Challenging assumptions underlying physical activity promotion for health care professionals in Australia: A data-prompted interview study.
health care professionals
internet
online
physical activity
randomised controlled trial
tailoring
Journal
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals
ISSN: 1036-1073
Titre abrégé: Health Promot J Austr
Pays: Australia
ID NLM: 9710936
Informations de publication
Date de publication:
03 Aug 2023
03 Aug 2023
Historique:
revised:
20
07
2023
received:
23
05
2023
accepted:
21
07
2023
medline:
4
8
2023
pubmed:
4
8
2023
entrez:
4
8
2023
Statut:
aheadofprint
Résumé
Interventions targeting health care professionals' behaviours are assumed to support them in learning how to give behavioural advice to patients, but such assumptions are rarely examined. This study investigated whether key assumptions were held regarding the design and delivery of physical activity interventions among health care professionals in applied health care settings. This study was part of the 'Physical Activity Tailored intervention in Hospital Staff' randomised controlled trial of three variants of a web-based intervention. We used data-prompted interviews to explore whether the interventions were delivered and operated as intended in health care professionals working in four hospitals in Western Australia (N = 25). Data were analysed using codebook thematic analysis. Five themes were constructed: (1) health care professionals' perceived role in changing patients' health behaviours; (2) work-related barriers to physical activity intervention adherence; (3) health care professionals' use of behaviour change techniques; (4) contamination between groups; and (5) perceptions of intervention tailoring. The intervention was not experienced by participants, nor did they implement the intervention guidance, in the way we expected. For example, not all health care professionals felt responsible for providing behaviour change advice, time and shift constraints were key barriers to intervention participation, and contamination effects were difficult to avoid. SO WHAT?: Our study challenges assumptions about how health care professionals respond to behaviour change advice and possible knock-on benefits for patients. Applying our learnings may improve the implementation of health promotion interventions in health care settings.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Australian Research Council
ID : FT210100234
Organisme : Central Queensland University
Organisme : Curtin Health Innovation Research Institute, Curtin University
Organisme : Health Collaborative Research Network
Organisme : National Health and Medical Research Council
ID : APP1090517
Organisme : St. John of God Subiaco Hospital
Organisme : Suomalainen Tiedeakatemia
Organisme : TEKES
Informations de copyright
© 2023 The Authors. Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.
Références
Pendrith C, Propp R, Keshavjee L, Anderson J, Ivers N, Hillier LM. Increasing the provision of physical activity advice by healthcare professionals. Cochrane Database Syst Rev. 2017;2017(3):CD012585.
Rose S, Poynter P, Anderson J, Noar S, Conigliaro J. Physician weight loss advice and patient weight loss behavior change: a literature review and meta-analysis of survey data. Int J Obes. 2013;37(1):118-128.
Binks H, Vincent GE, Irwin C, Heidke P, Vandelanotte C, Williams S, et al. Associations between sleep and lifestyle behaviours among Australian nursing students: a cross-sectional study. Collegian. 2021;28:97-105.
Kelly M, Wills J, Sykes S. Do nurses' personal health behaviours impact on their health promotion practice? A systematic review. Int J Nurs Stud. 2017;76:62-77.
Fie S, Norman IJ, While AE. The relationship between physicians' and nurses' personal physical activity habits and their health-promotion practice: a systematic review. Health Educ J. 2013;72(1):102-119.
McDowell N, McKenna J, Naylor P-J. Factors that influence practice nurses to promote physical activity. Br J Sports Med. 1997;31:308-313.
Kwasnicka D, Vandelanotte C, Rebar A, Gardner B, Short C, Duncan M, et al. Comparing motivational, self-regulatory and habitual processes in a computer-tailored physical activity intervention in hospital employees-protocol for the PATHS randomised controlled trial. BMC Public Health. 2017;17(1):518.
Kwasnicka D, Dombrowski SU, White M, Sniehotta FF. Data-prompted interviews: using individual ecological data to stimulate narratives and explore meanings. Health Psychol. 2015;34(12):1191-1194.
Vasileiou K, Barnett J, Thorpe S, Young T. Characterising and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period. BMC Med Res Methodol. 2018;18:148.
Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10(3):277-296.
Gardner B. A review and analysis of the use of ‘habit’ in understanding, predicting and influencing health-related behaviour. Health Psychol Rev. 2015;9:277-295.
Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health. 2019;11(4):589-597.
Smith BR, McGannon KR. Developing rigor in qualitative research: problems and opportunities within sport and exercise psychology. Int Rev Sport Exerc Psychol. 2018;11:101-121.
Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol. 2021;18(3):328-352.
Keyworth C, Epton T, Goldthorpe J, Calam R, Armitage CJ. Are healthcare professionals delivering opportunistic behaviour change interventions? A multi-professional survey of engagement with public health policy. Implementation Sci. 2018;13(1):122.
Walsh K, Grech C, Hill K. Health advice and education given to overweight patients by primary care doctors and nurses: a scoping literature review. Prev Med Rep. 2019;14:100812.
Joynt GM, Wong W-T, Ling L, Lee A. Medical students and professionalism-do the hidden curriculum and current role models fail our future doctors? Med Teach. 2018;40(4):395-399.
NHS England. Making Every Contact Count (MECC): Consensus statement. 2016 https://www.england.nhs.uk/wp-content/uploads/2016/04/making-every-contact-count.pdf
O'Keeffe A, Hayes B, Prihodova L. “Do as we say, not as we do?” The lifestyle behaviours of hospital doctors working in Ireland: a national cross-sectional study. BMC Public Health. 2019;19(1):179.
Donetto S, Pierri P, Tsianakas V, Robert G. Experience-based co-design and healthcare improvement: realizing participatory design in the public sector. Des J. 2015;18:227-248.
Hemming K, Taljaard M, Moerbeek M, Forbes A. Contamination: how much can an individually randomized trial tolerate? Stat Med. 2021;40:3329-3351.
Nguyen MH, Bol N, Lustria MLA. Perceived active control over online health information: underlying mechanisms of mode tailoring effects on website attitude and information recall. J Health Commun. 2020;25(4):271-282.
Australian Bureau of Statistics. Cultural diversity: census. 2022 https://www.abs.gov.au/statistics/people/people-and-communities/cultural-diversity-census/latest-release
Australian Institute of Health and Welfare. Health workforce. 2022 https://www.aihw.gov.au/reports/workforce/health-workforce
Australian Institute of Health and Welfare. Physical activity across the life stages. 2018 https://www.aihw.gov.au/reports/phe/225/physical-activity-across-the-life-stages/summary
Department of Health. National Aboriginal and Torres Strait islander health workforce strategic framework and implementation plan 2021-2031. 2022 https://www.health.gov.au/resources/publications/national-aboriginal-and-torres-strait-islander-health-workforce-strategic-framework-and-implementation-plan-2021-2031