BACKGROUND Users with mental health problems (users) have a substantially higher risk of developing type 2 diabetes than the general population. Recent studies show that traditional lifestyle interventions focusing solely on exercise and diet among users have limited effect. Studies suggest collaborative models as a starting point for health behaviour change are more beneficial, but implementation in practice is a challenge. Using the Medical Research Council's guidance for process evaluation, we explored implementation of a collaborative model in health education activities targeting users. The collaborative model focused on involving users in agenda setting and reflection about readiness to change health behaviour and was supported by dialogue tools (e.g., quotes and games). Educators received 3 days of training in applying the model. METHODS Collected data included questionnaires for users (n = 154) and professionals (n = 158), interviews with users (n = 14), and observations of health education activities (n = 37) and the professional development programme (n = 9). Data were analysed using descriptive statistics and systematic text condensation. RESULTS Ninetysix percent (152) of professionals tested the model in practice and tried at least one tool. Users reported that the model supported them in expressing their thoughts about their health and focused on their needs rather than the agenda of the professional. Ninetythree percent (143) of users strongly agreed that professionals were open-minded and responsive. However, observations showed that some professionals overlooked cues from users about motivation for health behaviour change. Furthermore, professionals identified lack of involvement from their managers as a barrier to implementation. CONCLUSIONS Implementation of a collaborative model was feasible in practice. Training of professionals in active listening and involvement of managers prior to implementation is crucial.

中文翻译：

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在健康教育实践中实施协作模型：针对有精神健康问题的用户的健康教育计划的过程评估。

背景技术患有精神健康问题的使用者（使用者）比普通人群具有罹患2型糖尿病的高得多的风险。最近的研究表明，仅关注使用者运动和饮食的传统生活方式干预效果有限。研究表明，将协作模型作为改变健康行为的起点更为有益，但在实践中实施是一个挑战。根据医学研究理事会的流程评估指南，我们探索了针对用户的健康教育活动中协作模型的实施。协作模型的重点是让用户参与议程设置并反思改变健康行为的意愿，并得到了对话工具（如报价和游戏）的支持。教育工作者接受了为期3天的模型应用培训。方法收集的数据包括针对用户（n = 154）和专业人员（n = 158）的问卷，对用户（n = 14）的访谈以及对健康教育活动（n = 37）和专业发展计划（n = 9）的观察。 。使用描述性统计数据和系统的文本压缩对数据进行了分析。结果百分之九十六（152）的专业人员在实践中测试了该模型并尝试了至少一种工具。用户报告说，该模型支持他们表达自己对健康的看法，并专注于他们的需求而不是专业人员的议程。93％（143）的用户坚决认为专业人士思想开放且反应迅速。但是，观察结果表明，一些专业人员忽视了用户对健康行为改变动机的暗示。此外，专业人士认为，缺乏经理的参与是实施的障碍。结论在实践中实施协作模型是可行的。在实施之前，对专业人员进行积极倾听和管理人员参与的培训至关重要。