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在固定医疗保健环境中进行咨询如何影响参加标准化运动俱乐部计划的人数?一项准实验研究的过程评估。

How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study.

机构信息

Institute of Sport Science, University of Graz, Mozartgasse 14, 8010 Graz, Austria.

Department of Health Promotion and Prevention, SPORTUNION Österreich, Falkestrasse 1, 1010 Vienna, Austria.

出版信息

Int J Environ Res Public Health. 2018 Jan 14;15(1):134. doi: 10.3390/ijerph15010134.

DOI:10.3390/ijerph15010134
PMID:29342896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5800233/
Abstract

Actions in partnership across sectors is one principle for the promotion of health behaviours. The objective of this study was to describe the participation in a sports club-based exercise programme-named JACKPOT-following an intervention in a health care setting. Focus was given to the recruitment into JACKPOT, the attendance level, and whether the different programme elements were implemented as intented. The practicability of the project was also retrospectively rated. Participants were 238 inactive people (50% women) between 30 and 65 years of age who attended a health resort. Of these, 77% were assigned to the intervention group (IG). The recruitment into the 12 JACKPOT sessions and the attendance levels were recorded via attendance lists. The implementation of the intervention standards was assessed with structured interviews and participatory observation. The Pragmatic Explanatory Continuum Indicator Summary (PRECIS)-2 tool served to rate the practicability of the project. Almost 50% of the IG subjects attended JACKPOT sessions at least once and 54% of the attenders visited ≥75% of the 12 sessions. Some of the programme elements were not delivered fully. The process evaluation results showed that the project worked in a real-world setting, and also uncovered potential reasons such as incomplete information delivery for the moderate recruitment and attendance level.

摘要

跨部门合作是促进健康行为的原则之一。本研究的目的是描述在医疗保健环境中进行干预后,参与基于体育俱乐部的锻炼计划——JACKPOT 的情况。重点介绍了 JACKPOT 的招募情况、参与度,以及是否按照预期实施了不同的项目要素。还回顾性评估了项目的实用性。参与者是 238 名年龄在 30 至 65 岁之间、不活跃的人(50%为女性),他们在一家健康度假村参加了 JACKPOT 项目。其中,77%的人被分配到干预组(IG)。通过签到表记录了 12 次 JACKPOT 课程的招募情况和出勤率。通过结构化访谈和参与式观察评估了干预标准的实施情况。实用性评价工具——Pragmatic Explanatory Continuum Indicator Summary(PRECIS)-2 用于评估项目的实用性。IG 组中有近 50%的人至少参加过一次 JACKPOT 课程,54%的参加者参加了≥75%的 12 次课程。一些项目要素没有完全实施。过程评估结果表明,该项目在现实环境中运作良好,还发现了一些原因,如信息传递不完整,导致招募和参与度不高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0371/5800233/b4301518efc1/ijerph-15-00134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0371/5800233/b4301518efc1/ijerph-15-00134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0371/5800233/b4301518efc1/ijerph-15-00134-g001.jpg

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Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement.行为咨询以促进无心血管风险因素的成年人的心血管疾病预防中的健康饮食和身体活动:美国预防服务工作组推荐声明。
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[Lifestyle: physical activity and training as prevetion and therapy of type 2 diabetes mellitus (Update 2019)].[生活方式:体育活动与训练作为2型糖尿病的预防和治疗(2019年更新)]
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The PRECIS-2 tool has good interrater reliability and modest discriminant validity.
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J Clin Epidemiol. 2017 Aug;88:113-121. doi: 10.1016/j.jclinepi.2017.06.001. Epub 2017 Jun 8.
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