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在一般实践中参与和实施“公园跑实践倡议”:一项混合方法研究。

Engagement with and delivery of the 'parkrun practice initiative' in general practice: a mixed methods study.

机构信息

Unit of Academic Primary Care, University of Warwick, Coventry, UK.

Parkrun UK, Middlesex, UK.

出版信息

Br J Gen Pract. 2020 Jul 30;70(697):e573-e580. doi: 10.3399/bjgp20X710453. Print 2020 Aug.

DOI:10.3399/bjgp20X710453
PMID:32482630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7274542/
Abstract

BACKGROUND

The parkrun practice initiative, a joint collaboration between parkrun and the Royal College of General Practitioners, was launched to encourage general practices to improve the health and wellbeing of patients and staff through participating in local 5 km parkrun events. Why and how practices engage with the initiative is unknown.

AIM

To investigate engagement with and delivery of the parkrun practice initiative in general practice.

DESIGN AND SETTING

Mixed methods study conducted from April-July 2019 comprising an online survey of all registered parkrun practices, and interviews and a focus group with practice staff in the West Midlands.

METHOD

The designated contacts at 780 registered parkrun practices were invited to complete an online survey. A purposive sample of parkrun practice staff and non-registered practice staff took part either in semi-structured interviews or a focus group, with transcripts analysed thematically.

RESULTS

Of the total number of parkrun practices, 306 (39.2%) completed the survey. Sixteen practice staff (from nine parkrun practices and four non-registered practices) took part in either semi-structured interviews ( = 12) or a focus group ( = 4). Key motivators for becoming a parkrun practice were: to improve patient and staff health and wellbeing, and to become more engaged with the community and enhance practice image. Practices most commonly encouraged patients, carers, and staff to take part in parkrun and displayed parkrun flyers and posters. Challenges in implementing activities included lack of time (both personal and during consultations) and getting staff involved. Where staff did engage there were positive effects on morale and participation. Non-registered practices were receptive to the initiative, but had apprehensions about the commitment involved.

CONCLUSION

Practices were keen to improve patient and staff health. Addressing time constraints and staff support needs to be considered when implementing the initiative.

摘要

背景

公园跑实践倡议是公园跑和皇家全科医师学院合作开展的一项活动,旨在鼓励全科医生通过参与当地的 5 公里公园跑活动来改善患者和员工的健康和福祉。目前尚不清楚实践是如何参与和实施该倡议的。

目的

调查全科实践中公园跑实践倡议的参与情况和实施情况。

设计和设置

这是一项混合方法研究,于 2019 年 4 月至 7 月进行,包括对所有注册的公园跑实践进行在线调查,以及对西米德兰兹地区的实践工作人员进行访谈和焦点小组讨论。

方法

邀请 780 个注册的公园跑实践的指定联系人完成在线调查。公园跑实践工作人员和非注册实践工作人员的目的抽样参加了半结构化访谈或焦点小组讨论,对转录内容进行了主题分析。

结果

在总共的公园跑实践中,有 306 个(39.2%)完成了调查。16 名实践工作人员(来自 9 个公园跑实践和 4 个非注册实践)参加了半结构化访谈( = 12)或焦点小组( = 4)。成为公园跑实践的主要动机包括:改善患者和员工的健康和福祉,更多地参与社区活动并提升实践形象。实践中最常鼓励患者、照顾者和员工参加公园跑活动,并展示公园跑的传单和海报。实施活动的挑战包括缺乏时间(包括个人时间和咨询时间)以及让员工参与进来。员工一旦参与进来,就会对士气和参与度产生积极影响。非注册实践对该倡议持欢迎态度,但对所涉及的承诺存在顾虑。

结论

实践非常热衷于改善患者和员工的健康。在实施该倡议时,需要考虑解决时间限制和员工支持的问题。

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本文引用的文献

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parkrun: increasing physical activity in primary care.公园跑:增加基层医疗中的身体活动量
Br J Gen Pract. 2019 Sep 26;69(687):483-484. doi: 10.3399/bjgp19X705641. Print 2019 Oct.
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Physical activity in practice: why and how to get GPs moving.实践中的体育活动:全科医生参与的原因及方式
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Direct healthcare costs of sedentary behaviour in the UK.英国久坐行为的直接医疗成本。
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Social prescribing: where is the evidence?社会处方:证据何在?
Br J Gen Pract. 2019 Jan;69(678):6-7. doi: 10.3399/bjgp19X700325.
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Br J Gen Pract. 2018 Dec;68(677):588. doi: 10.3399/bjgp18X700133.
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Understanding the effectiveness and mechanisms of a social prescribing service: a mixed method analysis.了解社会处方服务的有效性和机制:一项混合方法分析。
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Are physical activity interventions for healthy inactive adults effective in promoting behavior change and maintenance, and which behavior change techniques are effective? A systematic review and meta-analysis.对于健康不活跃的成年人,身体活动干预在促进行为改变和维持方面是否有效,哪些行为改变技术有效?系统评价和荟萃分析。
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A realist evaluation of social prescribing: an exploration into the context and mechanisms underpinning a pathway linking primary care with the voluntary sector.社会处方的现实主义评价:对连接初级保健与志愿部门途径的背景及机制的探索
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Health benefits of physical activity: a systematic review of current systematic reviews.体育活动对健康的益处:对当前系统评价的系统评价
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