Implementing a collaborative model in health education practice:: a process evaluation of a health education programme targeting users with mental health problems

Regitze Saurbrey Pals; Sabina Drejer; Rikke Hjort Laursen; Lone Oest; Vinie Diana Hvidbak Levisen; Naja Ramskov Krogh; Nana Folmann Hempler

doi:10.1186/s12913-019-4819-1

Implementing a collaborative model in health education practice: a process evaluation of a health education programme targeting users with mental health problems

Regitze Saurbrey Pals, Sabina Drejer, Rikke Hjort Laursen, Lone Oest, Vinie Diana Hvidbak Levisen, Naja Ramskov Krogh, Nana Folmann Hempler

Efter- og videreuddannelse Campus Haderslev

Publikation: Bidrag til tidsskrift › Tidsskriftsartikel › Forskning › peer review

Abstract

Baggrund: Brugere med psykiske problemer (brugere) har en væsentlig højere risiko for at udvikle type 2-diabetes end den generelle befolkning. Nylige undersøgelser viser, at traditionelle livsstilsinterventioner kun fokuserer på motion og kost blandt brugerne har begrænset effekt. Undersøgelser antyder samarbejdsmodeller som udgangspunkt for sundhedsadfærd
ændringer er mere gavnlige, men implementering i praksis er en udfordring. Brug af Medical Research Council's vejledning til procesevaluering, undersøgte vi implementeringen af en samarbejdsmodel i sundhedsuddannelsesaktiviteter
målretning mod brugere. Samarbejdsmodellen fokuserede på at involvere brugere i dagsordensindstilling og refleksion om parathed til at ændre sundhedsadfærd og blev understøttet af dialogværktøjer (f.eks. citater og spil). Undervisere modtog 3 dage af træning i anvendelse af modellen.
Metoder: Indsamlede data inkluderede spørgeskemaer for brugere (n = 154) og fagfolk (n = 158), interviews med brugere (n = 14) og observationer af sundhedsuddannelsesaktiviteter (n = 37) og det professionelle udviklingsprogram (n = 9).
Data blev analyseret ved hjælp af beskrivende statistik og systematisk tekstkondensering.
Resultater: Niogtres procent (152) af professionelle testede modellen i praksis og prøvede mindst et værktøj. Brugere rapporterede at modellen støttede dem i at udtrykke deres tanker om deres helbred og fokuserede på deres behov snarere end dagsordenen for den professionelle. 90 procent (143) af brugerne var meget enige i, at fagfolk var åbne og lydhør. Imidlertid viste observationer, at nogle fagfolk overså tegn fra brugere om motivation for ændring af sundhedsadfærd. Desuden identificerede fagfolk manglende engagement fra deres ledere som en barriere for implementering.
Konklusioner: Implementering af en samarbejdsmodel var mulig i praksis. Uddannelse af professionelle i aktive lytning og involvering af ledere inden implementering er afgørende.

Originalsprog	Engelsk
Tidsskrift	BMC Health Services Research
Vol/bind	20
Udgave nummer	38
Sider (fra-til)	1-12
Antal sider	12
ISSN	1472-6963
DOI	https://doi.org/10.1186/s12913-019-4819-1
Status	Udgivet - 20 feb. 2020

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10.1186/s12913-019-4819-1Licens: CC BY-ND

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@article{867e1aeceede417190d494a9e385bb54,

title = "Implementing a collaborative model in health education practice:: a process evaluation of a health education programme targeting users with mental health problems",

abstract = "BackgroundUsers with mental health problems (users) have a substantially higher risk of developing type 2 diabetes than the general population. Recent studies show that traditional lifestyle interventions focusing solely on exercise and diet among users have limited effect. Studies suggest collaborative models as a starting point for health behaviour change are more beneficial, but implementation in practice is a challenge. Using the Medical Research Council{\textquoteright}s guidance for process evaluation, we explored implementation of a collaborative model in health education activities targeting users. The collaborative model focused on involving users in agenda setting and reflection about readiness to change health behaviour and was supported by dialogue tools (e.g., quotes and games). Educators received 3 days of training in applying the model.MethodsCollected data included questionnaires for users (n = 154) and professionals (n = 158), interviews with users (n = 14), and observations of health education activities (n = 37) and the professional development programme (n = 9). Data were analysed using descriptive statistics and systematic text condensation.ResultsNinetysix percent (152) of professionals tested the model in practice and tried at least one tool. Users reported that the model supported them in expressing their thoughts about their health and focused on their needs rather than the agenda of the professional. Ninetythree percent (143) of users strongly agreed that professionals were open-minded and responsive. However, observations showed that some professionals overlooked cues from users about motivation for health behaviour change. Furthermore, professionals identified lack of involvement from their managers as a barrier to implementation.ConclusionsImplementation of a collaborative model was feasible in practice. Training of professionals in active listening and involvement of managers prior to implementation is crucial.",

author = "{Saurbrey Pals}, Regitze and Sabina Drejer and Laursen, {Rikke Hjort} and Lone Oest and Levisen, {Vinie Diana Hvidbak} and Krogh, {Naja Ramskov} and Hempler, {Nana Folmann}",

year = "2020",

month = feb,

day = "20",

doi = "10.1186/s12913-019-4819-1",

language = "English",

volume = "20",

pages = "1--12",

journal = "BMC Health Services Research",

issn = "1472-6963",

publisher = "BioMed Central",

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Implementing a collaborative model in health education practice: a process evaluation of a health education programme targeting users with mental health problems. / Saurbrey Pals, Regitze; Drejer, Sabina; Laursen, Rikke Hjort et al.
I: BMC Health Services Research, Bind 20, Nr. 38, 20.02.2020, s. 1-12.

Publikation: Bidrag til tidsskrift › Tidsskriftsartikel › Forskning › peer review

TY - JOUR

T1 - Implementing a collaborative model in health education practice:

T2 - a process evaluation of a health education programme targeting users with mental health problems

AU - Saurbrey Pals, Regitze

AU - Drejer, Sabina

AU - Laursen, Rikke Hjort

AU - Oest, Lone

AU - Levisen, Vinie Diana Hvidbak

AU - Krogh, Naja Ramskov

AU - Hempler, Nana Folmann

PY - 2020/2/20

Y1 - 2020/2/20

N2 - BackgroundUsers with mental health problems (users) have a substantially higher risk of developing type 2 diabetes than the general population. Recent studies show that traditional lifestyle interventions focusing solely on exercise and diet among users have limited effect. Studies suggest collaborative models as a starting point for health behaviour change are more beneficial, but implementation in practice is a challenge. Using the Medical Research Council’s guidance for process evaluation, we explored implementation of a collaborative model in health education activities targeting users. The collaborative model focused on involving users in agenda setting and reflection about readiness to change health behaviour and was supported by dialogue tools (e.g., quotes and games). Educators received 3 days of training in applying the model.MethodsCollected data included questionnaires for users (n = 154) and professionals (n = 158), interviews with users (n = 14), and observations of health education activities (n = 37) and the professional development programme (n = 9). Data were analysed using descriptive statistics and systematic text condensation.ResultsNinetysix percent (152) of professionals tested the model in practice and tried at least one tool. Users reported that the model supported them in expressing their thoughts about their health and focused on their needs rather than the agenda of the professional. Ninetythree percent (143) of users strongly agreed that professionals were open-minded and responsive. However, observations showed that some professionals overlooked cues from users about motivation for health behaviour change. Furthermore, professionals identified lack of involvement from their managers as a barrier to implementation.ConclusionsImplementation of a collaborative model was feasible in practice. Training of professionals in active listening and involvement of managers prior to implementation is crucial.

AB - BackgroundUsers with mental health problems (users) have a substantially higher risk of developing type 2 diabetes than the general population. Recent studies show that traditional lifestyle interventions focusing solely on exercise and diet among users have limited effect. Studies suggest collaborative models as a starting point for health behaviour change are more beneficial, but implementation in practice is a challenge. Using the Medical Research Council’s guidance for process evaluation, we explored implementation of a collaborative model in health education activities targeting users. The collaborative model focused on involving users in agenda setting and reflection about readiness to change health behaviour and was supported by dialogue tools (e.g., quotes and games). Educators received 3 days of training in applying the model.MethodsCollected data included questionnaires for users (n = 154) and professionals (n = 158), interviews with users (n = 14), and observations of health education activities (n = 37) and the professional development programme (n = 9). Data were analysed using descriptive statistics and systematic text condensation.ResultsNinetysix percent (152) of professionals tested the model in practice and tried at least one tool. Users reported that the model supported them in expressing their thoughts about their health and focused on their needs rather than the agenda of the professional. Ninetythree percent (143) of users strongly agreed that professionals were open-minded and responsive. However, observations showed that some professionals overlooked cues from users about motivation for health behaviour change. Furthermore, professionals identified lack of involvement from their managers as a barrier to implementation.ConclusionsImplementation of a collaborative model was feasible in practice. Training of professionals in active listening and involvement of managers prior to implementation is crucial.

U2 - 10.1186/s12913-019-4819-1

DO - 10.1186/s12913-019-4819-1

M3 - Journal article

SN - 1472-6963

VL - 20

SP - 1

EP - 12

JO - BMC Health Services Research

JF - BMC Health Services Research

IS - 38

ER -

Implementing a collaborative model in health education practice: a process evaluation of a health education programme targeting users with mental health problems

Abstract

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