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电子健康干预措施在全科医疗中的实施过程评价:全科医生和患者的观点。

Process Evaluation of an eHealth Intervention Implemented into General Practice: General Practitioners' and Patients' Views.

机构信息

Department of Movement and Sports Sciences, Ghent University, 9000 Gent, Belgium.

Department of Experimental Clinical and Health Psychology, Ghent University, 9000 Gent, Belgium.

出版信息

Int J Environ Res Public Health. 2018 Jul 12;15(7):1475. doi: 10.3390/ijerph15071475.

Abstract

(1) Background: It has been shown that online interventions can be enhanced by providing additional support; accordingly, we developed an implementation plan for the use of an eHealth intervention targeting physical activity and healthy nutrition in collaboration with general practitioners (GPs). In this study, GPs and patients evaluated the actual implementation; (2) Methods: Two hundred and thirty two patients completed the feasibility questionnaire regarding the implementation of "MyPlan 1.0" in general practice. Individual interviews were conducted with 15 GPs who implemented "MyPlan 1.0" into their daily work flow; (3) Results: The majority of the patients indicated that general practice was an appropriate setting to implement the online intervention. However, patients were not personally addressed by GPs and advice/action plans were not discussed with the GPs. The GPs indicated that this problem was caused by the severe time restrictions in general practice. GPs also seemed to select those patients who they believed to be able to use (e.g., highly educated patients) and to benefit from the intervention (e.g., patients with overweight); (4) Conclusions: Although GPs were involved in the development of the online intervention and its implementation plan, the programme was not used in general practice as intended.

摘要

(1)背景:已证明在线干预可以通过提供额外的支持来得到增强;因此,我们与全科医生(GP)合作制定了一项使用针对体育活动和健康营养的电子健康干预措施的实施计划。在这项研究中,GP 和患者评估了实际的实施情况;(2)方法:232 名患者完成了关于在一般实践中实施“MyPlan 1.0”的可行性问卷。对 15 名将“MyPlan 1.0”纳入日常工作流程的 GP 进行了个体访谈;(3)结果:大多数患者表示,一般实践是实施在线干预的适当环境。然而,患者没有被 GP 亲自联系,也没有与 GP 讨论建议/行动计划。GP 表示,这个问题是由于一般实践中的严重时间限制造成的。GP 似乎还选择了那些他们认为能够使用(例如,受过高等教育的患者)和受益于干预措施的患者(例如,超重的患者);(4)结论:尽管 GP 参与了在线干预措施及其实施计划的制定,但该计划并未如预期的那样在一般实践中使用。

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