{"title":"一项定性研究,调查医护人员对将体育活动纳入轻度认知障碍/痴呆症护理的障碍的看法。","authors":"Yan Lou, Sixue Hong, Wei Li","doi":"10.1123/japa.2023-0086","DOIUrl":null,"url":null,"abstract":"<p><p>This study aimed to investigate health care professionals' (HCPs) views on barriers to integrating physical activity (PA) into mild cognitive impairment/dementia care. Semistructured online interviews form 16 HCPs were completed between November 2022 and December 2022. Data were subjected to thematic analysis and were later mapped deductively to the Theoretical Domains Framework. Four themes were identified: (1) \"Dementia-inclusive infrastructure or PA recommendations have not yet been systematically developed and implemented;\" (2) \"Roles and challenges of the multidisciplinary team;\" (3) \"HCPs believe that patients' PA participation is influenced by their disease or individual factors;\" and (4) \"HCPs' thoughts on current practice and opinions.\" Deductive mapping of these themes revealed that 13 of the 14 Theoretical Domains Framework domains influenced it. Integrating PA into mild cognitive impairment/dementia care is subject to several modifiable determinants. Policymakers should focus on improving the environmental context and resources to encourage PA in mild cognitive impairment/dementia.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Qualitative Study Investigating Health Care Professionals' Views on Barriers to Integrating Physical Activity Into Mild Cognitive Impairment/Dementia Care.\",\"authors\":\"Yan Lou, Sixue Hong, Wei Li\",\"doi\":\"10.1123/japa.2023-0086\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study aimed to investigate health care professionals' (HCPs) views on barriers to integrating physical activity (PA) into mild cognitive impairment/dementia care. Semistructured online interviews form 16 HCPs were completed between November 2022 and December 2022. Data were subjected to thematic analysis and were later mapped deductively to the Theoretical Domains Framework. Four themes were identified: (1) \\\"Dementia-inclusive infrastructure or PA recommendations have not yet been systematically developed and implemented;\\\" (2) \\\"Roles and challenges of the multidisciplinary team;\\\" (3) \\\"HCPs believe that patients' PA participation is influenced by their disease or individual factors;\\\" and (4) \\\"HCPs' thoughts on current practice and opinions.\\\" Deductive mapping of these themes revealed that 13 of the 14 Theoretical Domains Framework domains influenced it. Integrating PA into mild cognitive impairment/dementia care is subject to several modifiable determinants. Policymakers should focus on improving the environmental context and resources to encourage PA in mild cognitive impairment/dementia.</p>\",\"PeriodicalId\":51073,\"journal\":{\"name\":\"Journal of Aging and Physical Activity\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-10-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Aging and Physical Activity\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1123/japa.2023-0086\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging and Physical Activity","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1123/japa.2023-0086","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
本研究旨在调查医护专业人员(HCPs)对将体育锻炼(PA)纳入轻度认知障碍/痴呆症护理的障碍的看法。在 2022 年 11 月至 2022 年 12 月期间,对 16 名医护人员进行了半结构化在线访谈。对数据进行了主题分析,随后将其与理论领域框架进行演绎映射。确定了四个主题:(1) "尚未系统地开发和实施老年痴呆症包容性基础设施或 PA 建议";(2) "多学科团队的角色和挑战";(3) "保健医生认为患者参与 PA 受其疾病或个人因素的影响";以及 (4) "保健医生对当前实践和意见的看法"。对这些主题进行演绎映射后发现,14 个理论领域框架领域中有 13 个对其产生了影响。将 PA 纳入轻度认知障碍/痴呆症护理受制于几个可改变的决定因素。政策制定者应重点改善环境背景和资源,以鼓励轻度认知障碍/痴呆症患者进行体育锻炼。
A Qualitative Study Investigating Health Care Professionals' Views on Barriers to Integrating Physical Activity Into Mild Cognitive Impairment/Dementia Care.
This study aimed to investigate health care professionals' (HCPs) views on barriers to integrating physical activity (PA) into mild cognitive impairment/dementia care. Semistructured online interviews form 16 HCPs were completed between November 2022 and December 2022. Data were subjected to thematic analysis and were later mapped deductively to the Theoretical Domains Framework. Four themes were identified: (1) "Dementia-inclusive infrastructure or PA recommendations have not yet been systematically developed and implemented;" (2) "Roles and challenges of the multidisciplinary team;" (3) "HCPs believe that patients' PA participation is influenced by their disease or individual factors;" and (4) "HCPs' thoughts on current practice and opinions." Deductive mapping of these themes revealed that 13 of the 14 Theoretical Domains Framework domains influenced it. Integrating PA into mild cognitive impairment/dementia care is subject to several modifiable determinants. Policymakers should focus on improving the environmental context and resources to encourage PA in mild cognitive impairment/dementia.
期刊介绍:
The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults.
In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.