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Mobile phone-based ...
Mobile phone-based lifestyle support for families with young children in primary health care (MINISTOP 2.0) : Exploring behavioral change determinants for implementation using the COM-B model.
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- Thomas, Kristin, 1978- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Neher, Margit (author)
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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- Alexandrou, Christina (author)
- Karolinska Institutet,Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Müssener, Ulrika, 1974- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Henriksson, Hanna, 1977- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Löf, Marie, 1971- (author)
- Karolinska Institutet,Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Department of Biosciences and Nutrition, Karolinska Institute, Stockholm, Sweden
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(creator_code:org_t)
- 2022-11-01
- 2022
- English.
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In: Frontiers in Health Services. - : Frontiers Media S.A.. - 2813-0146. ; 2
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Abstract
Subject headings
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- BACKGROUND: Obesity in childhood is a public health concern worldwide and mobile phone-based interventions (mHealth) has shown to facilitate obesity prevention. However, more research is needed on the implementation of digital tools in routine primary care. This study explored behavior change determinants for implementing a health promotion mHealth intervention (MINISTOP 2.0 app) targeting parents of 4-year-olds.METHODS: Secondary data from telephone interviews (n = 15) with child health care nurses working within primary child healthcare in Sweden was analyzed using directed content analysis and the COM-B model.RESULTS: Barriers for implementation included: limited knowledge about using technology and reservations about how and to what extent parents would use mHealth. Potential facilitators included nurses' openness to learn and try new tools, confidence in their role and engagement in reaching parents as well as beliefs that the app could improve practice by prompting dialogue and being a shared platform. Nurses expressed a strong professional identity and shared understanding of their practice, mechanisms that could potentially inhibit or facilitate implementation.CONCLUSIONS: Findings suggest cautious optimism regarding implementing mobile phone-based tools in child primary healthcare in terms of capability, opportunity and motivation among stakeholders. Implementation strategies such as educational outreach visits and making the intervention testable among stakeholders could further facilitate implementation in this clinical context. However, more research is needed on behavior change determinants in different stages of real-world implementation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- implementation science (MeSH)
- implementation theory and research
- mobile Health (mHealth)
- primary healthcare
- qualitative research
Publication and Content Type
- ref (subject category)
- art (subject category)
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