Goedendorp Martine M, Kuiper Daphne, Reijneveld Sijmen A, Sanderman Robbert, Steverink Nardi
Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; Clinical Research Office, UMC staff, University Medical Center Groningen, Groningen, The Netherlands.
Patient Educ Couns. 2017 Jun;100(6):1177-1184. doi: 10.1016/j.pec.2017.01.006. Epub 2017 Jan 10.
The Self-Management of Well-being (SMW) group intervention for older women was implemented in health and social care. Our aim was to assess whether effects of the SMW intervention were comparable with the original randomized controlled trial (RCT). Furthermore, we investigated threats to effectiveness, such as participant adherence, group reached, and program fidelity.
In the implementation study (IMP) 287 and RCT 142 women participated. We compared scores on self-management ability and well-being of the IMP and RCT. For adherence, drop-out rates and session attendance were compared. Regarding reach, we compared participants' baseline characteristics. Professionals completed questions regarding program fidelity.
No significant differences were found on effect outcomes and adherence between IMP and RCT (all p≥0.135). Intervention effect sizes were equal (0.47-0.59). IMP participants were significantly less lonely and more likely to be married, but had lower well-being. Most professionals followed the protocol, with only minimal deviations.
The effectiveness of the SMW group intervention was reproduced after implementation, with similar participant adherence, minimal changes in the group reached, and high program fidelity.
The SMW group intervention can be transferred to health and social care without loss of effectiveness. Implementation at a larger scale is warranted.
针对老年女性的幸福自我管理（SMW）团体干预措施已在健康和社会护理领域实施。我们的目的是评估SMW干预措施的效果是否与最初的随机对照试验（RCT）相当。此外，我们还调查了对有效性的威胁，如参与者的依从性、覆盖人群和项目保真度。
在实施研究（IMP）中有287名女性参与，RCT中有142名女性参与。我们比较了IMP组和RCT组在自我管理能力和幸福感方面的得分。对于依从性，比较了两组的退出率和课程出席情况。关于覆盖人群，我们比较了参与者的基线特征。专业人员完成了关于项目保真度的问题。
IMP组和RCT组在效果结果和依从性方面未发现显著差异（所有p≥0.135）。干预效果大小相同（0.47 - 0.59）。IMP组的参与者孤独感显著较低，结婚的可能性更大，但幸福感较低。大多数专业人员遵循了方案，仅有极小的偏差。
实施后SMW团体干预措施的有效性得以重现，参与者依从性相似，覆盖人群变化极小，项目保真度高。
SMW团体干预措施可以转移到健康和社会护理领域而不损失有效性。有必要进行更大规模的实施。
