Richardson Emma V, Barstow Elizabeth, Fifolt Matthew, Motl Robert W
The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Qual Health Res. 2020 Jul;30(8):1262-1274. doi: 10.1177/1049732318819453. Epub 2018 Dec 25.
Nearly 80% of persons with multiple sclerosis (MS) do not engage in sufficient amounts of exercise for managing symptoms and improving quality of life. We have addressed this problem by developing a systematic line of qualitative research targeting the patient-provider interaction for promotion of exercise within comprehensive MS care. This research resulted in a conceptual model that guides health care providers in promoting exercise among persons with MS. The current study involves a final evaluation of the model based on semistructured interviews with 28 MS health care providers. Providers perceived that the model was a strong conceptualization of practice that reflected the MS illness course and supported exercise behavior change, but more steps were required to translate the model from concept into practice, including improved clarity of the model, and the development of practice models. The evaluation yielded a final conceptual model for exercise promotion in MS through the patient-provider interaction.
近80%的多发性硬化症（MS）患者没有进行足够的锻炼来控制症状和改善生活质量。我们通过开展一系列定性研究来解决这一问题，这些研究针对患者与医护人员的互动，以促进在综合性MS护理中进行锻炼。这项研究产生了一个概念模型，可指导医护人员促进MS患者进行锻炼。当前的研究基于对28名MS医护人员的半结构化访谈，对该模型进行了最终评估。医护人员认为该模型是对实践的有力概念化，反映了MS病程并支持锻炼行为改变，但需要采取更多步骤将该模型从概念转化为实践，包括提高模型的清晰度以及开发实践模型。该评估产生了一个通过患者与医护人员互动促进MS患者锻炼的最终概念模型。
