Raumer-Monteith Lauren, Kennedy Madonna, Ball Lauren
Nutrition and Dietetics, School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia.
Prevention Strategy Branch, Queensland Health, Brisbane, Australia.
JMIR Med Educ. 2023 Jul 27;9:e45587. doi: 10.2196/45587.
Supporting patients to live well by optimizing behavior is a core tenet of primary health care. General practitioners and practice nurses experience barriers in providing behavior change interventions to patients for lifestyle behaviors, including low self-efficacy in their ability to enact change. Web-based learning technologies are readily available for general practitioners and practice nurses; however, opportunities to upskill in behavior change are still limited. Understanding what influences general practitioners' and practice nurses' adoption of web-based learning is crucial to enhancing the quality and impact of behavior change interventions in primary health care.
This study aimed to explore general practitioners' and practice nurses' perceptions regarding web-based learning to support patients with behavior change.
A qualitative, cross-sectional design was used involving web-based, semistructured interviews with general practitioners and practice nurses in Queensland, Australia. The interviews were recorded and transcribed using the built-in Microsoft Teams transcription software. Inductive coding was used to generate codes from the interview data for thematic analysis.
In total, there were 11 participants in this study, including general practitioners (n=4) and practice nurses (n=7). Three themes emerged from the data analysis: (1) reflecting on the provider of the Healthy Lifestyles suite; (2) valuing the web-based learning content and presentation; and (3) experiencing barriers and facilitators to using the Healthy Lifestyles suite.
Provider reputation, awareness of availability, resources, content quality, usability, cost, and time influence adoption of web-based learning. Perceived quality is associated with culturally tailored information, resources, a balance of information and interactivity, plain language, user-friendly navigation, appealing visual presentation, communication examples, and simple models. Free web-based learning that features progress saving and module lengths of less than 2 hours alleviate perceived time and cost barriers. Learning providers may benefit by including these features in their future behavior change web-based learning for general practitioners and practice nurses.
通过优化行为来支持患者过上健康的生活是初级卫生保健的核心原则。全科医生和执业护士在为患者提供针对生活方式行为的行为改变干预措施时遇到障碍，包括实施改变的自我效能较低。基于网络的学习技术对全科医生和执业护士来说很容易获得；然而，提升行为改变技能的机会仍然有限。了解影响全科医生和执业护士采用基于网络学习的因素对于提高初级卫生保健中行为改变干预措施的质量和效果至关重要。
本研究旨在探讨全科医生和执业护士对基于网络学习以支持患者进行行为改变的看法。
采用定性横断面设计，对澳大利亚昆士兰州的全科医生和执业护士进行基于网络的半结构化访谈。访谈使用微软团队内置的转录软件进行录制和转录。采用归纳编码从访谈数据中生成代码以进行主题分析。
本研究共有11名参与者，包括全科医生（n = 4）和执业护士（n = 7）。数据分析得出三个主题：（1）对健康生活方式套件提供者的反思；（2）重视基于网络的学习内容和呈现方式；（3）在使用健康生活方式套件时遇到的障碍和促进因素。
提供者声誉、可用性意识、资源、内容质量、可用性、成本和时间会影响基于网络学习的采用。感知质量与文化定制信息、资源、信息与互动的平衡、通俗易懂的语言、用户友好的导航、吸引人的视觉呈现、沟通示例和简单模型相关。具有进度保存功能且模块长度少于2小时的免费网络学习可减轻感知到的时间和成本障碍。学习提供者在未来为全科医生和执业护士开展基于网络的行为改变学习时，纳入这些功能可能会受益。
