University of Manchester, School of Nursing, Midwifery and Social Work, Manchester, UK.
J Adv Nurs. 2013 Jan;69(1):91-101. doi: 10.1111/j.1365-2648.2012.05993.x. Epub 2012 Apr 11.
The article is a report of a study to develop an evidence-based pre-consultation guide for young people to use prior to an asthma review with a practice nurse.
The participation of young people aged 13-19 in consultations with health professionals can be limited by the lack of opportunity to learn the appropriate skills in triadic consultations. Evidence-based interventions to promote participation of adults in consultations have been developed but young people's needs have not been specifically addressed.
Multiple methods design informed by guidelines for the development of complex interventions.
A pre-consultation guide for young people was developed in 2007 by application of a model of health behaviour change, development of criteria by an expert panel and in consultation with young people using a nominal group technique.
The concepts of the Health Action Process Approach model were applied to the development of criteria underpinning the pre-consultation guide. In the nominal groups young people agreed that they had different needs to other children and adults. The consensus was that the preconsultation guide should include disease-specific information, realistic photographs rather than Clip Art, consistent styles of fonts, bullet points and colours, short words and mature language. Statements and example questions written by young people were included in the evidence-based guide.
Young people's views can contribute to the development of interventions designed to promote communication in consultations with nurses. There is potential for this approach to be used to develop interventions in primary and secondary care of a range of long-term conditions.
本文是一项研究报告，旨在为年轻人制定一份基于证据的预咨询指南，以便在与执业护士进行哮喘复查之前使用。
13-19 岁的年轻人在与卫生专业人员进行咨询时，由于缺乏在三方咨询中学习适当技能的机会，其参与度可能会受到限制。已经开发出了以促进成年人参与咨询为目标的基于证据的干预措施，但并未特别针对年轻人的需求。
多种方法设计，以指导复杂干预措施的制定。
2007 年，通过应用健康行为改变模型、由专家小组制定标准以及与年轻人使用名义小组技术进行协商，开发了一份年轻人预咨询指南。
健康行动过程方法模型的概念被应用于为预咨询指南提供支持的标准的制定中。在名义小组中，年轻人一致认为他们与其他儿童和成年人有不同的需求。共识是，预咨询指南应包括特定于疾病的信息、现实照片而不是剪贴画、一致的字体风格、项目符号和颜色、简短的单词和成熟的语言。由年轻人撰写的陈述和示例问题被纳入了基于证据的指南中。
年轻人的观点可以为旨在促进与护士咨询沟通的干预措施的制定做出贡献。这种方法有可能用于在初级和二级护理中开发一系列慢性病的干预措施。
