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促进亨廷顿病患者的身体活动:照顾者资源的共同设计。

Promoting Physical Activity in Huntington's Disease: Co-Design of a Care Partner Resource.

机构信息

School of Healthcare Sciences, Cardiff University, Cardiff, UK.

Centre for Trials Research, Cardiff University, Cardiff, UK.

出版信息

J Huntingtons Dis. 2024;13(3):375-383. doi: 10.3233/JHD-240014.

Abstract

BACKGROUND

Clinical guidelines recommend that people with Huntington's disease (HD) should exercise to maintain/improve fitness and motor function, yet physical activity levels remain low in this group. Promotion of physical activity is often via care partners with little evidence that they are supported in this role.

OBJECTIVE

The aim was to co-design a resource for care partners of people with HD to support promotion of physical activity.

METHODS

A four-step co-design approach was used to develop a care partner resource. Five care partners took part in an online workshop exploring experiences and the knowledge, support and skills needed by care partners to promote physical activity. A co-design team (n = 7) developed a prototype that was user tested by three people who had attended the workshop. Findings from user testing were used to develop the final resource.

RESULTS

An easy to read, image-based prototype was developed that contained tips on planning activity, safety and activity examples. User testing identified the need for grouping of activities suitable for 10, 20, and 30 minutes of available time, information on maintaining and improving activity and re-organization of information to support engagement of activity.

CONCLUSIONS

A resource for care partners that has been translated into seven languages was developed to promote physical activity. User testing indicated confidence in using the resource and appreciation of the autonomy provided to the person with HD to plan activities. Further work is needed to evaluate the impact of the resource in promotion of physical activity and the impact on care partner burden.

摘要

背景

临床指南建议亨廷顿病(HD)患者进行锻炼以保持/改善健康和运动功能,但该人群的身体活动水平仍然较低。身体活动的促进通常是通过护理伙伴进行的,但几乎没有证据表明他们在这一角色中得到了支持。

目的

旨在共同设计一种针对 HD 患者护理伙伴的资源,以支持身体活动的促进。

方法

采用四步共同设计方法开发护理伙伴资源。五名护理伙伴参加了一个在线研讨会,探讨了护理伙伴促进身体活动的经验、知识、支持和技能需求。一个共同设计团队(n=7)开发了一个原型,该原型由参加研讨会的三人进行了用户测试。用户测试的结果用于开发最终资源。

结果

开发了一个易于阅读、基于图像的原型,其中包含有关活动计划、安全性和活动示例的提示。用户测试确定了需要为 10、20 和 30 分钟可用时间分组活动的需求,有关维持和提高活动的信息,以及为支持活动参与而重新组织信息的需求。

结论

开发了一种针对护理伙伴的资源,已翻译成七种语言,以促进身体活动。用户测试表明,护理伙伴对使用该资源有信心,并赞赏为 HD 患者提供的自主规划活动的机会。需要进一步的工作来评估该资源在促进身体活动方面的影响以及对护理伙伴负担的影响。

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