Wattanapisit Apichai, Wattanapisit Sanhapan, Tuangratananon Titiporn, Amaek Waluka, Wongsiri Sunton, Petchuay Prachyapan
Department of Clinical Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.
Family Medicine Clinic, Walailak University Hospital, Nakhon Si Thammarat, Thailand.
J Multidiscip Healthc. 2021 Feb 10;14:321-333. doi: 10.2147/JMDH.S298390. eCollection 2021.
Physical inactivity is a global health concern. Physical activity (PA) counselling is an effective intervention for promoting PA in primary health care (PHC) settings. The use of electronic health (eHealth) technology has the potential to support PA counselling. This study aimed to explore PHC providers' perspectives on the development of an eHealth tool to aid PA counselling in the resource-limited settings.
This qualitative study employed interpretive phenomenology. The study was conducted at hospital-based PHC clinics among physicians and registered nurses. Data collection involved in-depth interviews (IDIs) and focus group discussions (FGDs). An inductive thematic approach was used to analyze the data.
Three physicians participated in three IDIs and 12 nurses participated in four FGDs at three hospitals. The median age of the participants was 43 years. Participants saw 15-100 patients/day (median 40) and spent 2-20 min with each patient (median 5). Three themes emerged. Theme 1: requirements for PA counselling: the participants reflected the needs and characteristics of eHealth tool that may support PA counselling. Theme 2: enabling an eHealth tool for PA counselling: the eHealth should be easy to use, provide PA prescription function, and support follow-up PA counselling. Theme 3: reducing barriers to PA counselling: the eHealth tool was expected to help reduce service and workforce barriers and patients' limitations.
A well-designed and practical eHealth tool has the potential to improve PA counselling practice in PHC settings. The eHealth tool may affect an indirect mechanism to reduce barriers to PA counselling. Future research should focus on the usability and utility as well as the process evaluation of the PA counselling eHealth tool that will be implemented in resource-limited settings.
缺乏身体活动是一个全球性的健康问题。身体活动（PA）咨询是在初级卫生保健（PHC）环境中促进身体活动的有效干预措施。电子健康（eHealth）技术的使用有潜力支持PA咨询。本研究旨在探讨初级卫生保健提供者对开发一种电子健康工具以协助在资源有限环境中进行PA咨询的看法。
本定性研究采用解释性现象学。研究在以医院为基础的初级卫生保健诊所对医生和注册护士进行。数据收集包括深入访谈（IDI）和焦点小组讨论（FGD）。采用归纳主题法分析数据。
三名医生参与了三次深入访谈，12名护士在三家医院参与了四次焦点小组讨论。参与者的中位年龄为43岁。参与者每天接待15 - 100名患者（中位值40名），与每位患者相处2 - 20分钟（中位值5分钟）。出现了三个主题。主题1：PA咨询的要求：参与者反映了可能支持PA咨询的电子健康工具的需求和特点。主题2：启用用于PA咨询的电子健康工具：电子健康工具应易于使用，提供PA处方功能，并支持后续的PA咨询。主题3：减少PA咨询的障碍：电子健康工具预计有助于减少服务和劳动力障碍以及患者的限制。
设计良好且实用的电子健康工具有可能改善初级卫生保健环境中的PA咨询实践。电子健康工具可能通过间接机制减少PA咨询的障碍。未来的研究应关注将在资源有限环境中实施的PA咨询电子健康工具的可用性和实用性以及过程评估。
