PEC innovation最新文献_第6页

Effectiveness of a patient-centered informational video for reducing anxiety before coronary catheterization: A self-controlled trial 以患者为中心的信息视频在冠状动脉导管插入术前减少焦虑的有效性：一项自我对照试验

PEC innovation

Pub Date : 2025-12-01 Epub Date: 2025-09-13 DOI: 10.1016/j.pecinn.2025.100431

Asaf Arel , Gil Marcus , Ella Levi , Olexiy Bonder , Antoinette Monayer , Saar Minha

Objectives

To evaluate whether viewing a locally produced, patient-centered informational video is associated with lower peri-procedural anxiety among patients undergoing coronary catheterization.

Methods

Prospective, single-center, single-arm, self-controlled study. Consecutive weekday-morning patients were enrolled on recruitment days (N = 259). Anxiety was assessed with the Numeric Visual Analog Anxiety Scale (NVAAS, 0–10) at three time points: post-consent/pre-video (T0), immediately post-video/pre-procedure (T1), and post-procedure (T2). The primary analysis used a Friedman test on complete cases (n = 176) with Kendall's W; pairwise contrasts used Wilcoxon signed-rank tests with Holm adjustment, reporting Hodges–Lehmann median paired differences with 95 % CIs. Available-case and subgroup sensitivity analyses were prespecified.

Results

Median baseline anxiety was 5.0 (IQR 3.0–7.9). Anxiety decreased across time (Friedman χ²(2, n = 176) = 167.28, p < 0.0001; Kendall's W = 0.48). Pairwise HL median differences were: T1-T0–1.5 (95 % CI -2.0 to −1.0; p < 0.001), T2-T0–3.5 (−4.0 to −3.0; p < 0.001), and T2-T1–1.5 (−2.0 to −1.0; p < 0.001). Available-case sensitivity analyses yielded consistent effects. Baseline anxiety was higher in females; it also tended to be higher in first-time catheterization patients (p = 0.099).

Conclusion

Viewing a patient-centered video was associated with lower anxiety before coronary catheterization; causality cannot be inferred from this single-arm design.

Innovation

The intervention was produced by the clinical team, filmed in the actual unit, and is publicly available in three languages, offering a scalable, low-cost approach that can be locally adapted. Randomized, multicenter trials are warranted to confirm efficacy and generalizability.

目的评价在接受冠状动脉导管置入的患者中，观看当地制作的、以患者为中心的信息视频是否与较低的术中焦虑有关。方法前瞻性、单中心、单臂、自我对照研究。在招募日，连续的工作日早晨患者入组（N = 259）。使用数字视觉模拟焦虑量表（NVAAS, 0-10）在三个时间点评估焦虑：同意后/视频前（T0）、视频后/手术前（T1）和手术后（T2）。初步分析使用了完整病例（n = 176）的Friedman检验和Kendall的W；两两对比采用Wilcoxon符号秩检验和Holm调整，报告Hodges-Lehmann中位数配对差异为95% ci。可用病例和亚组敏感性分析是预先指定的。结果基线焦虑中位数为5.0 （IQR 3.0-7.9）。焦虑随时间减少(Friedman χ2(2, n = 176) = 167.28, p < 0.0001；Kendall’s W = 0.48)。成对霍奇金淋巴瘤差异中位数:t1 - t0 - 1.5 (95% CI -2.0−1.0;p & lt; 0.001), t2 - t0 - 3.5(4.0−−3.0;p & lt; 0.001), t1和t2 - - 1.5(2.0−−1.0;p & lt; 0.001)。可用案例敏感性分析得出了一致的结果。女性的基线焦虑更高；首次置管的患者也倾向于更高（p = 0.099）。结论冠脉置管前观看以患者为中心的视频可降低患者的焦虑程度；不能从这种单臂设计推断出因果关系。该干预措施由临床团队制作，在实际单位拍摄，并以三种语言公开发布，提供了一种可扩展、低成本的方法，可以在当地进行调整。需要随机、多中心试验来证实疗效和可推广性。

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引用次数: 0

Corrigendum to “Factors contributing to implementation of a father-friendly neonatal intensive care unit in Denmark” [PEC Innovation 5 (2024) 100353] “促成丹麦实施父亲友好型新生儿重症监护病房的因素”的勘误[PEC创新5 (2024)100353]

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-02-05 DOI: 10.1016/j.pecinn.2025.100379

Betty Noergaard , Karin Yde Waidtløw , Poul-Erik Kofoed , Signe Vahlkvist

引用次数: 0

Development and evaluation of the patient engagement questionnaire (PEQ) 制定和评估患者参与问卷（PEQ）

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-04-14 DOI: 10.1016/j.pecinn.2025.100392

Stephanie Batio, Laura M. Curtis, Julia Yoshino Benavente, Stacy C. Bailey, Michael S. Wolf

Objective

We sought to develop and evaluate the Patient Engagement Questionnaire (PEQ); a brief, remote assessment that captures both measures of health literacy and patient activation in the context of engagement in healthcare.

Methods

Participants in the COVID-19 & Chronic Conditions cohort study completed a survey that included PEQ items, demographics, Newest Vital Sign, Consumer Health Activation Index, and patient-reported outcomes. Exploratory and Confirmatory Factor Analysis were used to conduct an item reduction process and assess fit. Spearman correlations and generalized linear regression models were performed to assess convergent and predictive validity. Stratum-specific likelihood ratios were used to determine cutoffs.

Results

630 participants completed the survey. PEQ had 6 items loading onto one single factor, with good reliability (α = 0.76), and convergent validity with the NVS (r = 0.30, p < 0.001) and CHAI (r = 0.41, p < 0.001). Higher PEQ scores were significantly associated with lower depression (r = −0.30, p < 0.001) and better physical function (r = 0.31, p < 0.01). Two categories emerged: limited (6–26, SSLR: 3.15) and adequate (26–30, SSLR: 0.53).

Conclusion

The PEQ is a brief and easily administered tool designed to capture the intersect between health literacy and activation.

Practice implications

The PEQ will help identify patients struggling with care engagement, aiding resource allocation to those most in need.

方法 COVID-19 & 慢性病队列研究的参与者完成了一项调查，其中包括 PEQ 项目、人口统计学、最新生命体征、消费者健康激活指数和患者报告结果。采用探索性因子分析和确认性因子分析对项目进行缩减并评估拟合度。斯皮尔曼相关性和广义线性回归模型用于评估收敛性和预测有效性。结果 630 名参与者完成了调查。PEQ 有 6 个项目，负载在一个因子上，具有良好的可靠性 (α = 0.76)，与 NVS (r = 0.30, p < 0.001) 和 CHAI (r = 0.41, p < 0.001) 具有会聚有效性。PEQ 分数越高，抑郁程度越低（r = -0.30，p < 0.001），身体功能越好（r = 0.31，p < 0.01）。结论PEQ是一种简短且易于管理的工具，旨在捕捉健康素养与激活之间的交叉点。

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引用次数: 0

Training healthcare workers and untrained interpreters in remote collaboration amidst COVID-19 培训医务工作者和未经培训的口译员在COVID-19期间进行远程协作。

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2024-12-26 DOI: 10.1016/j.pecinn.2024.100369

Yvan Leanza , Noelia Burdeus-Domingo , Kossigan Kokou-Kpolou , François René De Cotret

Objective

In the context of the public health emergency response to the COVID-19 pandemic in Quebec in 2020, remote public service interpreting has become, within a few days, an essential practice for maintaining services to migrants and allophone refugees, a particularly vulnerable population. This study aimed to measure the impact of two training courses on remote collaboration for mediated consultations developed for healthcare workers and untrained interpreters.

Methods

A total of 79 healthcare workers and 65 untrained interpreters from the province of Quebec were recruited. They completed the trainings, offered as webinars, and answered the two scales (knowledge and self-efficacy) of the Questionnaire de connaissances sur l'interprétation de service publique à distance [Remote Public Service Interpreting Knowledge Questionnaire]. The study employed paired t-tests to assess the effectiveness of both webinars.

Results

Findings reveal a positive impact immediately after completion and at a three-month follow-up. However, there was no significant enhancement in interpreters' self-efficacy over the medium term.

Conclusion

Given their modality (remote) and duration (30 min for healthcare workers and three hours for interpreters), the training courses are both effective and practical to implement.

Innovation

This study innovatively promotes interprofessional collaboration in public service interpreting and explores online training's potential to enhance both individual and collective efficacy in the field.

目的：在2020年魁北克省应对2019冠状病毒病大流行的突发公共卫生事件背景下，远程公共服务口译在几天内就成为维持对移民和异形难民这一特别弱势群体服务的基本做法。本研究旨在衡量两个培训课程对医疗工作者和未经培训的口译员远程协作调解咨询的影响。方法：从魁北克省招募79名卫生保健工作者和65名未经培训的口译员。他们完成了培训，以网络研讨会的形式提供，并回答了远程公共服务口译知识问卷（Remote Public service interpretation knowledge Questionnaire）中的知识和自我效能两个量表。本研究采用配对t检验来评估两个网络研讨会的有效性。结果：研究结果显示，在完成后立即产生积极影响，并在三个月的随访中。然而，从中期来看，口译员的自我效能感并没有显著的提高。结论：考虑到培训的方式（远程）和持续时间（医护人员30分钟，口译人员3小时），培训课程既有效又实用。创新：本研究创新性地促进了公共服务口译的跨专业合作，并探索了在线培训在提高个人和集体在该领域的效力方面的潜力。

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引用次数: 0

The effect of clinician-expressed empathy and nocebo-alleviating information on breast-cancer-patients' anxiety and side effects during active chemotherapy: A clinical feasibility study 临床表达的共情和反安慰剂缓解信息对乳腺癌患者积极化疗期间焦虑和副作用的影响：临床可行性研究

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-01-15 DOI: 10.1016/j.pecinn.2025.100373

Lara C. Gröschel , Fiona T. Brosig , Marcel Soesan , Katherina T. Vourtsis , Mirte van der Spek , Elise Sluiter , Liesbeth M. van Vliet

Objective

We set up a pilot-study to investigate main and interaction effects of nocebo-alleviating information and clinician-expressed empathy delivered via a standardized information-video on breast cancer patients' psychological and side effect outcomes during chemotherapy. Additionally, we aimed to reflect on the feasibility of the intervention (acceptability, practicality and integration) to inform future – follow-up – studies.

Methods

Using a clinical proof-of-principle randomized controlled trial, female breast cancer patients undergoing chemotherapy viewed one of four videos, varying in the level of nocebo-alleviating information(+/−) and clinician-expressed empathy(+/−). Due to the small sample size (n = 27), descriptive and recruitment data were utilized to evaluate effects and reflect on feasibility.

Results

The interventions appeared to yield limited effects on our small sample. Feasibility reflections mainly focused on the practical level, such as the use of more generalizable videos and optimizing the flow.

Conclusion

The study showed limited effects of the video intervention. It revealed recruitment challenges, while acceptability was high after inclusion. Moving forward, face-to-face clinician-patient interactions remain important, while cautiously exploring the potential benefits of modern technological advancements, ensuring thorough testing of their effects before implementation.

Innovation

This study marks an innovative approach in utilizing digital interventions to enhance cancer patient outcomes within clinical settings.

目的通过标准化信息视频传递反安慰剂缓解信息和临床表达共情对乳腺癌患者化疗期间心理和副作用结局的主要作用和交互作用，建立一项试点研究。此外，我们旨在反思干预措施的可行性（可接受性、实用性和整合性），为未来的后续研究提供信息。方法：通过一项临床原理验证随机对照试验，接受化疗的女性乳腺癌患者观看了四个视频中的一个，这些视频的反安慰剂缓解信息（+/−）和临床医生表达的同理心（+/−）水平不同。由于样本量较小（n = 27），我们使用描述性和招募性数据来评估效果并反思可行性。结果这些干预措施在我们的小样本中似乎产生有限的效果。可行性思考主要集中在实践层面，如使用更具通用性的视频，优化流程等。结论本研究显示视频干预效果有限。它揭示了招聘的挑战，而在纳入后的可接受性很高。展望未来，面对面的医患互动仍然很重要，同时谨慎地探索现代技术进步的潜在好处，确保在实施前对其效果进行彻底的测试。这项研究标志着在临床环境中利用数字干预来提高癌症患者预后的创新方法。

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引用次数: 0

Evaluation of information available on the web to patients undergoing splenectomy in Japan 对日本脾切除术患者网上可用信息的评估

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2024-12-29 DOI: 10.1016/j.pecinn.2024.100367

Masahiko Kita

Objective

To evaluate the medical information available on the Web in Japanese to patients undergoing splenectomy.

Methods

Japanese websites on splenectomy were identified by conducting a search on two Internet search engines. Scales were used to score readability, quality, understandability, and actionability. Correlation coefficients for the scale scores were calculated.

Results

31 Japanese websites were included in the analysis. “The increased lifetime risk of infection post-splenectomy” and “the requirement to carry a patient card or another form of identification indicating post-splenectomy” was mentioned in 90.3 % (28/31) and 3.2 % (1/31) of websites, respectively. The mean (±standard deviation) grade on the Japanese Readability was 9.8 (±0.9). The actionability of 22 websites was less than 30 %. Positive correlations were found between readability and DISCERN scores (γ = 0.37; 95 % confidence interval [CI], 0.01 to 0.64, p < 0.05) and between content score and actionability (γ = 0.49; 95 %CI, 0.07 to 0.69, p < 0.05).

Conclusions

Japanese information on websites available to patients undergoing splenectomy was insufficient. The dissemination of information on specific infection prevention measures is needed but must be available at an appropriate readability level.

Innovation

Creating patient education materials using content score items may promote splenectomy patients coping infection prevention behaviors in Japan.

目的评价网上日语医学信息对脾切除术患者的帮助。方法在两个网络搜索引擎上搜索有关脾切除术的日本网站。使用量表对可读性、质量、可理解性和可操作性进行评分。计算量表得分的相关系数。结果31家日本网站被纳入分析。90.3%（28/31）和3.2%（1/31）的网站分别提到了“脾切除术后感染的终生风险增加”和“要求携带患者卡或其他形式的脾切除术后证明”。日语可读性的平均（±标准差）评分为9.8（±0.9）。有22个网站的可操作性低于30%。可读性与DISCERN评分呈正相关(γ = 0.37；95%置信区间[CI]， 0.01 ~ 0.64, p <；0.05)，内容评分与可操作性之间(γ = 0.49；95% CI, 0.07 ~ 0.69, p <；0.05)。结论脾脏切除术患者在网站上获得的日文信息不足。需要传播关于具体预防感染措施的信息，但必须以适当的可读性提供。创新利用内容评分项目制作患者教育教材，可促进日本脾切除术患者应对感染预防行为。

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引用次数: 0

Content and quality of smartphone applications for bariatric surgery: A review and content analysis 减肥手术智能手机应用程序的内容和质量：回顾和内容分析

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-04-08 DOI: 10.1016/j.pecinn.2025.100391

Irma Hellbrecht , Nadja Könsgen , Alina Weise , Fabian Schlumberger , Dawid Pieper , Jessica Breuing

Objective

Our aim was to provide a descriptive analysis of the content and quality of bariatric apps available in Germany.

Methods

From November 2022 to February 2023, apps available in German used in pre- or postoperative care were searched in the Google Play, the Apple App Store, and the Register for Digital Health Applications (DHA). One author reviewed titles and summary pages. Relevant apps were downloaded and two authors assessed their eligibility. Additionally, the authors independently screened records indexed in Medline/Embase. Besides a summary of the app content, a quality assessment was performed using two checklists (the Action Alliance for Patient Safety Checklist (APS); the Mobile App Rating Scale (MARS).

Results

38 potentially relevant apps were identified, n = 3 were included. Functionality was good (MARS score 13–18/20). Content quality was variable (MARS score 7–19/35). Moreover, the apps' content lacked references and varied in scope.

Conclusion

There are few apps in the field of BS available and the quality of their content is moderate to low. The evidence base remains unclear due to a lack of sources.

Innovation

This is the first structured assessment of bariatric apps in Germany using validated checklists. The results provide a foundation for evidence-based, patient-centered app development in bariatric care and thus represent an important digital innovation in this field.

我们的目的是对德国可用的减肥应用程序的内容和质量进行描述性分析。方法：从2022年11月至2023年2月，在b谷歌Play、苹果应用商店和数字健康应用程序注册（DHA）中搜索用于术前或术后护理的德语应用程序。一位作者审查了标题和摘要页。下载了相关的应用程序，两位作者评估了他们的资格。此外，作者独立筛选了Medline/Embase索引的记录。除了对应用程序内容进行总结外，还使用两个检查表(患者安全检查表行动联盟（APS）；移动应用评级量表（MARS）。结果共识别出38个可能相关的应用程序，其中n = 3个。功能良好（MARS评分13-18/20）。内容质量是可变的（MARS评分7-19/35）。此外，这些应用程序的内容缺乏参考，范围也各不相同。结论BS领域的应用程序较少，内容质量中低。由于缺乏来源，证据基础仍然不清楚。这是德国第一个使用有效清单对减肥应用程序进行结构化评估。研究结果为基于证据、以患者为中心的减肥护理应用程序开发奠定了基础，因此代表了该领域的重要数字创新。

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引用次数: 0

Acceptability of the ePOWER intervention: Managing previvors' cancer-related uncertainty and supporting decision making ePOWER干预的可接受性：管理先前癌症相关的不确定性和支持决策

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-05-10 DOI: 10.1016/j.pecinn.2025.100402

Marleah Dean , Bethany Jowers , Claire Conley , Erica Camacho , Whitney Espinel , Kimberly A. Kaphingst

Objective

Previvors—unaffected individuals who have increased risk of cancer due to a pathogenic or likely pathogenic variant in a gene—experience high levels of uncertainty, which is associated with negative outcomes. The ePOWER (empowering Preventive Options for Women Experiencing Risk) intervention is designed to help BRCA1/2 previvors manage their cancer-related uncertainty and make informed health decisions. In this study, we assessed the acceptability of ePOWER using a multiple methods approach.

Methods

Previvors (N = 24) completed individual, semi-structured interviews. Previvors first completed the Treatment Acceptability and Preference Scale (TAPS). Additionally, using a Learner Verification & Revision (LV&R) interviewing approach, we also elicited feedback on whether ePOWER was understandable, salient, and satisfactory to previvors. Acceptability was assessed by quantitative data (TAPS scores) and qualitative data (interviews). In analyzing the interview data and integrating the findings, deductive coding was utilized using LV&R categories and inductive thematic analysis was utilized to capture additional nuances from participants' evaluation.

Results

Adequate acceptability was demonstrated by TAPS scores. 88 % of participants exceeded the a priori acceptability threshold (TAPS ≥3). Deductive coding using LV&R categories also confirmed ePOWER was visually appealing, understandable, persuasive, cultural appropriate, and fostered self-efficacy. Inductive thematic analysis expanded on the LV&R categories and identified two additional themes: (1) relatability and emotional support and (2) useful resource.

Conclusion

ePOWER is an acceptable intervention to help previvors manage cancer-related uncertainty and support decision making.

Innovation

The ePOWER intervention can be shared during healthcare appointments and then utilized continuously by previvors to manage uncertainty and facilitate decisions.

目的：因基因致病性或可能致病性变异而增加癌症风险的未受影响的个体经历高度的不确定性，这与负面结果相关。ePOWER（赋予女性风险预防选择）干预旨在帮助BRCA1/2患者管理与癌症相关的不确定性，并做出明智的健康决定。在这项研究中，我们使用多种方法评估了ePOWER的可接受性。方法24名康复者完成了个人半结构化访谈。受试者首先完成治疗可接受性和偏好量表（TAPS）。此外，使用学习者验证&；修订（LV&；R）访谈方法，我们也得到了关于ePOWER是否可理解、突出和令人满意的反馈。通过定量数据（TAPS分数）和定性数据（访谈）评估可接受性。在分析访谈数据和整合调查结果时，我们使用了LV&；R类别的演绎编码和归纳主题分析来捕捉参与者评价中的其他细微差别。结果TAPS评分显示有足够的可接受性。88%的参与者超过了先验可接受阈值（TAPS≥3）。使用LV&；R分类的演绎编码也证实了ePOWER在视觉上具有吸引力、可理解、有说服力、文化适应性和培养自我效能感。归纳主题分析扩展了LV&；R类别，并确定了两个额外的主题：(1)相关性和情感支持；(2)有用的资源。结论power是一种可接受的干预措施，可帮助患者管理癌症相关的不确定性并支持决策。创新ePOWER干预措施可以在医疗保健预约期间共享，然后由以前的人持续使用，以管理不确定性并促进决策。

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引用次数: 0

Enhancing perinatal health patient information through ChatGPT – An accuracy study 通过ChatGPT增强围产期健康患者信息-准确性研究

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-02-10 DOI: 10.1016/j.pecinn.2025.100381

P.L.M. de Vries , D. Baud , S. Baggio , M. Ceulemans , G. Favre , E. Gerbier , H. Legardeur , E. Maisonneuve , C. Pena-Reyes , L. Pomar , U. Winterfeld , A. Panchaud

Objectives

To evaluate ChatGPT's accuracy as information source for women and maternity-care workers on “nutrition” and “red flags” in pregnancy.

Methods

Accuracy of ChatGPT-generated recommendations was assessed by a 5-point Likert scale by eight raters for ten indicators per topic in four languages (French, English, German and Dutch). Accuracy and interrater agreement were calculated per topic and language.

Results

For both topics, median accuracy scores of ChatGPT-generated recommendations were excellent (5.0; IQR 4–5) independently of language. Median accuracy scores varied with a maximum of 1 on a 5-point Likert-scare according to question's framing. Overall accuracy scores were 83–89 % for ‘nutrition in pregnancy’ versus 96–98 % for ‘red flags in pregnancy’. Inter-rater agreement was good to excellent for both topics.

Conclusion

Although ChatGPT generated accurate recommendations regarding the tested indicators for nutrition and red flags during pregnancy, women should be aware of ChatGPT's limitations such as inconsistencies according to formulation, language and the woman's personal context.

Innovation

Despite a growing interest in the potential use of artificial intelligence in healthcare, this is, to the best of our knowledge, the first study assessing potential limitations that may impact accuracy of ChatGPT-generated recommendations such as language and question-framing in key domains of perinatal health.

目的评价ChatGPT作为妇女和妇幼保健工作者孕期“营养”和“危险信号”信息来源的准确性。方法chatgpt生成的推荐的准确性由8位评分者以4种语言（法语、英语、德语和荷兰语）对每个主题的10个指标进行5点李克特量表评估。准确度和译员一致性按主题和语言计算。结果对于这两个主题，chatgpt生成的推荐的中位数准确率得分都很好(5.0；IQR 4-5)独立于语言。根据问题的框架，5分Likert-scare的中位数准确度得分最高为1分。“孕期营养”的总体准确率为83 - 89%，而“孕期危险信号”的总体准确率为96 - 98%。评分者对这两个题目的一致意见都很好。结论：尽管ChatGPT对怀孕期间的营养和危险信号的测试指标给出了准确的建议，但女性应该意识到ChatGPT的局限性，例如根据配方、语言和女性的个人情况不一致。尽管人们对人工智能在医疗保健领域的潜在应用越来越感兴趣，但据我们所知，这是第一项评估可能影响chatgpt生成的建议准确性的潜在局限性的研究，例如围产期健康关键领域的语言和问题框架。

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引用次数: 0

A qualitative exploration of service users' experiences of weight management conversations in a mental health setting 心理健康环境下服务用户体重管理对话体验的定性探索

PEC innovation

Pub Date : 2025-06-01 Epub Date: 2025-03-22 DOI: 10.1016/j.pecinn.2025.100389

Emma Kemp , Catherine Haighton , Sally Faulkner , Kate McBride , Maria Raisa Jessica Aquino , Rob Wilson , Milica Vasiljevic , Craig Robson , Mish Loraine , Jill Harland , Angela M. Rodrigues

Objective

Healthcare professionals often use opportunistic weight management conversations, aligned with the Making Every Contact Count (MECC) approach, to provide motivational support to service users. While research supports this practice from the professionals' perspective, the views of service users on these interactions remain understudied. The aim of this study was to explore the experiences of service users with serious mental illness regarding weight management conversations with healthcare professionals.

Methods

Thirteen service users with serious mental illness (Nine inpatient, four community-based) participated in semi-structured 1–1 interviews exploring weight management support experiences. Transcript data was analysed using thematic analysis.

Results

Five key themes were developed: service users' experience of weight management conversations, developing therapeutic relationships, support for physical activity and weight management, deliverer characteristic preferences, and user descriptions of MECC.

Conclusions

Service users reported a lack of information about medication-related weight gain and suggested further staff training to improve therapeutic relationships and weight management support for service users with serious mental illness.

Innovation

This study uniquely explores service users' perspectives on weight management conversations within mental health care, applying MECC in a novel context. It highlights the perspective of individuals with serious mental illness on weight-related issues, challenging existing practices, and proposing strategies for integrating physical health support in mental health settings.

目标医疗保健专业人员经常利用与 "让每次接触都有价值"（MECC）方法相一致的机会性体重管理谈话，为服务使用者提供动力支持。虽然从专业人员的角度来看，研究支持这种做法，但服务使用者对这些互动的看法仍未得到充分研究。本研究旨在探讨患有严重精神疾病的服务使用者与医护人员进行体重管理谈话的经验。方法13 名患有严重精神疾病的服务使用者（9 名住院病人，4 名社区病人）参加了半结构化的 1-1 访谈，探讨体重管理支持经验。结果提出了五个关键主题：服务使用者对体重管理谈话的体验、治疗关系的发展、对体育锻炼和体重管理的支持、提供者的特征偏好以及使用者对 MECC 的描述。创新点这项研究独特地探讨了服务使用者对精神健康护理中体重管理谈话的看法，将 MECC 应用到了一个新颖的环境中。它强调了患有严重精神疾病的个人对体重相关问题的看法，对现有的做法提出了质疑，并提出了在精神健康环境中整合身体健康支持的策略。

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引用次数: 0