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慢性广泛性疼痛人群共创健康计划和支持可持续身体活动的经验:瑞典的一项定性访谈研究。

Experience of co-creation of a health plan and support for sustainable physical activity among people with chronic widespread pain: a qualitative interview study in Sweden.

机构信息

Department of Health and Rehabilitation, Unit of Physiotherapy, University of Gothenburg Institute of Neuroscience and Physiology, Goteborg, Sweden

Department of Occupational Therapy and Physical Therapy, Sahlgrenska University Hospital, Region Västra Götaland, Goteborg, Sweden.

出版信息

BMJ Open. 2022 Apr 8;12(4):e059432. doi: 10.1136/bmjopen-2021-059432.

Abstract

OBJECTIVES

The aim of this study was to gain deeper knowledge about how people with chronic widespread pain (CWP) experience the co-creation of a health plan for sustainable physical activity, working in partnership with a physiotherapist, supported by a digital platform.

DESIGN

Qualitative semistructured in-depth individual interviews were analysed with qualitative content analysis.

SETTING

Five primary healthcare centres in western Sweden.

PARTICIPANTS

The interviewees comprised 19 individuals with CWP who had previously participated in a person-centred intervention involving co-creation of a health plan and support via a digital platform. The interviews were carried out from late 2019 to spring 2020, 1-6 months after the respondents' final follow-up.

RESULTS

The analysis resulted in an overarching theme; hope for physical activity that actually works, illustrating the experience of taking part in co-creating a reasonable health plan, based on the respondents' own goals and interests with the potential to actually work. This theme was based on two categories: a plan tailored for me and a frame for participation and accessibility to help fulfil the plan. The digital platform provided a way to participate and an assurance that there was someone there for them if necessary.

CONCLUSIONS

The co-creation of a health plan nurtured hope of having developed a manageable plan for physical activity that could lead to improved future health and well-being. Digital support may serve as a valuable complement in order to sustain and adjust the planned physical activity.

TRIAL REGISTRATION NUMBER

ClinicalTrials.gov Identifier: NCT03434899.

摘要

目的

本研究旨在深入了解慢性广泛性疼痛(CWP)患者如何与物理治疗师合作,共同制定可持续体育活动的健康计划,并在数字平台的支持下体验健康计划的共创。

设计

采用定性半结构式深度个体访谈进行分析,并采用定性内容分析。

地点

瑞典西部的 5 个初级保健中心。

参与者

19 名参与者患有 CWP,他们之前曾参加过一项以人为中心的干预措施,涉及共同制定健康计划,并通过数字平台提供支持。访谈于 2019 年底至 2020 年春季进行,在受访者最后一次随访后 1-6 个月。

结果

分析产生了一个总体主题:对实际可行的体育活动的希望,说明了参与共同制定合理健康计划的体验,该计划基于受访者自己的目标和兴趣,具有实际可行的潜力。这个主题基于两个类别:为我量身定制的计划和参与框架以及实现计划的可及性和辅助性。数字平台提供了参与的途径,并保证在需要时有人可以提供帮助。

结论

健康计划的共同制定孕育了对制定可管理的体育活动计划的希望,这可能会导致未来健康和福祉的改善。数字支持可能是维持和调整计划体育活动的有价值的补充。

试验注册号

ClinicalTrials.gov 标识符:NCT03434899。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6b/8996005/25b018ac607d/bmjopen-2021-059432f01.jpg

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