Centre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
BMJ Open. 2024 Oct 22;14(10):e085233. doi: 10.1136/bmjopen-2024-085233.
Helping people to change their health behaviours is becoming a greater feature within the role of health professionals, including through whole system initiatives such as Making Every Contact Count. Health services provide an ideal setting to routinely promote health behaviours, including physical activity. Snacktivity is a novel approach that promotes small bouts of physical activity (activity snacks) throughout the day. This study explored health professionals' initial experiences of delivering a Snacktivity intervention to promote physical activity within routine health consultations. A further aim was to investigate health professionals' ability/fidelity in delivering the Snacktivity intervention to their patients.
Semistructured interviews (n=11) and audio recording of consultations (n=46).
Healthcare professionals from a variety of specialisms who delivered the Snacktivity intervention within patient consultations.
Analyses revealed two higher-level themes of interest: (1) health professionals' conceptualisation of Snacktivity (subthemes: observations/reflections about patients' understanding, engagement and enthusiasm for delivering the Snacktivity intervention) and (2) health professionals' understanding of Snacktivity and experience in delivering the intervention (subthemes: delivering Snacktivity; limitations, challenges and possible improvements). Consultation audio recordings demonstrated health professionals delivered the Snacktivity intervention with high levels of fidelity. Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations although practical barriers to implementation such as time constraints were raised, and confidence in doing so was mixed.
Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations. The primary barrier to implementation was the time to deliver it, however, gaining greater experience in the intervention and improving behaviour change counselling skills may reduce this barrier.
ISRCTN64851242.
帮助人们改变健康行为正成为健康专业人员角色的一个重要特征，包括通过全民接触计数等全系统举措。卫生服务提供了一个理想的环境，可以常规地促进健康行为，包括身体活动。Snacktivity 是一种新颖的方法，可促进全天进行短暂的身体活动（活动小吃）。本研究探讨了健康专业人员在常规健康咨询中提供 Snacktivity 干预以促进身体活动的初步经验。另一个目的是调查健康专业人员向患者提供 Snacktivity 干预的能力/保真度。
半结构化访谈（n=11）和咨询录音（n=46）。
来自各种专业的医疗保健专业人员，他们在患者咨询中提供 Snacktivity 干预。
分析揭示了两个更高级别的主题：（1）健康专业人员对 Snacktivity 的概念化（子主题：对患者理解、参与和热情的观察/反思，以及对提供 Snacktivity 干预的理解）和（2）健康专业人员对 Snacktivity 的理解和实施干预的经验（子主题：提供 Snacktivity；实施 Snacktivity 的限制、挑战和可能的改进）。咨询录音显示，健康专业人员以高度的保真度提供了 Snacktivity 干预。健康专业人员熟练且支持在咨询中提供 Snacktivity 干预，尽管实施存在实际障碍，例如时间限制，但对这样做的信心参差不齐。
健康专业人员在咨询中熟练且支持提供 Snacktivity 干预。实施的主要障碍是提供它的时间，但增加对干预的经验并提高行为改变咨询技巧可能会减少这一障碍。
ISRCTN64851242。
