Promoting Patient Prenatal Behavioral Change in Primary Care

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常规体力活动(RPA)，但与未怀孕的女性相比，怀孕的女性进行的RPA较少。保健提供者在建议孕妇进行体力活动方面发挥着不可或缺的作用；然而，许多保健提供者缺乏提供有效的产前体力活动咨询所需的知识和技能。本研究通过开发和试行基于网络的课程来解决这一需求，该课程旨在加强与产前体力活动咨询相关的患者与提供者的沟通。要检验的假设是，在完成课程后，合作伙伴将1)提高人际沟通技能；2)报告更有信心如何成功地帮助患者进行定期的体力活动；以及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。第一阶段将通过将形成性工作的结果与循证做法相结合，开发基于网络的模块。第二阶段将涉及与一组提供产科护理的医疗保健提供者一起试行课程。拟议的工作将产生一个基于网络的课程，旨在增加初级保健中心的知识和技能，并加强与产前体力活动有关的患者与提供者的沟通；这反过来将促进初级保健环境中初级保健中心未来提供产前体力活动咨询。

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