通过健康指导提高认知、责任感和可及性：对患者观点的定性研究
Improving awareness, accountability, and access through health coaching: qualitative study of patients' perspectives.
作者信息
Liddy Clare, Johnston Sharon, Irving Hannah, Nash Kate, Ward Natalie
出版信息
Can Fam Physician. 2015 Mar;61(3):e158-64.
OBJECTIVE
To assess patients' experiences with and perceptions of health coaching as part of their ongoing care.
DESIGN
A qualitative research design using semistructured interviews that were recorded and transcribed verbatim.Setting Ottawa, Ont.
PARTICIPANTS
Eleven patients (> 18 years of age) enrolled in a health coaching pilot program who were at risk of or diagnosed with type 2 diabetes.
METHODS
Patients' perspectives were assessed with semistructured interviews. Interviews were conducted with 11 patients at the end of the pilot program, using a stratified sampling approach to ensure maximum variation.
MAIN FINDINGS
All patients found the overall experience with the health coaching program to be positive. Patients believed the health coaching program was effective in increasing awareness of how diabetes affected their bodies and health, in building accountability for their health-related actions, and in improving access to care and other health resources.
CONCLUSION
Patients perceive one-on-one health coaching as an acceptable intervention in their ongoing care. Patients enrolled in the health coaching pilot program believed that there was an improvement in access to care, health literacy, and accountability,all factors considered to be precursors to behavioural change.
目的
评估患者在持续护理过程中对健康指导的体验和看法。
设计
采用定性研究设计，通过半结构化访谈进行，并逐字记录和转录。地点：安大略省渥太华。
参与者
11名年龄超过18岁、参加健康指导试点项目且有2型糖尿病风险或已被诊断为2型糖尿病的患者。
方法
通过半结构化访谈评估患者的观点。在试点项目结束时，对11名患者进行访谈，采用分层抽样方法以确保最大程度的多样性。
主要发现
所有患者都认为健康指导项目的总体体验是积极的。患者认为健康指导项目在提高对糖尿病如何影响其身体和健康的认识、增强对与健康相关行为的责任感以及改善获得护理和其他健康资源的机会方面是有效的。
结论
患者认为一对一的健康指导是其持续护理中可接受的干预措施。参加健康指导试点项目的患者认为在获得护理、健康素养和责任感方面有所改善，所有这些因素都被认为是行为改变的先兆。
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