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一项关于电子培训干预措施在牙科护理环境中促进健康行为改变对话的可行性和可接受性研究。

A feasibility and acceptability study of an e-training intervention to facilitate health behaviour change conversations in dental care settings.

作者信息

Joseph Sophia, Hart Jo, Chisholm Anna, Robinson Sarah, Goldthorpe Joanna, Peters Sarah

机构信息

School of Health Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.

School of Medical Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.

出版信息

Br Dent J. 2021 Mar 11. doi: 10.1038/s41415-021-2722-8.

Abstract

Introduction Health behaviours result in oral health problems. Behaviour change techniques, informed by behaviour science, are rarely utilised by dental care professionals (DCPs) within routine care.Aim To develop a theory-informed intervention to support DCPs' behaviour change conversations and evaluate its feasibility and acceptability.Intervention A behaviour change toolkit (Toothpicks) comprising 33 behaviour change techniques relevant to dentistry, delivered within an interactive online course.Design Development and mixed-methods evaluation of the intervention.Materials and methods Participants' motivation to discuss behaviour change with patients was measured before and after training using a validated questionnaire. Acceptability was assessed through semi-structured interviews.Results DCPs' (N = 32) motivation increased significantly post-training. Participants found the training acceptable and reported subsequently implementing techniques into their practice. Potential barriers preventing implementation to clinical practice include perceived lack of opportunities to effect change within the constraints of the clinical context.Conclusions Acceptable theory-informed training that is acceptable and accessible can be developed that increases DCPs' motivation to discuss behaviour change with patients. Further research is necessary to establish the longer-term impact of brief behaviour change training on DCPs' clinical practice and patient health behaviours.

摘要

引言 健康行为会导致口腔健康问题。牙科护理专业人员(DCPs)在常规护理中很少采用基于行为科学的行为改变技术。

目的 开发一种基于理论的干预措施,以支持DCPs进行行为改变方面的沟通,并评估其可行性和可接受性。

干预措施 一个行为改变工具包(牙签),包含33种与牙科相关的行为改变技术,通过在线互动课程提供。

设计 干预措施的开发和混合方法评估。

材料和方法 使用经过验证的问卷在培训前后测量参与者与患者讨论行为改变的动机。通过半结构化访谈评估可接受性。

结果 32名DCPs在培训后的动机显著增加。参与者认为培训是可接受的,并报告随后将这些技术应用到他们的实践中。阻碍在临床实践中实施的潜在障碍包括在临床环境的限制下感觉缺乏实现改变的机会。

结论 可以开发出可接受且易于获取的基于理论的培训,这种培训能增强DCPs与患者讨论行为改变的动机。有必要进行进一步研究,以确定简短行为改变培训对DCPs临床实践和患者健康行为的长期影响。

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