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使用设计探针方法识别2型糖尿病患者饮食和身体活动行为改变的障碍与促进因素。

Identifying Barriers and Facilitators to Diet and Physical Activity Behaviour Change in Type 2 Diabetes Using a Design Probe Methodology.

作者信息

Cradock Kevin A, Quinlan Leo R, Finucane Francis M, Gainforth Heather L, Martin Ginis Kathleen A, Barros Ana Correia de, Sanders Elizabeth B-N, ÓLaighin Gearóid

机构信息

Physiology Department, School of Medicine, National University of Ireland Galway, Galway, Ireland.

Electrical & Electronic Engineering, School of Engineering, National University of Ireland Galway, Galway, Ireland.

出版信息

J Pers Med. 2021 Jan 26;11(2):72. doi: 10.3390/jpm11020072.

DOI:10.3390/jpm11020072
PMID:33530618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7911111/
Abstract

Treatment of Type 2 Diabetes (T2D) typically involves pharmacological methods and adjunct behavioural modifications, focused on changing diet and physical activity (PA) behaviours. Changing diet and physical activity behaviours is complex and any behavioural intervention in T2D, to be successful, must use an appropriate suite of behaviour change techniques (BCTs). In this study, we sought to understand the perceived barriers and facilitators to diet and PA behaviour change in persons with T2D, with a view to creating artefacts to facilitate the required behaviour changes. The Design Probe was chosen as the most appropriate design research instrument to capture the required data, as it enabled participants to reflect and self-document, over an extended period of time, on their daily lived experiences and, following this reflection, to identify their barriers and facilitators to diet and PA behaviour change. Design Probes were sent to 21 participants and 13 were fully completed. A reflective thematic analysis was carried out on the data, which identified themes of food environment, mental health, work schedule, planning, social support, cravings, economic circumstances and energy associated with diet behaviour. Similar themes were identified for PA as well as themes of physical health, weather, motivation and the physical environment.

摘要

2型糖尿病(T2D)的治疗通常涉及药理学方法以及辅助行为改变,重点在于改变饮食和身体活动(PA)行为。改变饮食和身体活动行为较为复杂,T2D领域的任何行为干预若要取得成功,都必须运用一套合适的行为改变技术(BCTs)。在本研究中,我们试图了解2型糖尿病患者在饮食和身体活动行为改变方面所感知到的障碍和促进因素,以期创造出有助于实现所需行为改变的人工制品。设计探针被选为最合适的设计研究工具来获取所需数据,因为它能让参与者在较长一段时间内反思并自我记录其日常生活经历,经过这种反思后确定他们在饮食和身体活动行为改变方面的障碍和促进因素。向21名参与者发送了设计探针,其中13份已完整填写。对数据进行了反思性主题分析,确定了与饮食行为相关的食物环境、心理健康、工作时间表、规划、社会支持、渴望、经济状况和精力等主题。针对身体活动也确定了类似主题,以及身体健康、天气、动机和物理环境等主题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/954dad4f3f7b/jpm-11-00072-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/0517bd73f344/jpm-11-00072-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/63b3df3511a4/jpm-11-00072-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/508e0a27a578/jpm-11-00072-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/bae5e0c27310/jpm-11-00072-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/954dad4f3f7b/jpm-11-00072-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/0517bd73f344/jpm-11-00072-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/4acbc8005bd3/jpm-11-00072-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/63b3df3511a4/jpm-11-00072-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/508e0a27a578/jpm-11-00072-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/bae5e0c27310/jpm-11-00072-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/7911111/954dad4f3f7b/jpm-11-00072-g006.jpg

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