Key result
Primary care nurses perceived the Activate behavior change intervention as feasible for routine practice, though shifting from a traditional advising role to a patient-centered coaching style was challenging.
Why the study?
The study aimed to evaluate nurses' perceptions towards the delivery and feasibility of the Activate intervention, a structured behaviour change intervention designed to enhance physical activity in patients at risk for cardiovascular disease in primary care.
Primary care nurses perceived the Activate behavior change intervention as feasible and beneficial for personal development, though changing established consultation styles proved challenging.
Supports Activate feasibility perceptions in primary care; leaves open effectiveness and role-adaptation strategies pending trials.
BACKGROUND: Self-management support is widely accepted for the management of chronic conditions. Self-management often requires behaviour change in patients, in which primary care nurses play a pivotal role. To support patients in changing their behaviour, the structured behaviour change Activate intervention was developed. This intervention aims to enhance physical activity in patients at risk for cardiovascular disease in primary care as well as to enhance nurses' role in supporting these patients. This study aimed to evaluate nurses' perceptions towards the delivery and feasibility of the Activate intervention. METHODS: A qualitative study nested within a cluster-randomised controlled trial using semistructured interviews was conducted and thematically analysed. Fourteen nurses who delivered the Activate intervention participated. RESULTS: Three key themes emerged concerning nurses' perceptions of delivering the intervention: nurses' engagement towards delivering the intervention; acquiring knowledge and skills; and dealing with adherence to the consultation structure. Three key themes were identified concerning the feasibility of the intervention: expectations towards the use of the intervention in routine practice; perceptions towards the feasibility of the training programme; and enabling personal development. CONCLUSIONS: Delivering a behaviour change intervention is challenged by the complexity of changing nurses' consultation style, including acquiring corresponding knowledge and skills. The findings have increased the understanding of the effectiveness of the Activate trial and will guide the development and evaluation of future behaviour change interventions delivered by nurses in primary care. TRIAL REGISTRATION: ClinicalTrials.gov NCT02725203 .
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Westland et al. (2018) studied Cardiovascular disease risk (n=14). Activate intervention was evaluated on Nurses' perceptions towards the delivery and feasibility of the Activate intervention. Primary care nurses perceived the Activate behavior change intervention as feasible for routine practice, though shifting from a traditional advising role to a patient-centered coaching style was challenging.
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