Graduate School of Health Sciences, Gunma University, Gunma, Japan.
J Clin Nurs. 2019 Dec;28(23-24):4332-4341. doi: 10.1111/jocn.15000. Epub 2019 Sep 3.
To describe how a health guidance programme provided to one person influences change in their spouse's health behaviours.
Individuals are indirectly affected by the health behaviours of those close to them; therefore, it is likely that guidance on the prevention of lifestyle disease modifies the behaviour of targeted individuals and their family members. In a previous study, approximately 30% of families displayed positive health changes because one individual family member received health guidance.
This study used an inductive, exploratory, qualitative design.
Semi-structured interviews were conducted with spouses of persons who participated in a health guidance programme for lifestyle-related disease prevention. Data were analysed from 11 spouses (all women; M = 61.0 ± 9.1 years) using a modified grounded theory approach. This study was conducted according to the consolidated criteria for reporting qualitative research (COREQ; see Appendix S1).
The process of change in each spouse was a result of their partner's influence, which changed from a stage of assisting, where the spouse contemplated {I am just a supporter} to the partner, to a stage where the spouse thought {I am also a player}, and she engaged in her own health improvement practices.
For a spouse to change from assisting their partner to becoming a practitioner of their own health improvement, the spouse needed to experience a sense of surprise at the changes in her partner, through calm observation of the partner's attitude. Through the spreading effect of health guidance utilisation, indirect encouragement could be expected, even when people have difficulty accessing healthcare services.
This type of spreading effect from one participant to a family member could perhaps assist health guidance provisions so that disease prevention becomes more efficient.
描述向一个人提供健康指导方案如何影响其配偶健康行为的改变。
个体间的健康行为会相互影响；因此，预防生活方式疾病的指导可能会改变目标个体及其家庭成员的行为。在之前的研究中，大约 30%的家庭出现了积极的健康变化，这是因为一名家庭成员接受了健康指导。
本研究采用了归纳法、探索性、定性设计。
对参加生活方式相关疾病预防健康指导计划的人的配偶进行了半结构化访谈。对 11 名配偶（均为女性；平均年龄 61.0±9.1 岁）的数据采用修正的扎根理论方法进行了分析。本研究根据定性研究报告的统一标准（COREQ；见附录 S1）进行。
每个配偶的变化过程都是其伴侣影响的结果，从协助阶段（配偶考虑“我只是支持者”）转变为伴侣阶段，再到配偶认为“我也是参与者”，并参与自己的健康改善实践。
为了使配偶从协助伴侣转变为自己健康改善的实践者，配偶需要通过冷静观察伴侣的态度，对伴侣的变化感到惊讶。通过健康指导利用的扩散效应，可以期望间接鼓励，即使人们难以获得医疗保健服务。
这种从一名参与者到家庭成员的扩散效应，也许可以帮助提供健康指导，使疾病预防更加有效。
