van der Veen Sabina, Evans Natalie, Aalders Marijn C, Overgoor Louis G, Huisman Martijn A, Widdershoven Guy A M
Department of Ethics, Law and Humanities, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Institute, Amsterdam, The Netherlands.
Bettery Institute, Diemen, The Netherlands.
Int J Integr Care. 2022 Apr 19;22(2):6. doi: 10.5334/ijic.5955. eCollection 2022 Apr-Jun.
This article describes an innovative, integrated care intervention, called BigMove, which aims to improve the functioning, capabilities and quality of life of people with a combination of physical and mental health conditions.
Theoretical frameworks reflected in the intervention are the Capability Approach (CA) and Self-Determination Theory (SDT). Essential elements of the intervention included to expand participants' behavioural repertoire are motivational interviewing; functional goal setting (using the International Classification of Functioning, Disability and Health (ICF); cognitive behavioural therapy; enjoyment; support of the group; and physical activity. The design combines individual sessions and group sessions.
By integrating the CA and the SDT, the intervention enables participants to make self-directed and value-driven choices in life and change their behaviour accordingly to strengthen their functioning and capabilities. To foster person-centred, integrated care, it is crucial to reform the interaction between professionals and patients and to re-structure the organisation and financing of care to enable the provision of complex integrated care interventions.
For people with physical and mental health conditions, the intervention BigMove provides an innovative integrated care approach that addresses aspirations people have regarding their functioning and focuses on individual goal setting and behaviour change.
本文介绍了一种名为“大行动”的创新型综合护理干预措施，旨在改善患有身心健康问题的人群的功能、能力和生活质量。
该干预措施所体现的理论框架是能力方法（CA）和自我决定理论（SDT）。干预措施的基本要素包括通过动机性访谈来扩展参与者的行为技能库；功能性目标设定（使用《国际功能、残疾和健康分类》（ICF））；认知行为疗法；乐趣；团体支持；以及体育活动。该设计结合了个体治疗和团体治疗。
通过整合能力方法和自我决定理论，该干预措施使参与者能够在生活中做出自主且基于价值观的选择，并相应地改变其行为，以增强其功能和能力。为了促进以患者为中心的综合护理，改革专业人员与患者之间的互动以及重新构建护理的组织和资金筹集方式，以提供复杂的综合护理干预措施至关重要。
对于患有身心健康问题的人群，“大行动”干预措施提供了一种创新型综合护理方法，该方法满足了人们对自身功能的期望，并专注于个体目标设定和行为改变。
