qualitative study of the experiences of individuals who did not complete the NHS Low Calorie Diet Programme Pilot

IF 0.4 Q4 ENDOCRINOLOGY & METABOLISM British Journal of Diabetes Pub Date : 2024-04-16 DOI:10.15277/bjd.2024.434
Kevin J Drew, Catherine Homer, Duncan Radley, Chirag Bakhai, Louisa J Ells
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引用次数: 3

Abstract

Background: Attrition remains a significant public health challenge as individuals who do not complete programmes are likely to have poorer programme outcomes. On calorie- restricted diets, including the NHS Low Calorie Diet (LCD) Programme pilot, approximately 50% of people are discharged prematurely, and thus do not complete the programme. Reducing attrition therefore has the potential to improve programme efficacy, impact and cost-effectiveness. Methods: Ten semi-structured interviews were conducted with purposively sampled individuals who did not complete the NHS LCD programme. Interviews explored service user experiences of the programme and experiences of being discharged. Interview data were analysed thematically. Results: Four core themes were identified: 1) the pre- programme struggles of service users and their route to LCD; 2) a positive and impactful programme; 3) life gets in the way; and 4) a perceived lack of support from the provider. These findings show that individuals had pre-programme struggles and a series of life events that constrained their good intentions, and whilst they were positive about the programme, they were critical of the support they received from providers to deal with their life circumstances. Conclusions: Policy makers and providers can act proportionately to ensure that programmes, such as the NHS LCD Programme pilot, recognise the circumstances and context of people’s lives, and take a more person-centred approach.
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对未完成国家医疗服务体系低热量饮食计划试点的个人经历进行定性研究
背景:自然减员仍然是公共卫生面临的一项重大挑战,因为没有完成计划的人很可能会取得较差的计划成果。在限制卡路里饮食(包括英国国家医疗服务体系低卡路里饮食(LCD)计划试点)中,约有 50%的人过早出院,因此没有完成计划。因此,减少自然减员有可能提高计划的有效性、影响力和成本效益:我们有目的性地抽取了未完成 NHS LCD 计划的人员,对他们进行了十次半结构式访谈。访谈探讨了服务使用者对该计划的体验以及出院后的经历。对访谈数据进行了专题分析:结果:确定了四个核心主题:1) 服务使用者在计划前的挣扎以及他们进入 LCD 的途径;2) 一个积极且有影响力的计划;3) 生活的阻碍;以及 4) 认为缺乏提供者的支持。这些研究结果表明,个人在计划实施前的挣扎和一系列生活事件限制了他们的良好愿望,尽管他们对计划持积极态度,但他们对服务提供者为他们提供的应对生活环境的支持持批评态度:政策制定者和服务提供者可以采取相应行动,确保国家医疗服务系统液晶显示计划试点等计划认识到人们的生活环境和背景,并采取更加以人为本的方法。
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
British Journal of Diabetes
British Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
自引率
16.70%
发文量
15
期刊最新文献
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