Matteson Carrie L, Merth Thomas D N, Finegood Diane T
Department of Biomedical Physiology and Kinesiology, Simon Fraser University, WMC 2805, 8888 University Drive, Burnaby, BC, Canada V5A 1S6.
Faculty of Medicine, University of British Columbia, The Gordon and Leslie Diamond Health Care Centre, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9.
ISRN Obes. 2014 Feb 6;2014:579083. doi: 10.1155/2014/579083. eCollection 2014.
Individuals seeking healthcare treatment in the context of obesity often experience difficulty engaging in discussions around their health and face challenges finding consensus with practitioners on care plans that best suit their lives. The complex set of biological, social, and environmental variables that have contributed to the higher prevalence of obesity are well illustrated in the foresight obesity system map. Effectively understanding and addressing key variables for each individual has proven to be difficult, with clinicians facing barriers and limited resources to help address patients' unique needs. However, productive discussions inspired by patient centered care may be particularly effective in promoting behaviour change. Tools based on systems science that facilitate patient centered care and help identify behaviour change priorities have not been developed to help treat adult obesity. This project created and pilot tested a card based clinical communication tool designed to help facilitate conversations with individuals engaged in health behaviour change. The health communication cards were designed to help direct conversation between patients and healthcare providers toward issues relevant to the individual. Use of the cards to facilitate patient driven conversations in clinical care may help to streamline conversations, set realistic care plan goals, and improve long term rates of compliance.
在肥胖背景下寻求医疗保健治疗的个人，在围绕自身健康展开讨论时往往会遇到困难，并且在与从业者就最适合其生活的护理计划达成共识方面面临挑战。导致肥胖患病率上升的一系列复杂的生物、社会和环境变量，在《肥胖前瞻性系统图》中得到了很好的体现。事实证明，有效理解和解决每个个体的关键变量很困难，临床医生面临障碍且资源有限，难以满足患者的独特需求。然而，以患者为中心的护理所激发的富有成效的讨论，在促进行为改变方面可能特别有效。尚未开发出基于系统科学的工具来促进以患者为中心的护理并帮助确定行为改变的优先事项，以帮助治疗成人肥胖症。该项目创建并试点测试了一种基于卡片的临床沟通工具，旨在帮助促进与参与健康行为改变的个人的对话。健康沟通卡片旨在帮助引导患者与医疗保健提供者之间的对话，围绕与个人相关的问题展开。在临床护理中使用这些卡片来促进由患者主导的对话，可能有助于简化对话、设定现实的护理计划目标，并提高长期的依从率。
