大学健康中心的行为减肥干预:对实施障碍和促进因素的定性分析。

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Obesity Science & Practice Pub Date : 2024-11-14 eCollection Date: 2024-12-01 DOI:10.1002/osp4.70021
Jacqueline F Hayes, Katherine E Darling, Hailey Tomashek, A Rani Elwy, Rena R Wing
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引用次数: 0

摘要

背景:在标准的行为减肥干预(BWLIs)中,新兴成年人的比例偏低。在大学健康中心提供 BWLIs 可减少学生参与的相关障碍,从而有助于解决新兴成人的肥胖问题;然而,健康中心的实施障碍和促进因素尚不清楚。方法:健康服务中心的管理者和提供者(n = 14)以及有资格参与 BWLI 的学生(n = 9,平均 BMI = 29.8 ± 4.2 kg/m2)参加了半结构式访谈。访谈的重点是健康中心是否需要和适合开展BWLI,以及实施BWLI的障碍和促进因素:结果:受访者普遍认为,通过保健中心提供基础生命线指标是合适的,并表示基础生命线指标将是校内的一项有益服务。促进保健中心实施的因素包括是否有训练有素的保健专业人员、部门内部关系、支持性基础设施和资源,以及内部规划和执行。阻碍因素包括:学生对保健中心服务的使用和了解有限,与耻辱感有关的转介/招聘途径狭窄,以及与基础设施、资源和竞争性需求有关的挑战:结论:尽管在实施过程中存在障碍,但高校健康中心是提供 BWLIs 的可行且合适的场所。在实施 BWLI 之前,必须制定实施计划,以解决卫生中心的独特障碍。
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Behavioral weight loss interventions in college health centers: A qualitative analysis of barriers and facilitators to implementation.

Background: Emerging adults are underrepresented in standard behavioral weight loss interventions (BWLIs). Offering BWLIs in college health centers may help to address obesity in emerging adulthood by reducing student barriers associated with participation; however, implementation barriers and facilitators for health centers are unknown.

Methods: Health services center administrators and providers (n = 14) and students eligible to participate in a BWLI (n = 9, average BMI = 29.8 ± 4.2 kg/m2) participated in semi-structured interviews. Interviews focused on the need for and appropriateness of BWLIs in health centers and perceived barriers and facilitators to their implementation.

Results: Participants generally believed that BWLIs delivered through a health center were appropriate and indicated that BWLIs would be a beneficial offering on-campus. Facilitators of health center implementation included availability of trained health professionals, intradepartmental relationships, supportive infrastructure and resources, and in-house planning and execution. Barriers included limited student use and knowledge of health center offerings, narrow referral/recruitment pathways related to stigma concerns, and challenges related to infrastructure, resources, and competing demands.

Conclusions: College health centers are a feasible and appropriate setting to offer BWLIs, though barriers to implementation exist. It will be important to construct a plan for implementation to address unique barriers in health centers prior to BWLI implementation.

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来源期刊
Obesity Science & Practice
Obesity Science & Practice ENDOCRINOLOGY & METABOLISM-
CiteScore
4.20
自引率
4.50%
发文量
73
审稿时长
29 weeks
期刊最新文献
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