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Krouwel, Matthew, Greenfield, Sheila M., Gokal, Kajal, Sanders, James, Chalkley, Anna, Griffin, Ryan, Parretti, Helen 
ORCID: https://orcid.org/0000-0002-7184-269X, Jolly, Kate, Skybrant, Magdalena, Biddle, Stuart J. H., Greaves, Colin, Slinger, Dale, Sherar, Lauren, Edwardson, Charlotte Louise, Yates, Tom, Maddison, Ralph, Frew, Emma, Mutrie, Nanette, Ives, Natalie J., Tearne, Sarah and Daley, Amanda J.
(2024)
Making Every Contact Count: Health professionals’ experiences of integrating conversations about Snacktivity™ to promote physical activity within routine consultations: A qualitative study.
BMJ Open, 14 (10).
ISSN 2044-6055
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Abstract
Objective: Helping people to change their health behaviours is becoming a greater feature within the role of health professionals, including through whole system initiatives such as Making Every Contact Count. Health services provide an ideal setting to routinely promote health behaviours, including physical activity. Snacktivity™ is a novel approach that promotes small bouts of physical activity (activity snacks) throughout the day. This study explored health professionals’ initial experiences of delivering a Snacktivity™ intervention to promote physical activity within routine health consultations. A further aim was to investigate health professionals’ ability/fidelity in delivering the Snacktivity™ intervention to their patients. Design. Semi-structured interviews (n=11) and audio recording of consultations (n=46). Setting and participants: Healthcare professionals from a variety of specialisms who delivered the Snacktivity™ intervention within patient consultations. Results: Analyses revealed two higher level themes of interest; (1) health professionals’ conceptualisation of Snacktivity™ (sub-themes: observations/reflections about patients’ understanding, engagement and enthusiasm for delivering the Snacktivity™ intervention); and (2) health professionals’ understanding of Snacktivity™ and experience of delivering the intervention (sub themes: delivering Snacktivity™; limitations, challenges and possible improvements). Consultation audio recordings demonstrated health professionals delivered the Snacktivity™ intervention with high levels of fidelity. Health professionals were proficient and supportive of delivering the Snacktivity™ intervention within consultations although practical barriers to implementation such as time constraints were raised, and confidence in doing so was mixed. Conclusions: Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations. The primary barrier to implementation was the time to deliver it, however, gaining greater experience of the intervention and improving behaviour change counselling skills may reduce this barrier.
| Item Type: | Article |
|---|---|
| Additional Information: | Data availability statement: No data are available. The data from this study are available from the first author on reasonable request. The data from the clinical trial where this study was embedded will be available from February 2025. Funding information: This work was supported by the National Institute for Health Research (NIHR) (https://www.fundingawards.nihr.ac.uk/award/RP-PG-0618-20008). AD and EF are supported by NIHR Research Professorship awards. KJ is part-funded by NIHR Applied Research Collaboration (ARC) West Midlands. This work uses data provided by patients and collected by the NHS as part of their care and support and would not have been possible without access to these data. |
| Uncontrolled Keywords: | health education,medical education & training,primary prevention,qualitative research,medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Nutrition and Preventive Medicine |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 30 Oct 2024 09:30 |
| Last Modified: | 06 Nov 2024 09:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/97350 |
| DOI: | 10.1136/bmjopen-2024-085233 |
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