Abstract：
Healthcare professionals (HCPs) have vital roles in providing evidence-based care to promote healthy micronutrient nutrition in early life. Providing such care requires scalable training to strengthen knowledge and confident application of effective behaviour change skills. Among 33 public and private HCPs (primarily dietitians) in South Africa, we evaluated the behaviour change aspects of a technology-enabled National Qualification Sub-Framework level 6 programme, Improving Early Nutrition and Health in South Africa (\'ImpENSA\'). This programme comprises two self-directed micronutrient and behaviour change knowledge-based eLearning and one facilitated online practical skills modules to improve maternal and infant micronutrient nutrition. Using assessments, questionnaires and interviews, we collected data at baseline, after module completion and at 3-month follow-up after programme completion. Questionnaire and interview data showed major improvements in understanding of and attitudes towards person-centred behaviour change support immediately following the eLearning module on behaviour change. The assessment pass rate increased from 38% at baseline to 88% postmodule, demonstrating significant knowledge gain in behaviour change support. Intention to change practice towards a person-centred approach was high and many had already started implementing changes. Three months postprogramme, support was centred around patients\' needs. Open relationships with patients, improved patient outcomes and increased job satisfaction were among reported outcomes. Many reported becoming better change facilitators and reflective practitioners. Additional improvements in understanding and attitudes to behaviour change support were evident, reinforced by making changes and experiencing positive outcomes. The findings suggest that technology-enabled learning can equip HCPs with knowledge and skills to effectively support behaviour change for healthy micronutrient nutrition during pregnancy and infancy.
摘要：
医疗保健专业人员（HCP）在提供循证护理以促进早期健康的微量营养素营养方面发挥着至关重要的作用。提供这种护理需要可扩展的培训，以加强知识和对有效行为改变技能的自信应用。在南非的33个公共和私人HCP（主要是营养师）中，我们评估了技术支持的国家资格子框架6级计划的行为变化方面，改善南非的早期营养和健康（“ImpENSA”）。该计划包括两个自我指导的微量营养素和行为改变基于知识的电子学习和一个促进在线实践技能模块，以改善母婴微量营养素营养。使用评估，问卷调查和访谈，我们在基线时收集数据，模块完成后和项目完成后3个月的随访。问卷调查和访谈数据显示，在关于行为改变的电子学习模块之后，对以人为本的行为改变支持的理解和态度有了重大改进。评估通过率从基线时的38%提高到模块后的88%，在行为改变支持方面展示显著的知识增益。将实践转变为以人为本的方法的意图很高，许多人已经开始实施变革。课程后三个月，支持集中在患者的需求。与病人建立开放的关系，报告的结局包括改善患者结局和提高工作满意度.许多人报告说，他们成为了更好的变革促进者和反思实践者。对行为改变支持的理解和态度有了进一步的改善，通过做出改变和取得积极成果来加强。研究结果表明，以技术为基础的学习可以使HCPs掌握知识和技能，以有效地支持行为改变，从而在怀孕和婴儿期实现健康的微量营养素营养。
