回归正轨:利用干预制图技术对代谢减肥手术后体重复发的混合护理干预的发展

Vera Voorwinde , Ingrid H.M. Steenhuis , Ignace M.C. Janssen , Valerie M. Monpellier , Maartje M. van Stralen
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引用次数: 0

摘要

目的系统地重新制定针对代谢减肥手术(MBS)后体重复发的混合护理干预措施。体重复发对约20 - 30%的MBS患者构成了重大的长期挑战。干预的目的是改善体重结果和提高病人的幸福感。本研究描述了干预映射(IM)协议的新应用,整合了科学证据和利益相关者的输入。方法采用六步IM方案指导开发过程,确保患者和医护人员的积极参与。使用定量、定性和基于文献的方法进行全面的需求评估,为问题的逻辑模型(步骤1)和变化的逻辑模型(步骤2)的创建提供信息。通过协同头脑风暴和设计思考会议制定项目结果和目标,从而进行干预设计(步骤3)。干预是由患者、实施者和应用程序开发人员共同制作的(步骤4)。随后制定了详细的实施(步骤5)和评估(步骤6)计划。结果IM过程产生了基于理论框架和循证方法的混合护理干预。干预积极涉及目标人群和实施者,解决体重复发的关键决定因素。结论:IM协议在mbs后设计量身定制的、基于理论的干预方面具有实用性。该进程强调了整合利益攸关方观点的价值,并强调了共同创建循证干预措施的可行性。创新:该干预措施将新开发的元素融入到一种新型混合护理结构中。未来的评价是必要的,以确定其在实现预期结果方面的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Getting back on track: Development of a blended-care intervention for weight recurrence after metabolic bariatric surgery using intervention mapping

Objective

To systematically re-develop a blended-care intervention addressing weight recurrence after metabolic bariatric surgery (MBS). Weight recurrence poses a significant longterm challenge for around 20–30 % of MBS patients. The intervention aims to improve weight outcomes and enhance patient well-being. This study describes the novel application of the Intervention Mapping (IM) protocol, integrating scientific evidence and stakeholder input.

Methods

The six-step IM protocol guided the development process, ensuring the active involvement of patients and healthcare professionals. A comprehensive needs assessment using quantitative, qualitative, and literature-based approaches informed the creation of a logic model of the problem (Step 1) and a logic model of change (Step 2). Program outcomes and objectives were formulated through collaborative brainstorming and design-thinking sessions, leading to intervention design (Step 3). The intervention was co-produced with patients, implementers, and an app developer (Step 4). Detailed implementation (Step 5) and evaluation (Step 6) plans were subsequently developed.

Results

The IM process yielded a blended-care intervention grounded in theoretical frameworks and evidence-based methods. The intervention actively involved the target population and implementers, addressing key determinants of weight recurrence.

Conclusion

The IM protocol demonstrated utility in designing a tailored, theory-based intervention post-MBS. The process emphasized the value of integrating stakeholder perspectives and highlighted the feasibility of co-creating an evidence-informed intervention.

Innovation

This intervention incorporates newly developed elements in a novel blended-care structure. Future evaluation is necessary to determine its effectiveness in achieving the desired outcomes.
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来源期刊
PEC innovation
PEC innovation Medicine and Dentistry (General)
CiteScore
0.80
自引率
0.00%
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审稿时长
147 days
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