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设定目标促进晚年更健康的生活方式:AgeWell 试验的定性评估。

Goal-setting to Promote a Healthier Lifestyle in Later Life: Qualitative Evaluation of the AgeWell Trial.

机构信息

a Centre for Research in Ageing and Cognitive Health, College of Life and Environmental Sciences , University of Exeter , Exeter , UK.

b PenCLAHRC , Institute of Health Research, University of Exeter Medical School , Exeter , UK.

出版信息

Clin Gerontol. 2018 Jul-Sep;41(4):335-345. doi: 10.1080/07317115.2017.1416509. Epub 2018 Jan 8.

Abstract

OBJECTIVE

We report a mixed method evaluation of the feasibility and implementation of the AgeWell goal-setting intervention to promote healthy ageing later life.

METHOD

Researcher field notes, goal-setting interview content, and semi-structured interviews with participants were content analysed to review trial implementation and participants' perspective on the goal-setting and mentoring intervention.

RESULTS

75 people were recruited: 21 in the goal-setting and 22 in the goal-setting with mentoring arms of the intervention. Goal-setting was feasible in the main domains of interest. Adherence to the protocol was good and the mentoring schedule was adhered to. Participants reported satisfaction with their goal attainment, but barriers for non-achievement were also identified. Recommendations for small changes to the intervention included reducing the number of goals.

CONCLUSIONS

Participants understood the goal-setting process, and were able to set realistic and achievable lifestyle goals. The intervention and the procedures were acceptable but changes in how goal-setting is both introduced and monitored are needed for wider implementation.

CLINICAL IMPLICATIONS

Goal-setting can be a useful process to help people alter their lifestyle to allow them to age more successfully and reduce risk factors associated with dementia.

摘要

目的

我们报告了一项混合方法评估,以评估 AgeWell 目标设定干预措施促进晚年健康老龄化的可行性和实施情况。

方法

对研究人员的现场记录、目标设定访谈内容以及对参与者的半结构化访谈进行内容分析,以回顾试验实施情况以及参与者对目标设定和指导干预的看法。

结果

共招募了 75 人:21 人参加目标设定组,22 人参加目标设定加指导组。目标设定在主要关注领域是可行的。对方案的遵守情况良好,且遵循了指导时间表。参与者报告对目标达成感到满意,但也确定了无法实现目标的障碍。对干预措施的小改动建议包括减少目标数量。

结论

参与者理解目标设定过程,并能够设定现实和可实现的生活方式目标。该干预措施和程序是可以接受的,但需要对目标设定的引入和监测方式进行更改,以便更广泛地实施。

临床意义

目标设定可以是一种有用的过程,有助于人们改变生活方式,使他们能够更成功地衰老,并减少与痴呆症相关的风险因素。

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