An Evaluation of Health Behavior Change Training for Health and Care Professionals in St. Helena

Healthcare, Journal Year: 2025, Volume and Issue: 13(4), P. 435 - 435

Published: Feb. 18, 2025

Background: Health behavior consultations support self-management if delivered by skilled practitioners. We summarize here the results of a collaborative training intervention program to health and care practitioners working in remote-island context. The was designed build confidence implementation communication change skills sustain their use work settings. setting for South Atlantic island St. Helena, remote low-middle-income country which has population with high levels obesity prevalence long-term conditions. Objectives: aimed increase knowledge, confidence, techniques (BCTs) social staff through delivering evaluating using MAP (Motivation, Action, Prompt) framework. A successful could ultimately improve patient outcomes. Methods: Co-production onsite representatives adapted local delivery. two-day face-to-face 32 multidisciplinary staff. Pre- post-intervention 18-month follow-up evaluation assessed reactions, learning multiple methods, including participant feedback primary reports. Results: Positive reactions significant improvement perceived importance, intention BCTs immediately post-training at were observed. Patient reports suggested some became routinely used. Methodological difficulties arose due retention disruption COVID-19 pandemic. Conclusions: delivery can be effective contexts sustainable impacts on healthcare. There are challenges this context continuity technological reliability.

Language: Английский

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Implementation of a national programme to train and support healthcare professionals in brief behavioural interventions: A qualitative study using the theoretical domains framework

British Journal of Health Psychology, Journal Year: 2025, Volume and Issue: 30(1)

Published: Jan. 15, 2025

Abstract Objectives Behaviour change interventions offered opportunistically by healthcare professionals can support patient health behaviour change. The Making Every Contact Count (MECC) programme in Ireland is a national to use brief behavioural interventions. aim of this study was gain an in‐depth understanding the enablers of, and barriers to, embedding MECC across system. Design A qualitative interview study. Methods We conducted individual semi‐structured interviews understand implementation. Our sample 36 participants (11 promotion improvement officers, 9 nurses, 15 allied 1 training instructor) who have direct role either supporting or delivering patients. Data were analysed using Framework Analysis approach guided Theoretical Domains (TDF). Results Eight theoretical domains influenced implementation: environmental context resources, intentions/goals, beliefs about consequences delivery, knowledge, professionals' their capability deliver interventions, social professional identity, reinforcement skills. Environmental resources most strongly endorsed domain with key influencing factors including consultation type/setting, making routine part clinical practice, multi‐professional approach, access to/visibility resources/services, management support/expectations, impacts COVID‐19 pandemic, salience strategic fit other service initiatives. Conclusions While influence implementation creating enabling environments for staff crucial widespread adoption systems.

Language: Английский

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LeadinCare: A Qualitative Informed Digital Training Platform Development to Increase Physicians’ Soft Communication Skills After COVID-19

Psychology Health & Medicine, Journal Year: 2023, Volume and Issue: 29(1), P. 39 - 54

Published: May 2, 2023

The post-COVID-19 pandemic era has placed new demands on physicians. One of these is the need to use targeted knowledge and soft communication skills, address psychosocial problems (e.g. vaccine hesitancy, fears) individuals with Chronic Physical Illnesses (CPIs). Focusing training physicians in skills can help health care systems psychosocial-type problems. Yet, such programs are rarely implemented, effectively.This study aimed (a) understand physicians' implementation challenges when using during COVID-19 pandemic; (b) identify beliefs, barriers, facilitators that influence behaviours skills; (c) inform content LeadinCare; a digital platform, designed improve by leveraging TDF Theoretical Domain Framework (TDF).We conducted 14 in-depth semi-structured interviews Greece, supporting non-COVID-19 cases CPIs. We analyzed their data inductive deductive approaches.Physicians highlighted time, inability see patients person, absence space for cases, poor organizational procedures as barriers skills. Five domains (beliefs) were identified most salient LeadinCare platform: (1) practical well-organized knowledge; (2) support relatives; (3) beliefs about capabilities (4) consequences (job satisfaction); (5) digital, interactive, on-demand platforms (environmental context & resources). mapped six narrative-based practices informed LeadinCare.Physicians go beyond talking towards cultivating resilience flexibility.

Language: Английский

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A call for action: Educating pharmacists and pharmacy students in behaviour change techniques

Exploratory Research in Clinical and Social Pharmacy, Journal Year: 2023, Volume and Issue: 11, P. 100287 - 100287

Published: June 10, 2023

The increasing impact of chronic disease, including cancer and heart disease on mortality signifies a need for the upskilling health professionals in behaviour change. Solely providing education information to patients is generally not sufficient change behaviour, any be sustained. nature pharmaceutical practice allows pharmacists have frequent contact with community. Historically, often effectively engaged assist initiatives related smoking cessation, weight loss or medication adherence. Unfortunately, such do work everyone, more tailored varied interventions are urgently needed reduce effects disease. In addition, greater inaccessibility hospitals GP's (e.g., appointment wait times), it imperative that upskilled opportunistic techniques interventions. Pharmacists their full scope consistently confidently, use behavioural following commentary therefore describes provides recommendations pharmacy students We outline nine key evidence-based techniques, active-ingredients intervention, relevant common encounters professional by pharmacists, as improving adherence medications/treatments promotion initiatives. These include social support (practical emotional), problem solving, anticipated regret, habit formation, substitution, restructuring environment, about others' approval, pros cons, monitoring feedback behaviour. Recommendations then provided how this can taught students, well they these everyday practice.

Language: Английский

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Impacts of the COVID-19 public health emergency on healthcare professional delivery of opportunistic behaviour change interventions: a retrospective cohort study

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 5, 2024

Abstract Background The public health policy “Making Every Contact Count” (MECC) compels healthcare professionals to deliver behaviour change interventions during routine consultations. As systems continue their recovery from the impacts of COVID-19 emergency, supporting people modify behaviours is more important now than when was introduced. present study aims to: (a) examine changes in professionals’ awareness of, and engagement with over a five-year period, (b) psychosocial drivers associated delivering interventions, (c) identify targets increase delivery interventions. Methods Comparison data two independent representative surveys NHS working UK. In both (July-September 2017; N = 1387, February-March 2022; 1008), participants were asked report: (1) MECC policy, (2) prevalence MECC-related practice (perceived patient benefit, how often delivered, time spent interventions), (3) perceptions capabilities, opportunities motivations T- tests (independent-samples), MANOVA, multiple linear regression, chi-square analyses used generate comparisons between surveys. Results Awareness increased 2017 (31.4%) 2022 (52.0%). However, compared 2017, reported fewer patients would benefit (49.1% versus 55.9%), they delivered lower proportion (38.0% 50.0%), consultation (26.5% 35.3%). Further, 2022, physical opportunities, social psychological capabilities survey, greater motivations. Conclusions Health remain an part continued however practices appears have reduced time. Future research should consider who might opportunistic

Language: Английский

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“You Go There and You are Welcomed and People do not Judge”: A Reflexive Thematic Analysis of Service Providers’ and Users’ Views of Brief Health and Wellbeing Conversations within the Third and Social Economy Sector

Health & Social Care in the Community, Journal Year: 2024, Volume and Issue: 2024(1)

Published: Jan. 1, 2024

Brief health and wellbeing conversations within the Third Social Economy (TSE) sector (groups or organisations operating independently to family government with social justice as primary aim) could help reduce inequalities through increased access disadvantaged populations. This study aimed explore acceptability of such TSE, including their existence without specific training. A qualitative design was adopted, utilising semistructured, one‐to‐one interviews. Service providers ( n = 15) users 5) across a variety TSE settings charities religious were interviewed, most whom had not received no training in initiating engaging conversations. Reflexive thematic analysis applied using Nvivo. Five themes identified; an ecosystem empowerment, existing community‐initiated style conversations, readiness engage brief capabilities determined by external factors, apprehension towards Generally, safe empowering environment naturally fostered mostly initiated service users. The shows conduct infrastructure, partnerships, expertise, ambition for justice. Barriers include fear worsening situation damaging strong trusting relationships users, safeguarding concerns, instability uncertainty funding TSE. Relevant recommendations light these findings are made, that is appropriate would provide cost efficiencies its delivery at scale. Specific should focus on actively addressing fears adverse consequences.

Language: Английский

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Pharmacists’ perceptions and delivery of health behaviour change recommendations: Mapping the COM-B model

Research in Social and Administrative Pharmacy, Journal Year: 2023, Volume and Issue: 20(2), P. 115 - 123

Published: Nov. 1, 2023

Pharmacists are trusted and accessible healthcare professionals who well-positioned to deliver brief health behaviour change technique-based interventions for chronic conditions. However, little is known about the factors influencing pharmacists' use of techniques their capacity these within community pharmacy.

Language: Английский

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Enhancing making every contact count (MECC) training and delivery for the third and social economy (TSE) sector: a strategic behavioural analysis

Psychology and Health, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 32

Published: July 31, 2024

Objective To enhance Making Every Contact Count (MECC, an opportunistic approach to health promotion), training in the Third and Social Economy (TSE, all groups organisations primarily working towards social justice, outside of government or household) by examining degree which behavioural content MECC tackled significant factors influencing delivery.

Language: Английский

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