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智障人士的健康生活方式行为:组织障碍和促进因素的探索。

Healthy lifestyle behaviours for people with intellectual disabilities: An exploration of organizational barriers and enablers.

机构信息

Scottish Learning Disabilities Observatory, Academic Unit for Mental Health & Wellbeing, Gartnavel Royal Hospital, University of Glasgow, Glasgow, UK.

Institute of Nursing and Health Research, School of Nursing, Ulster University, Jordanstown Campus, Newtownabbey, Northern Ireland, UK.

出版信息

J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1:122-135. doi: 10.1111/jar.12396. Epub 2017 Aug 23.

Abstract

BACKGROUND

The health-related behaviours of people with intellectual disabilities may be determined by organisational influences. This innovative study aimed to explore managers' and staffs' perspectives on organisational influences on the promotion of healthy behaviours for this population.

METHOD

A qualitative methodology was employed. Four focus groups with staff and eleven telephone interviews with managers were undertaken across three residential services in one region (Northern Ireland) of the UK. Transcripts were analysed thematically.

FINDINGS

The organisations involved in this study did not have the cultural ethos or capacity to sustain consistent support for staff involvement in health promotion. Organisational support and outcome-focused strategies are recommended for encouraging staff involvement in health promotion activities.

CONCLUSION

These findings have implications for some organisations that support people with intellectual disabilities in improving the way they facilitate health promotion. They highlight the need for organisational cultures to facilitate knowledge translation and embrace evidence-based health promotion interventions.

摘要

背景

智障人士的健康相关行为可能受到组织因素的影响。本创新性研究旨在探讨管理人员和工作人员对促进智障人士健康行为的组织影响的看法。

方法

采用定性方法。在英国北爱尔兰的一个地区的三个住宿服务机构中,共进行了 4 个工作人员焦点小组和 11 个管理人员电话访谈。对记录的文字材料进行了主题分析。

结果

本研究涉及的组织没有文化风气或能力来持续支持工作人员参与健康促进。建议采用组织支持和以结果为导向的策略,鼓励工作人员参与健康促进活动。

结论

这些发现对一些支持智障人士的组织具有启示意义,有助于他们改善促进健康的方式。这些发现强调了需要组织文化来促进知识转化并接受基于证据的健康促进干预措施。

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