Implementation of effective blended periconception lifestyle care in a tertiary hospital in the Netherlands: a cross-sectional study on determinants and patient satisfaction.

Autor:	van der Windt M; Department of Obstetrics and Gynaecology, Erasmus Medical Centre, University Medical Centre, Rotterdam, The Netherlands., Schoenmakers S; Department of Obstetrics and Gynaecology, Erasmus Medical Centre, University Medical Centre, Rotterdam, The Netherlands., van der Kleij RM; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands., van Rossem L; Department of Obstetrics and Gynaecology, Erasmus Medical Centre, University Medical Centre, Rotterdam, The Netherlands., Steegers-Theunissen RP; Department of Obstetrics and Gynaecology, Erasmus Medical Centre, University Medical Centre, Rotterdam, The Netherlands r.steegers@erasmusmc.nl.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Dec 13; Vol. 12 (12), pp. e061088. Date of Electronic Publication: 2022 Dec 13.
DOI:	10.1136/bmjopen-2022-061088
Abstrakt:	Objective: To identify implementation determinants of blended periconception lifestyle care, and to evaluate patient satisfaction. Design: Cross-sectional study. Setting: The outpatient clinic of the department of Obstetrics and Gynaecology of the Erasmus MC. Participants: Implementation part: counsellors providing blended periconception lifestyle care. Patient satisfaction part: women who received blended periconception lifestyle care. Methods: Blended periconception lifestyle care, including face-to-face counselling and 26 weeks of lifestyle coaching via the online platform 'Smarter Pregnancy', was implemented between June-December 2018. The Measurement Instrument for Determinants of Innovations questionnaire was used as input for the consolidated framework for implementation research to assess determinants of implementation. To evaluate patient satisfaction, patients receiving lifestyle care filled out an evaluation questionnaire, including questions on the needs for lifestyle counselling, information provision during counselling, and motivation and lifestyle change after counselling. Primary and Secondary Outcome Measures: Identification of implementation determinants and the level of patient satisfaction. Results: Facilitators were reported in the implementation domains 'characteristics of the intervention' and 'characteristics of the individuals'. Barriers were in the implementation domains 'inner setting' and 'implementation process'. Regarding patient satisfaction on nutrition counselling, 31% of the respondents wanted information prior to the counselling session, 22% received new information after consultation, 51% got motivated to change and 40% changed their nutritional behaviour. Conclusions: A considerable number of patients improved lifestyle after counselling, although, a relatively small number wanted lifestyle counselling prior to consultation.This study underlines the importance of implementation science and the information it provides for improving the implementation process. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu