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理解动机性访谈干预对高血压或 2 型糖尿病患者整体生活方式改善的患者体验:一项定性焦点小组研究。

Understanding patient experiences in a motivational interviewing intervention to improve whole-person lifestyle among individuals with hypertension or type 2 diabetes: a qualitative focus group study.

机构信息

AdventHealth, Research Institute, Orlando, FL, USA.

出版信息

Int J Qual Stud Health Well-being. 2021 Dec;16(1):1978373. doi: 10.1080/17482631.2021.1978373.

Abstract

PURPOSE

This qualitative focus group study aimed to determine how participants responded to a motivational interviewing intervention and to further explore how it impacted whole-person lifestyle of participants with hypertension or type 2 diabetes.

METHODS

Twenty participants attended one of five focus groups. A trained researcher led the one-hour focus groups using a semi-structured question guide. Responses were coded using thematic analysis and were then aggregated into six themes.

RESULTS

The following six themes emerged most consistently: (1) the importance of a coach who can connect meaningfully with participants; (2) appreciation of the whole-person approach; (3) the power of "choice" in making health behaviour changes; (4) the effectiveness of goal setting and accountability; (5) the desire for increased contact and follow-up; (6) overall positive experience with mixed clinical results.

CONCLUSION

Focus group themes highlighted that this intervention may empower individuals to feel confident in their choices and attain their goals during their health and wellness journey.

摘要

目的

本定性焦点小组研究旨在确定参与者对动机性访谈干预的反应,并进一步探讨其如何影响高血压或 2 型糖尿病患者的整体生活方式。

方法

20 名参与者参加了五个焦点小组中的一个。一名经过培训的研究人员使用半结构化问题指南主持了一个小时的焦点小组。使用主题分析对回答进行编码,然后将其汇总为六个主题。

结果

以下六个主题最一致地出现:(1)需要一位能够与参与者建立有意义联系的教练;(2)对整体方法的赞赏;(3)在做出健康行为改变时“选择”的力量;(4)设定目标和问责制的有效性;(5)增加联系和随访的愿望;(6)整体积极的体验和混合的临床结果。

结论

焦点小组主题强调,这种干预措施可能使个人在健康和健康之旅中感到有信心做出自己的选择并实现自己的目标。

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