Brodin Nina, Hurkmans Emalie, DiMatteo Luigi, Nava Tiziana, Vliet Vlieland Thea, Opava Christina H
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 23100, 14183, Huddinge, Sweden.
Division of Physiotherapy, Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden.
Rheumatol Int. 2015 Oct;35(10):1665-73. doi: 10.1007/s00296-015-3267-4. Epub 2015 Apr 14.
The objectives of this study were to compare attitudes, practice of advice, perceived competencies and educational needs related to health-enhancing physical activity (HEPA) in rheumatoid arthritis (RA) among Dutch, Italian and Swedish healthcare providers (HCP) and to explore associations between these factors and age, gender and HEPA levels of HCP. Questionnaires were sent to 2939 HCP, members of their national rheumatology organizations. HEPA was assessed with the Short Questionnaire to Assess Health-Enhancing Physical Activity or the International Physical Activity Questionnaire; attitudes, practice of advice, perceived competencies and educational needs with a 23-item questionnaire. Overall response rate was 33 %. Ninety-five percent of HCP agreed that HEPA is an important health goal in RA. More Swedish HCP had positive attitudes to the attainability and safety of HEPA in RA. There were no differences between countries in practice of advice on HEPA to patients with RA in general or to those with recent onset disease, but more Italian HCP were reluctant to advise HEPA to patients with established disease. Of the total HCP, 36 to 60 % used public health guidelines to advise on HEPA, with Dutch HCP taking less advantage. Still they estimated a higher proportion of patients with RA to follow such advice. Italian HCP perceived their competencies the highest, but were also more interested in education to promote HEPA. Gender, age and HEPA performance had no association with attitudes toward HEPA, while a number of associations were found between these factors and practice of advice and perceived competencies. The differences found between HCP in the three countries might indicate the need for educational initiatives to improve HEPA promotion.
本研究的目的是比较荷兰、意大利和瑞典的医疗保健提供者（HCP）对类风湿关节炎（RA）中与健康增强型身体活动（HEPA）相关的态度、建议实践、感知能力和教育需求，并探讨这些因素与HCP的年龄、性别和HEPA水平之间的关联。向其国家风湿病组织的2939名HCP发送了问卷。使用《健康增强型身体活动简短问卷》或《国际身体活动问卷》评估HEPA；使用一份包含23个条目的问卷评估态度、建议实践、感知能力和教育需求。总体回复率为33%。95%的HCP同意HEPA是RA中的一个重要健康目标。更多瑞典HCP对RA中HEPA的可实现性和安全性持积极态度。在向RA患者总体或近期发病患者提供HEPA建议的实践方面，各国之间没有差异，但更多意大利HCP不愿向病情已确诊的患者建议HEPA。在所有HCP中，36%至60%使用公共卫生指南来提供HEPA建议，荷兰HCP利用得较少。不过，他们估计遵循此类建议的RA患者比例更高。意大利HCP认为自己的能力最强，但也对促进HEPA的教育更感兴趣。性别、年龄和HEPA表现与对HEPA的态度没有关联，而在这些因素与建议实践和感知能力之间发现了一些关联。在这三个国家的HCP之间发现的差异可能表明需要开展教育举措以改善HEPA推广。
