Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Front Public Health. 2021 Mar 15;9:555449. doi: 10.3389/fpubh.2021.555449. eCollection 2021.
Primary care organizations are well-suited to help patients change their unhealthy behaviors. Evidence shows that risk communication and self-monitoring of behavior are is an effective strategy practitioners can use to promote health behavior change with their patients. In order for this evidence to be actionable, it is important to understand how patients would like this information to be communicated and to operationalize the self-monitoring resources. The objective of this study was to co-create resources that encourage behavior change based on the scientific evidence and from patients with lived experiences. Twenty-seven individuals who participated in a smoking cessation program and engaged in at least one other unhealthy behavior joined one of two engagement events. Each event was 3 h in duration and consisted of two exercises that provided support to participants in reaching a consensus about the types of messages they would like to receive from their practitioner as well as self-monitoring resources they would prefer to use. The first exercise followed an adapted version of the Consensus Methodology developed by the Institute of Cultural Affairs Canada, while the second exercise was in accordance to the Nominal Group Technique. Participants' preference was to have practitioners convey messages to promote health behavior change that include positive affirmation and to monitor all their health behaviors using a single self-reported tracking sheet. This paper features the use of engagement events to reflect upon and identify potential resources that treatment seeking smokers prefer to receive while attempting to modify unhealthy behaviors. These resources can be used by health care providers in primary care settings to support health promotion interventions and assist their patients to increase their likelihood of adopting positive changes to risk behaviors.
基层医疗组织非常适合帮助患者改变其不健康的行为。有证据表明，风险沟通和行为自我监测是一种有效的策略，医生可以用它来促进患者的健康行为改变。为了使这些证据具有可操作性，了解患者希望如何传达这些信息并对自我监测资源进行操作化非常重要。本研究的目的是基于科学证据并结合有生活经验的患者共创资源，以鼓励行为改变。 27 名参加戒烟计划并从事至少一种其他不健康行为的人参加了两次参与活动之一。每次活动持续 3 小时，包括两项练习，为参与者提供支持，以就他们希望从医生那里收到的信息类型以及他们希望使用的自我监测资源达成共识。第一项练习遵循了加拿大文化事务研究所制定的共识方法的改编版本，第二项练习则符合名义群体技术。 参与者希望医生传达促进健康行为改变的信息，包括积极肯定，并使用单一的自我报告跟踪表来监测他们的所有健康行为。 本文介绍了使用参与式活动来反思和确定寻求治疗的吸烟者在试图改变不健康行为时更喜欢接受的潜在资源。这些资源可用于基层医疗机构的医疗保健提供者，以支持健康促进干预措施，并帮助患者增加采取积极改变风险行为的可能性。
