Pals Regitze Anne Saurbrey, Hempler Nana Folmann
Diabetes Management Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark.
Scand J Caring Sci. 2018 Sep;32(3):1188-1196. doi: 10.1111/scs.12564. Epub 2018 Feb 12.
Collaborative approaches to consensus building or decision-making are beneficial in health-promoting activities targeting users of mental health services (users). However, little is known about how to achieve a collaborative approach in practice.
The purpose of this study was to explore: (1) users' preferences and ideas related to achieving a collaborative approach in health-related communication and (2) perspectives of healthcare and social work professionals and family members on users' ideas and preferences.
Data were collected through interactive workshops with users (n = 15), professionals (n = 21) and users' family members (n = 12). Data were analysed using systematic text condensation.
Users provided three recommendations for establishing a collaborative approach in communication about health: (1) involving users in deciding the agenda and setting for health-promoting activities; (2) exchanging knowledge between users and professionals about health and values; and (3) exploring users' motivation for change. Users and professionals had diverging perceptions of the value of establishing a collaborative approach. Professionals regarded relationship building and health promotion as separate phenomena, whereas users perceived relationship building as inherently health promoting. Family members of users requested specific guidance and support with regard to clarifying and fulfilling the best possible support role as a family member.
The findings suggest that a collaborative approach in health promotion may be difficult to achieve without a focus on professional development for healthcare and social work professionals.
在针对心理健康服务使用者（用户）的健康促进活动中，采用协作方式达成共识或进行决策是有益的。然而，对于如何在实践中实现协作方式，人们了解甚少。
本研究的目的是探讨：（1）用户在与健康相关的沟通中对实现协作方式的偏好和想法，以及（2）医疗保健和社会工作专业人员及家庭成员对用户想法和偏好的看法。
通过与用户（n = 15）、专业人员（n = 21）和用户家庭成员（n = 12）开展互动研讨会收集数据。使用系统文本浓缩法对数据进行分析。
用户就建立健康沟通的协作方式提出了三条建议：（1）让用户参与确定健康促进活动的议程和环境；（2）用户与专业人员就健康和价值观进行知识交流；（3）探究用户的改变动机。用户和专业人员对建立协作方式的价值看法不一。专业人员将建立关系和健康促进视为不同的现象，而用户则认为建立关系本身就具有促进健康的作用。用户的家庭成员要求在明确并履行作为家庭成员的最佳支持角色方面获得具体指导和支持。
研究结果表明，如果不关注医疗保健和社会工作专业人员的专业发展，健康促进中的协作方式可能难以实现。
