生活方式教练作为医疗保健网络中的核心专业人员？使用网络分析随时间的动态变化。

Lifestyle coaches as a central professional in the health care network? Dynamic changes over time using a network analysis.

作者信息

van Rinsum Celeste E, Gerards Sanne M P L, Rutten Geert M, van de Goor Ien A M, Kremers Stef P J, Mercken Liesbeth

机构信息

Department of Health Promotion, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.

NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.

出版信息

BMC Health Serv Res. 2021 Mar 19;21(1):247. doi: 10.1186/s12913-021-06252-3.

DOI:10.1186/s12913-021-06252-3

PMID:33740982

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7980338/

Abstract

BACKGROUND

Overweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese children (and their parents) as well as adults in initiating and maintaining healthier lifestyle behaviours. It is currently unclear whether this novel professional in the Dutch health care system functions as a linchpin in networks that evolve around lifestyle-related health problems. The aim of the present study is to investigate the formation and development of networks of lifestyle coaches and their positions within these networks.

METHODS

In this longitudinal study, key professionals and professionals within relevant organisations in the Coaching on Lifestyle (CooL) care networks were asked to fill in three online questionnaires. Respondents were asked to indicate whether they collaborated with each of the specified professionals in the context of CooL. The overall network structures and the central role of the lifestyle coaches were examined by using network analysis.

RESULTS

The results showed that the networks in three out of four regions were relatively centralised, but that none of the networks were dense, and that the professionals seemed to collaborate less with others over time. Half of the lifestyle coaches had a high number of collaborations and a central position within their networks, which also increased over time. In half of the regions, the lifestyle coaches had increased their role as consultants, while their role as gatekeeper and liaison decreased over time. In most regions, the sector of lifestyle coaches had a central position in their networks in just one measurement. Other central sectors were the local sports organisation, public health services, youth health care and the municipal government.

CONCLUSIONS

Overall, we cannot conclude that more central and denser networks were formed during the study period. In addition, the lifestyle coaches were not often positioned as a central sector within these networks. Entrepreneurial, network and brokering competences are required for lifestyle coaches to build up denser networks.

TRIAL REGISTRATION

NTR6208 ; date registered: 13-01-2017; retrospectively registered; Netherlands Trial Register.

摘要

背景

超重和肥胖问题在全球范围内的儿童和成人中都日益严重，通过采取更健康的生活方式或许可以预防。生活方式教练为超重和肥胖儿童（及其父母）以及成人提供咨询，帮助他们启动并维持更健康的生活方式行为。目前尚不清楚这位荷兰医疗保健系统中的新兴专业人士是否在围绕与生活方式相关的健康问题发展起来的网络中发挥关键作用。本研究的目的是调查生活方式教练网络的形成与发展及其在这些网络中的地位。

方法

在这项纵向研究中，生活方式指导（CooL）护理网络中相关组织的关键专业人员和专业人员被要求填写三份在线问卷。受访者被要求指出他们是否在CooL的背景下与每个指定的专业人员合作。通过网络分析来研究整体网络结构以及生活方式教练的核心作用。

结果

结果显示，四个地区中有三个地区的网络相对集中，但没有一个网络是密集的，而且随着时间的推移，专业人员之间的合作似乎减少了。一半的生活方式教练有大量合作且在其网络中处于核心地位，这种情况也随着时间的推移而增加。在一半的地区，生活方式教练作为顾问的角色有所增加，而作为守门人和联络人的角色随着时间的推移而减少。在大多数地区，生活方式教练部门仅在一次测量中在其网络中处于核心地位。其他核心部门包括当地体育组织、公共卫生服务机构、青少年保健机构和市政府。