School of Health and Emergency Professions, Faculty of Health and Human Sciences, University of Hertfordshire, Hatfield, Herts, UK.
J Hum Nutr Diet. 2011 Dec;24(6):552-9. doi: 10.1111/j.1365-277X.2011.01200.x. Epub 2011 Sep 8.
In primary care, leaflets are often used to communicate health information. Increasingly, primary healthcare practitioners need to provide dietary advice. There is limited research exploring how nutrition information leaflets are used in primary care. The present study explored practitioner and lay experiences with respect to providing and receiving nutrition information in primary care, focusing in particular on the use of leaflets for nutrition information.
A qualitative design was used incorporating focus groups with 57 practitioners based at seven general practitioner practices and a purposive sample of 30 lay participants attending six Consumer Health Organisations within one primary care trust. Focus groups were taped and transcribed verbatim and data were analysed thematically, assisted by computer software n6® (QSR International Pty Ltd, Melbourne, Australia).
Practitioners discussed barriers to giving nutritional advice, access to leaflets, lay receptiveness to advice and their perceptions about the value of leaflets to lay people. Food was not considered in terms of its nutritional components by lay participants and the need for nutritional information was not perceived to be relevant until they had received a medical diagnosis. Lay participants discussed the importance of receiving nutritional advice relating to their medical diagnosis and the altered status of written information that was delivered personally. Practitioner and lay groups suggested improvements to ensure that nutritional advice be supported by relevant and appropriate written information.
This research has underlined the continuing importance of nutrition information leaflets and concludes that there is particular value in involving lay participants in the development of nutrition information leaflets.
在初级保健中，常使用传单来传达健康信息。越来越多的初级保健从业者需要提供饮食建议。关于营养信息传单在初级保健中的使用，相关研究有限。本研究探讨了从业者和非专业人士在初级保健中提供和接收营养信息的经验，特别关注传单在营养信息方面的使用。
采用定性设计，结合七个普通实践中的 57 名从业者的焦点小组和一个初级保健信托内六个消费者健康组织中的 30 名有目的的非专业参与者。焦点小组被录音并逐字转录，数据通过计算机软件 n6®（澳大利亚墨尔本 QSR 国际有限公司）进行主题分析。
从业者讨论了提供营养建议的障碍、传单的获取、非专业人士对建议的接受程度以及他们对传单对非专业人士的价值的看法。非专业参与者没有根据食物的营养成分来考虑食物，只有在他们收到医学诊断后，才会认为需要营养信息。非专业参与者讨论了接收与他们的医学诊断相关的营养建议以及亲自提供的书面信息改变状态的重要性。从业者和非专业人员小组建议进行改进，以确保营养建议得到相关和适当的书面信息的支持。
这项研究强调了营养信息传单的持续重要性，并得出结论，特别有价值的是让非专业人士参与营养信息传单的开发。
