Miller Megan, Locke Amy, Fuller Arwen, King Jensen Jessica
Department of Health & Kinesiology, College of Health, University of Utah, Salt Lake City, UT, USA (MM, AF, JKJ); and Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA (AL).
Am J Lifestyle Med. 2022 Aug 17;18(6):779-784. doi: 10.1177/15598276221120640. eCollection 2024 Nov-Dec.
Prescribing lifestyle behavior change is a recommended strategy for both primary and secondary prevention of disease. Programs that support and encourage lifestyle behavior change are available to patients but are underutilized. The purpose of this study was to understand primary care providers (PCPs) experiences and barriers they experience with referring patients to lifestyle behavior change programs at one academic health care system. In-depth semi-structured interviews were conducted with 7 academic PCPs between November 2020 and January 2021. Qualitative analysis identified major themes. Four themes emerged: (1) guideline awareness and adherence, (2) barriers to lifestyle behavior change recommendations, (3) provider role with respect to lifestyle behavior change recommendations, and (4) suggestions to improve utilization of behavior change support. Specific strategies for improvement include revising referral process, educating providers about programs already offered, integrating a team-based approach, and systemizing healthy lifestyle behaviors interventions. The lessons identified through this study highlight the need for systematic prioritization of lifestyle behavior change to decrease certain barriers that providers face when attempting to integrate lifestyle change consistently into their practice.
开出改变生活方式行为的处方是疾病一级和二级预防的推荐策略。有支持和鼓励改变生活方式行为的项目可供患者使用，但这些项目未得到充分利用。本研究的目的是了解初级保健提供者（PCP）在将患者转介至某学术医疗系统的生活方式行为改变项目时的经历和障碍。2020年11月至2021年1月期间，对7名学术PCP进行了深入的半结构化访谈。定性分析确定了主要主题。出现了四个主题：（1）指南意识和遵循情况，（2）生活方式行为改变建议的障碍，（3）提供者在生活方式行为改变建议方面的作用，以及（4）提高行为改变支持利用率的建议。具体的改进策略包括修订转诊流程、对提供者进行已提供项目的教育、采用基于团队的方法以及将健康生活方式行为干预系统化。通过本研究确定的经验教训凸显了对生活方式行为改变进行系统优先排序的必要性，以减少提供者在试图将生活方式改变持续纳入其实践时面临的某些障碍。
