{"id":3406,"date":"2025-02-21T12:02:48","date_gmt":"2025-02-21T12:02:48","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=3406"},"modified":"2025-11-04T09:10:34","modified_gmt":"2025-11-04T09:10:34","slug":"making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/de\/2025\/02\/making-every-health-care-consultation-count-promoting-physical-activity-in-health-care-settings\/","title":{"rendered":"Jede Gesundheitsberatung z\u00e4hlt: F\u00f6rderung k\u00f6rperlicher Aktivit\u00e4t im Gesundheitswesen"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">Von Amanda Daley, Loughborough University, UK<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Im Vereinigten K\u00f6nigreich und Irland verfolgt die Initiative \u201e<\/span><a href=\"https:\/\/www.e-lfh.org.uk\/programmes\/making-every-contact-count\/\"><span style=\"font-weight: 400;\">Making Every Contact Count<\/span><\/a><span style=\"font-weight: 400;\">\u201c das Ziel, die tausenden t\u00e4glichen Beratungsgespr\u00e4che zwischen Gesundheitsfachkr\u00e4ften und Patienten*innen zu nutzen, um gesunde Verhaltens\u00e4nderungen zu f\u00f6rdern. Konkret zielt <\/span><a href=\"https:\/\/www.mecclink.co.uk\/making-every-contact-count\/\"><span style=\"font-weight: 400;\">Making Every Contact Count<\/span><\/a><span style=\"font-weight: 400;\"> darauf ab, Fachkr\u00e4fte im Gesundheitswesen zu bef\u00e4higen und zu ermutigen, nat\u00fcrlich entstehende Gelegenheiten in der Routinepraxis zu nutzen, um kurze Interventionen zur Verhaltens\u00e4nderung durchzuf\u00fchren. Der Erfolg von Ans\u00e4tzen wie Making Every Contact Count h\u00e4ngt davon ab, dass Gesundheitsfachkr\u00e4fte bereit sind, diese Gespr\u00e4che in ihren Beratungsgespr\u00e4chen tagt\u00e4glich zu f\u00fchren. Making Every Contact Count richtet sich an alle \u2013 es ist nicht auf bestimmte Berufsgruppen, Gesundheitsdienste oder Patientengruppen beschr\u00e4nkt. Gerade deshalb kann Making Every Contact Count dazu beitragen, gesundheitliche Ungleichheiten zu verringern, da es auf einem inklusiven Ansatz basiert, bei dem alle Patienten*innen diese Unterst\u00fctzung im Rahmen ihrer Beratungsgespr\u00e4che erhalten.<\/span><!--more--><\/p>\n<p><span style=\"font-weight: 400;\">Die Unterst\u00fctzung inaktiver Menschen dabei, k\u00f6rperlich aktiver zu werden, wird zunehmend als wichtiger Bestandteil der Rolle von Gesundheitsfachkr\u00e4ften anerkannt. Zudem w\u00fcrden 1 von 4 Menschen k\u00f6rperlich aktiver sein, wenn sie von einer <\/span><a href=\"https:\/\/www.gov.uk\/government\/publications\/health-matters-physical-activity\/health-matters-physical-activity-prevention-and-management-of-long-term-conditions#physical-activity-initiatives-and-training-for-healthcare-professionals\"><span style=\"font-weight: 400;\">Gesundheitsfachkraft<\/span><\/a><span style=\"font-weight: 400;\"> dazu beraten werden w\u00fcrden. Es gibt au\u00dferdem <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27789061\/\"><span style=\"font-weight: 400;\">Hinweise<\/span><\/a><span style=\"font-weight: 400;\"> darauf, dass kurze Interventionen zur Verhaltens\u00e4nderung (1\u20132 Minuten) w\u00e4hrend eines Beratungsgespr\u00e4chs wirksam sein k\u00f6nnen. Making Every Contact Count ist wichtig, weil Menschen, die regelm\u00e4\u00dfig Gesundheitsdienste in Anspruch nehmen und mit Fachkr\u00e4ften im Gesundheitswesen in Kontakt stehen, entweder bereits an nicht\u00fcbertragbaren Krankheiten leiden oder ein erh\u00f6htes Risiko daf\u00fcr haben \u2013 und zudem mit gr\u00f6\u00dferer Wahrscheinlichkeit <\/span><a href=\"https:\/\/www.gov.uk\/government\/publications\/health-matters-physical-activity\/health-matters-physical-activity-prevention-and-management-of-long-term-conditions#physical-activity-initiatives-and-training-for-healthcare-professionals\"><span style=\"font-weight: 400;\">inaktiv<\/span><\/a><span style=\"font-weight: 400;\"> sind.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">W\u00e4hrend offizielle <\/span><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/physical-activity\"><span style=\"font-weight: 400;\">Empfehlungen<\/span><\/a><span style=\"font-weight: 400;\"> vorsehen, dass Erwachsene mindestens 150 Minuten k\u00f6rperliche Aktivit\u00e4t mit moderater Intensit\u00e4t oder 75 Minuten mit hoher Intensit\u00e4t pro Woche aus\u00fcben sollten \u2013 oder eine Kombination aus beidem \u2013, wird mittlerweile auch anerkannt, dass bereits kurze Phasen k\u00f6rperlicher Aktivit\u00e4t zur Gesundheit beitragen k\u00f6nnen. Tats\u00e4chlich betonen die <\/span><a href=\"https:\/\/www.gov.uk\/government\/publications\/physical-activity-guidelines-uk-chief-medical-officers-report\"><span style=\"font-weight: 400;\">Richtlinien<\/span><\/a><span style=\"font-weight: 400;\">, dass jede Form von k\u00f6rperlicher Aktivit\u00e4t wichtig ist und dass selbst ein wenig besser als gar nichts ist. Diese einfachen, aber bedeutsamen Botschaften routinem\u00e4\u00dfig in Beratungsgespr\u00e4chen an Patienten*innen weiterzugeben, k\u00f6nnte die Gesundheit der Bev\u00f6lkerung <\/span><a href=\"https:\/\/www.gov.uk\/government\/publications\/health-matters-physical-activity\/health-matters-physical-activity-prevention-and-management-of-long-term-conditions#physical-activity-initiatives-and-training-for-healthcare-professionals\"><span style=\"font-weight: 400;\">weltweit<\/span><\/a><span style=\"font-weight: 400;\"> erheblich verbessern.<\/span><\/p>\n<p><a href=\"https:\/\/fundingawards.nihr.ac.uk\/award\/RP-PG-0618-20008\"><span style=\"font-weight: 400;\">Ein Beispiel<\/span><\/a><span style=\"font-weight: 400;\"> f\u00fcr die Umsetzung von Making Every Contact Count im Vereinigten K\u00f6nigreich ist das Forschungsprogramm Snacktivity\u2122. <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0091743521004205?via%3Dihub\"><span style=\"font-weight: 400;\">Snacktivity<\/span><\/a><span style=\"font-weight: 400;\">\u2122 ermutigt die Bev\u00f6lkerung, \u00fcber den Tag und die Woche hinweg regelm\u00e4\u00dfig kurze, aber h\u00e4ufige \u00absnack-gro\u00dfe\u00bb Einheiten k\u00f6rperlicher Aktivit\u00e4t mit moderater bis hoher Intensit\u00e4t sowie muskel-\/kraftbasierte \u00dcbungen durchzuf\u00fchren. Ein \u201eAktivit\u00e4ts-Snack\u201c dauert in der Regel zwischen 2 und 5 Minuten. Snacktivity\u2122 ist so konzipiert, dass es auf nat\u00fcrliche Weise dazu anregt, lange Sitzzeiten \u00fcber den Tag hinweg zu unterbrechen, indem regelm\u00e4\u00dfige \u201eAktivit\u00e4ts-Snack\u201c in den Alltag eingebaut werden. Snacktivity Beispiele sind z\u00fcgige Geh-Gespr\u00e4che, Treppensteigen statt des Aufzugs zu nutzen, eine zus\u00e4tzliche schnelle Gassirunde mit dem Hund, Wadenheben beim Z\u00e4hneputzen oder Kniebeugen, w\u00e4hrend man darauf wartet, dass der Wasserkocher kocht. Snacktivity\u2122 wurde als einfache Botschaft entwickelt, die alle Gesundheitsfachkr\u00e4fte in <\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e085233.long\"><span style=\"font-weight: 400;\">verschiedenen medizinischen Kontexten<\/span><\/a><span style=\"font-weight: 400;\"> an ihre Patienten*innen weitergeben k\u00f6nnen. Snacktivity\u2122 zielt darauf ab, k\u00f6rperliche Aktivit\u00e4t auf eine neue, motivierende Weise zu f\u00f6rdern \u2013 unabh\u00e4ngig von k\u00f6rperlichen F\u00e4higkeiten oder individueller Vorgeschichte und ohne den Einsatz spezieller Ger\u00e4te. Da sich Snacktivity\u2122 nahtlos in den Alltag integrieren l\u00e4sst, ist es f\u00fcr nahezu jeden zug\u00e4nglich. Haus\u00e4rzte*innen, Pflegekr\u00e4fte, Zahn\u00e4rzte*innen, Physiotherapeuten*innen, Ergotherapeuten*innen und Podologen*innen wurden darin geschult, Snacktivity\u2122 in ihren Beratungsgespr\u00e4chen zu empfehlen. Sie berichten, dass das Konzept <\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e085233.info\"><span style=\"font-weight: 400;\">funktioniert<\/span><\/a><span style=\"font-weight: 400;\">, insbesondere wenn eine gewisse Flexibilit\u00e4t in der Terminplanung gegeben ist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nat\u00fcrlich gibt es auch <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0738399111006008?via%3Dihub\"><span style=\"font-weight: 400;\">Herausforderungen<\/span><\/a><span style=\"font-weight: 400;\"> bei der Umsetzung von Making Every Contact Count, inklusive der begrenzten <\/span><a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/08870446.2012.744008\"><span style=\"font-weight: 400;\">Zeit<\/span><\/a><span style=\"font-weight: 400;\"> in Beratungsgespr\u00e4chen, um solche Gespr\u00e4che mit Patienten*innen zu f\u00fchren. Wir wissen, dass Gesundheitsfachkr\u00e4fte oft z\u00f6gern, pr\u00e4ventivmedizinische Themen anzusprechen \u2013 sei es aus Unsicherheit dar\u00fcber, wie sie Patienten*innen am besten unterst\u00fctzen k\u00f6nnen, oder aus Sorge, Patienten*innen vor den Kopf zu <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0738399111006008?via%3Dihub\"><span style=\"font-weight: 400;\">sto\u00dfen<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Es ist entscheidend, dass Gesundheitsfachkr\u00e4fte \u00fcber die n\u00f6tigen F\u00e4higkeiten und das <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.14926\"><span style=\"font-weight: 400;\">Selbstvertrauen<\/span><\/a><span style=\"font-weight: 400;\"> verf\u00fcgen, um solche Gespr\u00e4che mit Patienten*innen zu f\u00fchren, da dies wesentlich f\u00fcr die Vertrauensbeziehung zu den Patienten*innen ist. Es mag unpassend und unangemessen erscheinen, mit Patienten*innen, die aus anderen Gr\u00fcnden eine medizinische Beratung in Anspruch nehmen, \u00fcber k\u00f6rperliche Aktivit\u00e4t zu sprechen. So w\u00fcrde z.B. ein*e Zahnarzt*in normalerweise nicht \u00fcber k\u00f6rperliche Aktivit\u00e4t mit Patienten*innen sprechen, da dies nicht direkt mit der Mundgesundheit zusammenh\u00e4ngt \u2013 im Snacktivity\u2122-Programm <\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/14\/10\/e085233.long\"><span style=\"font-weight: 400;\">geschieht<\/span><\/a><span style=\"font-weight: 400;\"> dies jedoch durchaus. Dennoch ist es wichtig anzuerkennen, dass sich Gesundheitsfachkr\u00e4fte bei der Vermittlung solcher kurzen Gesundheitsinterventionen wohlf\u00fchlen m\u00fcssen \u2013 dies kann jedoch durch Schulung und \u00dcbung erreicht werden.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hier sind f\u00fcnf Empfehlungen zur Umsetzung von Making Every Contact Count, wie Snacktivity\u2122, durch Gesundheitsfachkr\u00e4fte:<\/span><\/p>\n<p><b>Praktische Empfehlungen<\/b><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00dcberlegen Sie, ob es in Ihren Beratungsgespr\u00e4chen Momente gibt, in denen das Thema Verhaltens\u00e4nderung im Bereich des Lebensstiles angesprochen werden kann. Nutzen Sie beispielsweise die Gelegenheit, Ihre Patienten*innen zu fragen, wie viel sie sich pro Woche k\u00f6rperlich bet\u00e4tigen und ob es Zeiten in ihrem Tag gibt, in denen sie Snacktivity\u2122 einbauen k\u00f6nnten.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Finden Sie heraus, ob es lokale M\u00f6glichkeiten gibt, wo Sie Ihre Patienten*innen an zus\u00e4tzliche Unterst\u00fctzung und Ressourcen f\u00fcr k\u00f6rperliche Aktivit\u00e4t in ihrer Umgebung verweisen k\u00f6nnen.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Halten Sie Ausschau nach Schulungsm\u00f6glichkeiten in Ihrem Land oder im Internet, um Ihre F\u00e4higkeiten zur Vermittlung wirksamer Botschaften zur \u00c4nderung des Gesundheitsverhaltens an Ihre Patienten*innen weiterzuentwickeln.\u00a0 Hier sind zwei Beispiele aus dem Vereinigten K\u00f6nigreich, die n\u00fctzlich sein k\u00f6nnten: <\/span><a href=\"https:\/\/www.e-lfh.org.uk\/programmes\/making-every-contact-count\/\"><span style=\"font-weight: 400;\">Making Every Contact Count (MECC)<\/span><\/a> <span style=\"font-weight: 400;\">und <\/span><a href=\"https:\/\/activeconversations.co.uk\/\"><span style=\"font-weight: 400;\">Active Conversations<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wenn Sie Erfahrung mit der F\u00f6rderung von k\u00f6rperlicher Aktivit\u00e4t in Gespr\u00e4chen mit Ihren Patienten*innen haben, k\u00f6nnten Sie Kollegen*innen unterst\u00fctzen, die sich weniger sicher f\u00fchlen, solche Gespr\u00e4che zu f\u00fchren.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sie k\u00f6nnten als Botschafter*in an Ihrem Arbeitsplatz f\u00fcr Making Every Contact Count werben. Wenn Sie eine F\u00fchrungsposition innehaben oder im Gesundheitsmanagement t\u00e4tig sind, pr\u00fcfen Sie, wie sich dieses Konzept in Ihre Gesundheitsdienste integrieren l\u00e4sst.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">\u00dcbersetzt von: Karoline Villinger<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Amanda Daley, Loughborough University, UK In the United Kingdom and Ireland, the Making Every Contact Count initiative aims to use the thousands of consultations that take place every day between health professionals and patients, to promote healthy behavioural changes.\u00a0 [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":3407,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[28,13,59],"tags":[],"class_list":["post-3406","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication","category-interventions","category-physical-activity"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"de","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","sr","fi","et","sv","tr","uk","hi","sw","ta"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":true,"content":true,"excerpt":false},"my":{"title":true,"content":true,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false},"hr":{"title":false,"content":false,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":false,"content":false,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":false,"content":false,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":false,"content":false,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":true,"content":true,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":false,"content":false,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":false,"content":false,"excerpt":false},"ro":{"title":false,"content":false,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"sr":{"title":false,"content":false,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"et":{"title":false,"content":false,"excerpt":false},"sv":{"title":false,"content":false,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false},"hi":{"title":false,"content":false,"excerpt":false},"sw":{"title":false,"content":false,"excerpt":false},"ta":{"title":false,"content":false,"excerpt":false}}},"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"{:en}By Amanda Daley, Loughborough University, UK In the United Kingdom and Ireland, the Making Every Contact Count initiative aims to use the thousands of consultations that take place every day between health professionals and patients, to promote healthy behavioural changes. 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