Department of Social Sciences, chair group Health and Society, Wageningen University and Research, Hollandseweg 1, 6706 KN, Wageningen, The Netherlands.
Department of Medical and Clinical Psychology, Center of Research on Psychological and Somatic disorders (CORPS), Tilburg University, Warandelaan 2, 5037 AB, Tilburg, The Netherlands.
Health Promot Int. 2021 Dec 23;36(6):1694-1704. doi: 10.1093/heapro/daab020.
Healthy eating can be challenging for type 2 diabetes mellitus (T2DM) patients. The theory of salutogenesis, which focuses on the resources required to organize behavioural changes in everyday life, was used to develop an intervention for healthy eating. The aim was to describe the development, structure and content of this salutogenic intervention. The development consisted of two phases that were based on the operationalization of important key principles of salutogenesis. In Phase 1 (Exploration and synthesis), a systematic review and three qualitative studies were performed to explore important characteristics to enable healthy eating in everyday life. The results were used to develop the draft intervention. In Phase 2 (Validation and adjustment), interviews and workshops were conducted with T2DM patients, healthcare providers and scientists. Based on this, the draft intervention was modified into its final form. The developmental process resulted in a 12-week, group-based intervention that aimed to enable important resources for healthy eating via self-examination, reflection, setting goals and sharing experiences. Attention was also paid to disease information, disease acceptance, food literacy, stress management, self-identity and social support. The group sessions began following an individual intake session, with a booster session held 3 months after the intervention. The researcher's translation of the stakeholders' priorities into an intervention was corrected for and approved by the stakeholders concerned. This comprehensive salutogenic intervention was developed based on practical and scientific evidence. Providing transparency in developmental processes and content is important because it determines the scientific integrity and credibility of an intervention.
健康饮食对于 2 型糖尿病（T2DM）患者来说具有挑战性。健康促进学理论侧重于组织日常生活中行为变化所需的资源，本研究将该理论应用于健康饮食干预措施的开发。目的是描述该健康促进干预措施的开发、结构和内容。该开发过程包括两个阶段，这两个阶段基于健康促进学的重要关键原则的实施。在第 1 阶段（探索与综合）中，进行了系统评价和三项定性研究，以探索日常生活中实现健康饮食的重要特征。研究结果用于开发草案干预措施。在第 2 阶段（验证与调整）中，对 T2DM 患者、医疗保健提供者和科学家进行了访谈和研讨会。在此基础上，草案干预措施被修改为最终形式。该开发过程产生了一个为期 12 周的基于小组的干预措施，旨在通过自我检查、反思、设定目标和分享经验来实现健康饮食的重要资源。同时还关注疾病信息、疾病接受度、食品素养、压力管理、自我认同和社会支持。小组会议在个体摄入会议后开始，在干预结束后 3 个月进行强化会议。研究人员将利益相关者的重点转化为干预措施，并由相关利益相关者进行了纠正和批准。这个综合的健康促进干预措施是基于实践和科学证据开发的。在开发过程和内容中提供透明度很重要，因为这决定了干预措施的科学完整性和可信度。
