简介:数字化的PREVED(PREGNancy,PreVention,内分泌干扰物)问卷用于坚持MEDPREVED策略的卫生专业人员(HP)的临床实践中。目的是评估该策略,并确定它是否可以改善获得内分泌干扰物(ED)暴露预防的机会。方法:在HP候诊室填写数字问卷后,会诊期间邀请患者讨论ED暴露情况.HP以前接受过ED培训,并为患者提供了预防试剂盒。在七个月的实施阶段之后,评估阶段包括5项混合评估:(i)作为幼儿父母的患者;(ii)普通人群患者;(iii)儿科医生;(iv)助产士;以及一项关于全科医生的定量研究.评估有关可行性,可访问性,以及该策略的有用性;然后,我们使用Levesque模型来评估它如何改善对ED暴露预防的获取。结果:该研究包括69名参与者。由于数字和环境访问,该策略对于填写步骤似乎是可行的。然而,这取决于患者和HP资料。该策略似乎很有用,因为它促进了反身投资,健康行为的意图,相当罕见,谈论ED曝光。讨论的开始取决于时间,主题和HP配置文件的优先级排序。该策略证实了Levesque模型的限制因素和获得ED预防的杠杆。结论:MEDPREVED策略是可行的,可访问,并有助于临床预防实践。需要进一步研究来衡量对知识的影响,中期和长期内,MEDPREVED战略受益人的风险感知和行为。
Introduction: The digitalized PREVED (PREgnancy, PreVention, Endocrine Disruptor) questionnaire was used in the clinical practices of health professionals (HP) who adhered to the MEDPREVED strategy. The objectives were to assess the strategy and to determine if it could improve access to endocrine disruptor (ED) exposure prevention. Methods: After having filled in the digital questionnaire in HP waiting rooms, patients were invited to talk about ED exposure during the consultation. HPs were previously trained in ED and had received a prevention kit for their patients. After the seven-month implementation phase, the evaluation phase consisted of five mixed assessments: interviews with: (i) patients who were young children\'s parents; (ii) patients in the general population; (iii) paediatricians; (iv) midwives; and a quantitative
study on GPs. Assessment concerned feasibility, accessibility, and usefulness of the strategy; we then used the Levesque model to evaluate how it could improve access to ED exposure prevention. Results: The
study included 69 participants. The strategy appeared feasible for the filling-out step due to digital and environment access. However, it depended on patient and HP profiles. The strategy seemed useful insofar as it facilitated reflexive investment, an intention to healthy behaviour and, rather rarely, talk about ED exposure. The beginning of this discussion depended on time, prioritizing of the topic and HP profile. The strategy has confirmed the Levesque model\'s limiting factors and levers to access ED prevention. Conclusions: The MEDPREVED strategy is feasible, accessible, and useful in clinical prevention practice. Further
study is needed to measure the impact on knowledge, risk perception and behavior of beneficiaries of the MEDPREVED strategy in the medium and long term.