Promoting Patient Prenatal Behavioral Change in Primary Care

描述（由申请人提供）：尽管美国妇产科学院建议无产科并发症的孕妇进行推荐水平的常规体育活动（RPA），但孕妇的RPA少于未怀孕的孕妇。医疗保健提供者在向孕妇提供有关体育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体育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来解决这一需求，该课程旨在加强与产前体育活动咨询相关的患者与提供者的沟通。待测试的假设是：完成课程后，医护人员将1)提高人际沟通技巧；2)对如何成功地帮助患者进行有规律的身体活动更有信心；3)更多地提供产前体育活动咨询。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发现与基于证据的实践相结合来开发基于网络的模块。第二阶段将在一组提供产科护理的保健提供者中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，旨在提高卫生保健人员的知识和技能，并加强与产前身体活动有关的患者与提供者的沟通；这反过来又会促进初级保健机构的卫生服务提供者提供产前身体活动咨询

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