Blackford Krysten, Lee Andy, James Anthony P, Waddell Tracy, Hills Andrew P, Anderson Annie S, Howat Peter, Jancey Jonine
Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
Health Promot J Austr. 2017 Mar;28(1):8-14. doi: 10.1071/HE16027.
Issue addressed The Albany Physical Activity and Nutrition (APAN) study investigated the effects of the APAN program, a home-based intervention on dietary and physical activity behaviours and chronic disease risk for rural Australian adults. This paper reports on the process evaluation to gain insight into the link between intervention elements and outcomes. Methods The APAN program comprised resources to improve participants' diet and physical activity. Printed and online resources were provided to participants, complemented by motivational interviews via telephone. Process evaluation used mixed-methods, with a sample of 201 intervention participants residing in a disadvantaged rural area. Participants were aged 50 to 69 years with, or at risk of, metabolic syndrome. Quantitative data were collected using an online survey (n=73); qualitative data were collected via telephone exit interviews with intervention completers (n=8) and non-completers (n=8), and recruitment notes recorded by research assistants. Results The attrition rate of the program was 18%; major reasons for withdrawal were health and personal issues and a loss of interest. The majority of participants found the printed resources useful, attractive, and suitable to their age group. The website was the least preferred resource. Reasons for completing the program included the desired health benefits, wanting to honour the commitment, and wanting to assist with research. Conclusions Carefully planned recruitment will reduce the burden on resources and improve uptake. Understanding reasons for attrition such as family or personal barriers and health issues will assist practitioners to support participants overcome these barriers. Given participants' preference for printed resources, and the known effectiveness of these in combination with other strategies, investigating methods to encourage use of telephone and online support should be a priority. So what? This process evaluation provided an overview of recruitment challenges and preferred intervention components. It is desirable that future work determines the most effective intervention components for rural adults at risk of chronic disease.
研究问题 奥尔巴尼体育活动与营养（APAN）研究调查了APAN项目对澳大利亚农村成年人饮食、体育活动行为及慢性病风险的影响，该项目是一项基于家庭的干预措施。本文报告了过程评估情况，以深入了解干预要素与结果之间的联系。方法 APAN项目包含用于改善参与者饮食和体育活动的资源。向参与者提供了印刷品和在线资源，并通过电话进行激励访谈作为补充。过程评估采用混合方法，样本为居住在贫困农村地区的201名干预参与者。参与者年龄在50至69岁之间，患有代谢综合征或有患代谢综合征的风险。通过在线调查收集定量数据（n = 73）；通过与干预完成者（n = 8）和未完成者（n = 8）的电话退出访谈以及研究助理记录的招募笔记收集定性数据。结果 该项目的流失率为18%；退出的主要原因是健康和个人问题以及兴趣丧失。大多数参与者认为印刷品资源有用、有吸引力且适合他们的年龄组。网站是最不受欢迎的资源。完成该项目的原因包括期望获得健康益处、想要履行承诺以及想要协助研究。结论 精心规划招募工作将减少资源负担并提高参与率。了解诸如家庭或个人障碍以及健康问题等流失原因将有助于从业者支持参与者克服这些障碍。鉴于参与者对印刷品资源的偏好以及这些资源与其他策略结合的已知有效性，优先研究鼓励使用电话和在线支持的方法。那又如何？ 这一过程评估概述了招募挑战和首选的干预组成部分。未来的工作确定针对有慢性病风险的农村成年人最有效的干预组成部分是可取的。
