Experiences and perspectives of integrating nutrition education into an exercise program for people with chronic medical conditions

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2024-01-10 DOI:10.1002/hpja.841

Hannah Powter, Kelly Lambert, Natalie Nicholls

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引用次数: 0

Abstract

Issue Addressed

Community-based healthy eating and exercise programs are effective interventions to support some people with chronic conditions. This research aimed to explore the experiences and perceptions of participants regarding the integration of nutrition education into a successful group based exercise program for people with chronic medical conditions.

Methods

Semi-structured interviews were conducted with past participants of a community based group exercise program (Health Moves) with embedded nutrition advice based in a regional area of New South Wales. A total of 60 individuals who had participated in the Health Moves program between 2017 and 2019 were invited to participate and 19 (32%) randomly selected participants consented to be interviewed. Interviews explored participants' experiences, program impacts, and barriers to sustaining changes post program. Similar concepts and patterns were grouped into themes.

Results

Four themes were identified that described the experiences with a community-based group exercise intervention with a nutrition component. The major themes evident were that Health Moves facilitated motivation (via access to health professionals, peer support, accountability, affordability); and there were challenges identified to sustaining change (including cost, comorbidities, end of program support, environmental factors); Nutrition advice was valuable for some but not for all (difficulty recalling nutrition components, superficial coverage) Practical and interactive nutrition advice is desired.

Conclusions

Participants expressed a high degree of satisfaction with the program but require ongoing support to sustain changes post program. The position and integration of nutrition education within this exercise program was perceived by participants to be suboptimal. Increased access to practical, interactive nutrition education components may improve participant satisfaction and engagement.

So What?

Key findings from this research include a desire for removal of didactic nutrition education sessions and request for increased peer support. Modifications to the program include the integration of interactive self-paced nutrition modules. Peer support partnerships are now encouraged by trainers to support ongoing motivation of participants to keep training together outside the structured exercise program and transition to managing their own exercise routine. Discussions between organisations involved about ongoing pathway/program support or reduced cost ‘off peak’ gym membership is underway to help with costs incurred by participants.

查看原文本刊更多论文

将营养教育纳入慢性病患者锻炼计划的经验和观点。

解决的问题：基于社区的健康饮食和运动计划是支持部分慢性病患者的有效干预措施。本研究旨在探讨参与者对于将营养教育融入针对慢性病患者的成功团体锻炼计划的经验和看法：对新南威尔士州一个地区的社区团体锻炼计划（Health Moves）的参与者进行了半结构式访谈，该计划包含营养建议。共邀请了 60 名在 2017 年至 2019 年期间参加过健康运动计划的人参与，并随机抽取了 19 名（32%）参与者同意接受访谈。访谈探讨了参与者的经历、计划的影响以及计划结束后保持改变的障碍。相似的概念和模式被归类为主题：结果：共确定了四个主题，描述了以社区为基础、含有营养成分的团体锻炼干预的经验。主要的主题包括："健康之举 "促进了参与者的积极性（通过接触医疗专业人员、同伴支持、问责制、经济承受能力）；持续改变面临挑战（包括成本、合并症、项目结束支持、环境因素）；营养建议对一些人有价值，但对所有人没有价值（难以回忆营养成分、覆盖面肤浅）；希望获得实用的互动式营养建议：结论：参与者对该计划的满意度很高，但需要持续的支持以维持计划后的变化。参与者认为营养教育在这项运动计划中的地位和整合不够理想。增加实用、互动的营养教育内容可提高参与者的满意度和参与度。所以呢？这项研究的主要发现包括希望取消说教式营养教育课程，并要求增加同伴支持。对该计划的修改包括整合自定进度的互动营养模块。现在，培训师鼓励建立同伴互助伙伴关系，以支持不断激励参与者在结构化锻炼计划之外继续共同训练，并过渡到管理自己的日常锻炼。有关组织之间正在就持续的路径/计划支持或降低 "非高峰期 "健身房会员费用进行讨论，以帮助解决参与者的费用问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.