Leiferman Jenn, Gutilla Margaret J, Nicklas Jacinda Mawson, Paulson James
Department of Community and Behavioral Health (JL), Colorado School of Public Health, Aurora, Colorado.
Department of Epidemiology (MJG), Colorado School of Public Health, Aurora, Colorado.
Am J Lifestyle Med. 2016 Mar 21;12(2):166-174. doi: 10.1177/1559827616639023. eCollection 2018 Mar-Apr.
The objective of this study was to test the effect of an online education intervention on providers' attitudes, beliefs, knowledge, and practices pertaining to antenatal physical activity. A sample of 181 providers (ie, obstetricians, family medicine physicians, and certified nurse-midwives) was directed to view an online training on antenatal physical activity guidelines, counseling methods, and resources. Providers completed surveys before and 12 weeks after viewing the educational website material. Repeated-measures analyses were conducted to examine the effects of the online education. A total of 164 providers (87.2%) completed baseline and follow-up surveys. After viewing the online training, participants more strongly agreed that it was their responsibility to encourage engagement in antenatal physical activity (P = .02) and believed that women would follow their advice about beginning antenatal physical activity (P = .01). Viewing the website material facilitated an increased confidence in ability to effectively talk with overweight and obese women about physical activity (P = .04) and more frequent advising to begin a moderate-intensity physical activity program for sedentary women (P = .02). Knowledge on antenatal physical activity guidelines also improved. Findings suggest that online educational interventions may be an effective tool in altering providers' knowledge and practices pertaining to antenatal physical activity.
本研究的目的是测试在线教育干预对医疗服务提供者在产前体育活动方面的态度、信念、知识和实践的影响。选取了181名医疗服务提供者(即产科医生、家庭医学医生和认证护士助产士)作为样本,指导他们观看关于产前体育活动指南、咨询方法和资源的在线培训。医疗服务提供者在观看教育网站材料之前和之后12周完成了调查。进行重复测量分析以检验在线教育的效果。共有164名医疗服务提供者(87.2%)完成了基线和随访调查。观看在线培训后,参与者更强烈地认同鼓励孕妇参与产前体育活动是他们的责任(P = 0.02),并相信女性会听从他们关于开始产前体育活动的建议(P = 0.01)。观看网站材料增强了与超重和肥胖女性有效谈论体育活动的信心(P = 0.04),并更频繁地建议久坐的女性开始中等强度的体育活动计划(P = 0.02)。关于产前体育活动指南的知识也有所提高。研究结果表明,在线教育干预可能是改变医疗服务提供者在产前体育活动方面的知识和实践的有效工具。