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首页> 外文期刊>Clinical obesity. >Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study.
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Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study.

机译：在跨学科的体重管理的挑战在初级保健:从5教训团队学习。

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Increasingly, research is directed at advancing methods to address obesity management in primary care. In this paper we describe the role of interdisciplinary collaboration, or lack thereof, in patient weight management within 12 teams in a large primary care network in Alberta, Canada. Qualitative data for the present analysis were derived from the 5As Team (5AsT) trial, a mixed-method randomized control trial of a 6-month participatory, team-based educational intervention aimed at improving the quality and quantity of obesity management encounters in primary care practice. Participants (n?=?29) included in this analysis are healthcare providers supporting chronic disease management in 12 family practice clinics randomized to the intervention arm of the 5AsT trial including mental healthcare workers (n?=?7), registered dietitians (n?=?7), registered nurses or nurse practitioners (n?=?15). Participants were part of a 6-month intervention consisting of 12 biweekly learning sessions aimed at increasing provider knowledge and confidence in addressing patient weight management. Qualitative methods included interviews, structured field notes and logs. Four common themes of importance in the ability of healthcare providers to address weight with patients within an interdisciplinary care team emerged, (i) Availability; (ii) Referrals; (iii) Role perception and (iv) Messaging. However, we find that what was key to our participants was not that these issues be uniformly agreed upon by all team members, but rather that communication and clinic relationships support their continued negotiation. Our study shows that firm clinic relationships and deliberate communication strategies are the foundation of interdisciplinary care in weight management. Furthermore, there is a clear need for shared messaging concerning obesity and its treatment between members of interdisciplinary teams.
机译：越来越多的研究是针对推进解决肥胖管理的主要方法护理。跨学科合作,或缺乏,在病人体重管理团队在12加拿大阿尔伯塔省大型初级保健网络。定性数据分析来自5团队(5 ast)试验,混合法的随机对照试验6个月参与,以团队为基础的教育干预旨在改善和质量肥胖管理遇到的数量初级护理实践。包含在这个分析是医疗保健慢性疾病管理提供支持在12个家庭医疗诊所随机的干预包括5 ast的审判精神卫生保健工作者(n = ? 7),注册营养师(n = ? 7),注册护士或护士从业人员(n = ? 15)。6个干预12两周一次的组成学习课程旨在增加供应商知识和信心在处理病人体重管理。采访中,结构化的专业笔记和日志。共同的主题的能力的重要性卫生保健提供者处理重量病人在一个跨学科的护理团队出现了,(我)可用性;角色知觉和(iv)消息。我们的参与者是发现什么是关键这些问题被一致同意所有的团队成员,而是交流和临床支持他们持续的关系谈判。关系和深思熟虑的沟通策略的基础体重管理的跨学科的护理。此外,显然需要共享消息传递关于肥胖及其治疗之间的跨学科团队的成员。

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