Promoting Patient Prenatal Behavioral Change in Primary Care

促进初级保健中患者产前行为的改变

• 批准号: 8702407
• 负责人: JENN A LEIFERMAN
• 金额: $ 10万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8702407
• 关键词: Promoting; Patient; Prenatal; Behavioral; Change

DESCRIPTION (provided by applicant): Despite the fact that the American College of Obstetrics and Gynecologists recommends pregnant women who are free of obstetrical complications engage in the recommended levels of regular physical activity (RPA), women who are pregnant engage in less RPA than their nonpregnant counterparts. Healthcare providers play an integral role in advising pregnant women about physical activity; however, many healthcare providers lack the knowledge and skills needed to provide effective antenatal physical activity counseling. The present study addresses this need by developing and pilot-testing a web-based curriculum aimed to enhance patient-provider communication related to antenatal physical activity counseling. The hypotheses to be tested are that upon completion of the curriculum HCPs will 1) have enhanced interpersonal communication skills; 2) report more confidence in how to successfully help patients engage in regular physical activity; and 3) provide antenatal physical activity counseling more often. This work will be completed in two stages. The first stage will pertain to developing the web-based modules by integrating findings from the formative work with evidence-based practices. The second stage will involve pilot-testing the curriculum with a group of healthcare providers who provide obstetric care. The proposed work will result in a web-based curriculum designed to increase HCPs' knowledge and skills as well as enhance patient-provider communication related to antenatal physical activity; which in turn, will promote future delivery of antenatal physical activity counseling by HCPs in primary care settings

描述（由申请人提供）：尽管美国妇产科医师学会建议没有产科并发症的孕妇进行推荐水平的定期体力活动（RPA），但怀孕的妇女比未怀孕的妇女进行更少的RPA。医疗保健提供者在为孕妇提供有关身体活动的建议方面发挥着不可或缺的作用;然而，许多医疗保健提供者缺乏提供有效的产前身体活动咨询所需的知识和技能。本研究通过开发和试点测试一个基于网络的课程，旨在加强产前身体活动咨询相关的患者提供者的沟通，解决了这一需求。待检验的假设是，完成课程后，HCP将1）增强人际沟通技能; 2）报告对如何成功帮助患者进行定期体力活动更有信心; 3）更频繁地提供产前体力活动咨询。这项工作将分两个阶段完成。第一阶段将涉及通过将形成性工作的结果与循证做法相结合来开发网络单元。第二阶段将涉及与一组提供产科护理的保健提供者一起对课程进行试点测试。拟议的工作将产生一个基于网络的课程，旨在增加HCP的知识和技能，并加强与产前体力活动有关的患者-提供者沟通;这反过来又将促进HCP在初级保健环境中提供产前体力活动咨询