子：
1.9
通讯作者：
Allen, Kelli
中科院分区：
文献类型：
--
作者：
Griesemer, Ida;Vu, Maihan B.;Callahan, Leigh F.;Cleveland, Rebecca;Golightly, Yvonne M.;Grimm, Kimberlea;Huffman, Katie;Nelson, Amanda E.;Rees, Jennifer;Allen, Kelli
关键词：
体力活动（PA）对于管理骨关节炎（OA）很重要，但许多患者不活动。需要研究利用临床接触使患者参与PA的策略。在健康行为的社会生态学模型的指导下，本研究旨在使利益相关者参与到骨关节炎体力活动护理途径（OA-PCP）的完善过程中。与主要利益攸关方进行了六次焦点小组和七次个人访谈。焦点小组是特定于利益相关者角色的，包括OA患者、支持伙伴和诊所工作人员（n = 6个焦点小组）。访谈参与者是当地和国家PA计划的代表（n = 7次访谈）。数据采用主题分析法进行分析。数据中确定的主题包括OA-PCP如何帮助OA患者应对PA参与的挑战，将患者与PA资源联系起来的策略，将OA-PCP实施到临床环境中的方法以及PA跟踪器在OA-PCP计划中的潜在用途。利益攸关方的评论意见被归纳为对OA-PCP的主要建议。一些建议加强并导致了OA-PCP计划方面的改进，包括为个体患者量身定制，支持合作伙伴的参与，以及用PA解决疼痛。其他建议导致OA-PCP的更大变化，包括增加三个基于电子邮件或邮件的联系人，并且不需要使用PA跟踪器。目前正在探索性试验中评估改良的OA-PCP计划，最终目标是建立一个可以在临床环境中成功实施的OA PA计划。
Physical activity (PA) is important for managing osteoarthritis (OA), but many patients are inactive. Research is needed on strategies to leverage clinical encounters to engage patients in PA. Guided by the socioecological model of health behavior, this study aimed to engage stakeholders in the process of refining an Osteoarthritis Physical Activity Care Pathway (OA-PCP). Six focus groups and seven individual interviews were conducted with key stakeholders. Focus groups were specific to stakeholder roles and included patients with OA, support partners, and clinic personnel (n = 6 focus groups). Interview participants were local and national PA program representatives (n = 7 interviews). Data were analyzed by thematic analysis. Themes identified in the data included ways the OA-PCP can help patients with OA address challenges to PA engagement, strategies for connecting patients with PA resources, methods for implementing OA-PCP into clinical settings and potential use of PA trackers in the OA-PCP program. Stakeholders’ comments were summarized into key recommendations for OA-PCP. Some recommendations reinforced and led to refinements in planned aspects of OA-PCP, including tailoring to individual patients, involvement of a support partner, and addressing pain with PA. Other recommendations resulted in larger changes for OA-PCP, including the addition of three email- or mail-based contacts and not requiring use of a PA tracker. The refined OA-PCP program is being evaluated in an exploratory trial, with the ultimate goal of establishing a PA program for OA that can be successfully implemented in clinical settings.
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