Abstract:
OBJECTIVE:To evaluate the feasibility of an innovative peer intervention promoting healthy eating and physical activity, which purposefully selected peer facilitators according to socioeconomic status to target less-advantaged overweight receivers. SETTING:Nine high schools, two middle schools. PARTICIPANTS:One hundred and fifty-six adolescents were approached to become facilitators, of whom 18 were trained. Thirty-two of 56 potential receivers agreed to participate. INTERVENTION:The peer intervention was carried out in 2013-2014 and embedded in a larger trial: PRALIMAP-INÈS (Promotion de l'ALIMentation et l'Activité Physique-INEgalité de Santé). Facilitanoators were selected and trained to organise weight-control activities with specific peer receivers participating in the programme. PRIMARY AND SECONDARY OUTCOME MEASURES:Different types of data were collected to assess demand, acceptability, implementation and practicality of the intervention. For the facilitators, this included 6 training sessions, 11 mid-programme interviews, 4 end-of-programme sessions, telephone notes and text message exchanges. All six potential receivers in one school were also interviewed. Sociodemographic and health characteristics were also analysed. RESULTS:Agreeing to participate was more likely when asked by a peer compared with a professional (51.2% discordant pairs; p<0.02). Twelve activities, mostly based on physical activity and implemented during weekends or holidays, were carried out. The mean age of active receivers was 16 and their body mass index was higher than other participants. For both facilitators and active receivers, there were more participating girls. Qualitative analysis reveals key implementation challenges for facilitators. Interviews with the receivers highlight social difficulties, with most feeling bad about their appearance and wanting to lose weight. Those who participated in peer activities were very positive about the experience especially social support. CONCLUSIONS:The present study suggests the peer intervention is feasible provided organisational difficulties are addressed. Good practice recommendations are formulated, including a longer training session, organising a joint meeting with the facilitators and receivers, matching dyads on place of residence and multiplying modes of contact. TRIAL REGISTRATION NUMBER:NCT01688453.
journal_name
BMJ Openjournal_title
BMJ openauthors
Saez L,Legrand K,Alleyrat C,Ramisasoa S,Langlois J,Muller L,Omorou AY,De Lavenne R,Kivits J,Lecomte E,Briançon S,PRALIMAP-INÈS Trial Group.doi
10.1136/bmjopen-2017-019731subject
Has Abstractpub_date
2018-06-22 00:00:00pages
e019731issue
6issn
2044-6055pii
bmjopen-2017-019731journal_volume
8pub_type
杂志文章,多中心研究,随机对照试验相关文献
BMJ Open文献大全abstract:INTRODUCTION:Type 2 diabetes mellitus (T2DM) is a highly prevalent chronic disease in the Spanish population. Typically, T2DM is associated with other chronic conditions. Intensive medication at the time of diagnosis has proven effective in reducing cardiovascular risk, improving glycaemic control and preventing T2DM c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033725
更新日期:2020-06-23 00:00:00
abstract:INTRODUCTION:Trabeculotomy and combined trabeculotomy-trabeculectomy (CTT) are major surgical options for primary congenital glaucoma (PCG). However, it is unclear which of these two surgical procedures should be recommended as the optimum first-line treatment for PCG. This trial aims to determine whether the outcomes ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032957
更新日期:2020-02-25 00:00:00
abstract:OBJECTIVE:Provision of a discharge care plan and prevention therapies is often suboptimal. Our objective was to design and pilot test an interdisciplinary, organisational intervention to improve discharge care using stroke as the case study using a mixed-methods, controlled before-after observational study design. SET...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016010
更新日期:2017-08-04 00:00:00
abstract:OBJECTIVES:The difference between income quintiles in health is relatively well accepted by the general public as a measure of health inequality. However, the slope index of inequality (SII) in health reflects the patterns of all social groups, including the middle 60%, and it could therefore be considered more academi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028687
更新日期:2019-06-27 00:00:00
abstract:OBJECTIVE:Pregnancy, birth and health complications, maternal mental health problems following preterm birth and their possible impact on early mother-infant interaction at 6 and 18 months corrected age (CA) were explored. Predictors of mother-infant interaction at 18 months CA were identified. DESIGN AND METHODS:This...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009699
更新日期:2016-05-04 00:00:00
abstract:OBJECTIVE:To define embarrassment and develop an understanding of the role of embarrassment in relation to cervical cancer screening and self-collected human papillomavirus (HPV) DNA testing in Uganda. DESIGN:Cross-sectional, qualitative study using semistructured one-to-one interviews and focus groups. PARTICIPANTS:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-004783
更新日期:2014-04-11 00:00:00
abstract:OBJECTIVES:To determine whether humour therapy reduces depression (primary outcome), agitation and behavioural disturbances and improves social engagement and quality-of-life in nursing home residents. DESIGN:The Sydney Multisite Intervention of LaughterBosses and ElderClowns study was a single-blind cluster randomise...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002072
更新日期:2013-01-11 00:00:00
abstract:OBJECTIVES:This systematic review aims to evaluate evidence on the effectiveness of sexual and reproductive health (SRH) interventions delivered in humanitarian crises. SETTING:Crisis affected low-income or middle-income countries. PARTICIPANTS:Crisis-affected populations in low-income or middle-income countries. ME...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-008226
更新日期:2015-12-18 00:00:00
abstract:OBJECTIVES:Use of the term 'patient' has been recently debated, compared with alternatives including 'consumer' and 'client'. This scoping study aimed to provide an integrated view of preferred labels across healthcare contexts and countries to clarify labelling preferences of individuals accessing healthcare. DESIGN:...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2018-025166
更新日期:2019-03-07 00:00:00
abstract:INTRODUCTION:Despite the strong relationship between smoking and health-related consequences, very few smokers quit. Heavy drinking is a significant risk factor for health consequences, and is implicated in persistent smoking and less success at quitting smoking. Self-efficacy (SE) to abstain from smoking is an importa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007046
更新日期:2015-01-06 00:00:00
abstract:INTRODUCTION:Physical inactivity has been described as a global pandemic. Interventions aimed at developing skills in lifelong physical activities may provide the foundation for an active lifestyle into adulthood. In general, school-based physical activity interventions targeting adolescents have produced modest result...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-010448
更新日期:2016-06-27 00:00:00
abstract:INTRODUCTION:Emergence delirium (ED) is a common adverse manifestation after general anaesthesia and may result in undesirable consequences. Its causes and mechanisms are diverse and complex, and it is still unavoidable in clinical work. There is a high incidence of ED after otorhinolaryngology surgery, which may resul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033803
更新日期:2020-08-26 00:00:00
abstract:INTRODUCTION:People are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-018247
更新日期:2017-12-28 00:00:00
abstract:OBJECTIVES:To identify ways of using routine hospital data to improve the efficiency of retrospective reviews of case records for identifying avoidable severe harm DESIGN: Development and testing of thresholds and criteria for two indirect indicators of healthcare-related harm (long length of stay (LOS) and emergency r...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025372
更新日期:2019-06-21 00:00:00
abstract:INTRODUCTION:It is unclear whether advance care planning (ACP) undertaken with patients living in the community can improve patient care and avoid unwanted interventions and hospital admissions. We have designed a randomised controlled trial (RCT) to examine if ACP undertaken with patients with advanced illnesses atten...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023107
更新日期:2019-01-24 00:00:00
abstract:OBJECTIVES:The health benefits of professional sport dissipate after retirement unless an active lifestyle is adopted, yet reasons for adopting an active or inactive lifestyle after retirement from sport are poorly understood. Elite cricket is all-encompassing, requiring a high volume of activity and unique physical de...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017785
更新日期:2017-11-17 00:00:00
abstract:OBJECTIVES:Our aims were to assess the relationship between workplace violence, job satisfaction, burnout, organisational support and turnover intention, and to explore factors associated with turnover intention among nurses in Chinese tertiary hospitals. METHODS:The purposive sampling method was used to collect data ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019525
更新日期:2018-06-09 00:00:00
abstract:OBJECTIVE:Treatment gradients by socioeconomic status have been observed within cancer care in several countries. The objective of this study was to explore whether patients' educational level and social network influence oncologists' clinical decision-making. DESIGN:Semi-structured interviews on factors considered wh...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001248
更新日期:2012-08-24 00:00:00
abstract:OBJECTIVES:Physicians are a commonly targeted group in health research surveys, but their response rates are often relatively low. The goal of this paper was to evaluate the effect of unconditional incentives in the form of a coffee card on physician postal survey response rates. DESIGN:Following 13 key informant inte...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007166
更新日期:2015-02-18 00:00:00
abstract:INTRODUCTION:After a diagnosis of localised breast cancer, overweight, obesity and weight gain are negatively associated with prognosis. In contrast, maintaining an optimal weight through a balanced diet combined with regular physical activity appears to be effective protective behaviour against comorbidity or mortalit...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003855
更新日期:2013-10-28 00:00:00
abstract:OBJECTIVE:To study the incidence of de novo multimorbidity across all ages in a geographically defined population with an emphasis on sex and ethnic differences. DESIGN:Historical cohort study. SETTING:All persons residing in Olmsted County, Minnesota, USA on 1 January 2000 who had granted permission for their record...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006413
更新日期:2015-02-03 00:00:00
abstract:INTRODUCTION:Although shortcomings in clinician-family communication and decision making for incapacitated, critically ill patients are common, there are few rigorously tested interventions to improve outcomes. In this manuscript, we present our methodology for the Pairing Re-engineered Intensive Care Unit Teams with N...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033521
更新日期:2020-03-29 00:00:00
abstract:BACKGROUND:In areas where HIV and intestinal schistosomiasis are highly endemic, co-infections of the two diseases in a single human host are frequent. Evidence in adult populations indicates that HIV and intestinal schistosomiasis are associated with negative health impacts. However, the topic of HIV and schistosomias...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029749
更新日期:2019-07-24 00:00:00
abstract:INTRODUCTION:Multifarious chronic obstructive pulmonary disease (COPD) guidelines have been published by local, national and global respiratory societies. These guidelines subsume holistic evidence based on recommendations to diagnose, treat, prevent and manage acute exacerbation with COPD. Despite the existing compreh...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036060
更新日期:2020-07-20 00:00:00
abstract:PURPOSE:Psoriasis is a chronic inflammatory skin disease that frequently debuts in childhood and adolescence. We wished to determine environmental and genetic risk factors for the development of psoriasis in children and adolescents, as well as to investigate debut type, trigger factors, course of disease, nature and i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031448
更新日期:2019-09-24 00:00:00
abstract:INTRODUCTION:The first-line recommended treatment for patients with intermittent claudication (IC) is a supervised exercise programme (SEP), which includes a minimum of 2-hours of exercise per week over a 12-week period. However, provision, uptake and adherence rates for these SEP programmes are poor, with time constra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038825
更新日期:2020-07-06 00:00:00
abstract:INTRODUCTION:A substantial minority of children who sustain a concussion suffer prolonged postconcussive symptoms. These symptoms can persist for more than 1 month postinjury and include physical, cognitive, behavioural and emotional changes. Those affected can develop significant disability, diminishing their quality ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009427
更新日期:2016-01-12 00:00:00
abstract:OBJECTIVE:To estimate the effectiveness and safety of laparoscopic surgical excision of rectovaginal endometriosis. DESIGN:A multicentre, prospective cohort study. SETTING:51 hospitals accredited as specialist endometriosis centres. PARTICIPANTS:5162 women of reproductive age with rectovaginal endometriosis of which...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-018924
更新日期:2018-04-09 00:00:00
abstract:OBJECTIVES:Hospitals devoted to maternal and child health represent unique healthcare institutions in China. Healthcare professionals in these hospitals attend to health services for women and children, and also provide technical services and support for district maternal and children's healthcare as well as family pla...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024205
更新日期:2019-01-25 00:00:00
abstract:OBJECTIVE:To systematically review the latest evidence for patient safety education for physicians in training and medical students, updating, extending and improving on a previous systematic review on this topic. DESIGN:A systematic review. DATA SOURCES:Embase, Ovid Medline and PsycINFO databases. STUDY SELECTION:S...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-007705
更新日期:2015-05-20 00:00:00