Background: General Practice Residency Training(GPRT) is one of the core links to consolidate the primary healthcare system and cultivate "gatekeepers" for residents' health. Primary healthcare puts forward higher requirements for the post competency of general practitioners(GPs). Mature training models are difficult to adapt to China due to the shortage of teachers, characteristics of primary healthcare and differences in patients' needs, and there is a lack of relevant local research in China. Therefore, it is urgent to construct a GPRT teaching program suitable for the primary care context of Shanghai.
Objective: To address the core pain points of "unstructured teaching resources" and "disconnection from community practice" in the GPRT in China, this study aimed to construct a community training program for GPRT based on the TPKCEE model, adapted to the primary care context of Shanghai, and to conduct a preliminary evaluation of its quality and feasibility.
Methods: In March 2025, a localized literature search was conducted to integrate policies and guidelines, such as "Healthy China 2030," with practical experience. A teaching program comprising six modules—Thinking (T), Problem (P), Key points (K), Case (C), Experiment (E), and Expansion (E)—was constructed, alongside a community implementation pathway developed based on the Structure-Process-Outcome (SPO) framework. Subsequently, a quality evaluation questionnaire was designed based on a modified AGREE-II framework. From July to August 2025, 15 senior general practice teaching experts were invited to participate in an anonymous consultation.
Results: The valid response rate of the expert consultation was 100%. The overall quality score for the teaching program was 6.13±0.64, and the score for the supporting cases was 6.09±0.74. The coefficient of variation (CV) for all indicators was < 0.25. In terms of promotion willingness, 46.7% (7/15) of experts said they were "willing to use it directly", 53.3% (8/15) said they were "willing to use it after modification", and no experts refused to use it. Delphi statistical indicators showed that the average authority coefficient (Cr) of experts was 0.88. Based on expert feedback, the research team completed five core revisions, including refining student grouping standards, emphasizing referral indications, and deepening the connotation of ideological education.
Conclusion: The community GPRT teaching program based on the TPKCEE model constructed in this study has good content validity and applicability in primary care. It provides a comprehensive and feasible operational tool to resolve the issue of insufficient integration between GPRT and the demand of the primary care system, possessing significant value for pilot trials and promotion in community teaching bases.
Background: In the context of population aging, community-dwelling older adults commonly experience insufficient physical activity and difficulty maintaining regular exercise. Zero-time exercise (ZTEx) is lifestyle-based and fragmented, making it easier to integrate into daily life. However, qualitative evidence regarding older adults’ lived experiences and perceptions of ZTEx remains limited.
Objective: To explore the perceptions and daily practice patterns of "Zero-Time Exercise" among community-dwelling older adults, aiming to inform targeted health promotion strategies.
Methods: A qualitative descriptive study was conducted from April to June 2025. Using purposive sampling, 20 older adults were recruited from three communities in Nanchang, China. Data were collected via non-participant observation and semi-structured interviews, then analyzed using Colaizzi’s seven-step method.
Results: Among the 20 elderly participants, 10 were women (50%) and 10 were men (50%), with a mean age of 66.1±3.4 years. Four core themes and twelve sub-themes emerged: adoption motives, exercise patterns, health perceptions, and sustainability challenges. Participants viewed "Zero-Time Exercise" as an accessible, lifestyle-integrated strategy that helps maintain daily functioning, enhances self-efficacy, and supports subjective health management. However, sustained practice was hindered by misconceptions regarding exercise intensity and safety, physical limitations, and a lack of professional guidance.
Conclusion: "Zero-Time Exercise" demonstrates high acceptability and implementation potential among community-dwelling older adults. To ensure long-term adherence, future interventions should prioritize the development of professional guidance systems and community support contexts.
Background: New media has become a vital approach for health communication in medical institutions. In October 2022, Shanghai Government launched the "High-Quality Development" program for public hospitals. However, gaps remain between the actual use and development requirements of new media in community health centres. Empirical research is needed to understand the current status and inform improvements.
Objective: To assess the current status of using new media in Shanghai community health centres and compare differences between "High-Quality Development" pilot and non-pilot sites.
Methods: We conducted a retrospective survey of 63 community health centres in Shanghai, consisting of 20 pilot and 43 non-pilot sites. We collected data from January 1 to March 31, 2025, covering usage on WeChat Official Accounts, WeChat Channels, TikTok, and Weibo(Chinese microblogging platform similar to Twitter, widely used for social networking, news sharing, and public communication in China). Analysis focused on platform establishment, content production, dissemination impact, service functionality, and standardization.
Results: (1) Platform Establishment: All community health centres operated WeChat Official Accounts (87.8% verified). Establishment rates were 82.5% for WeChat Channels, 30.2% for TikTok, and 23.8% for Weibo. Pilot sites had a higher TikTok establishment rate (45.0%) than non-pilot sites (23.3%), though the difference was not statistically significant (χ2 =3.064, P =0.08). (2) Contents of information: Pilot sites posted to WeChat Channels significantly more frequently than non-pilot sites (Z=−1.997, P=0.046). Health knowledge dissemination and institutional promotion accounted for 71.7% of total content. Only 19.1% of community health centres published at least one original article. (3) Dissemination Impact: The median number of reads per WeChat Official Account article was 275.9, with an average of 3.8 likes. In contrast, WeChat Channels averaged 36.0 likes per post, approximately 9.5 times higher than text articles. No significant differences were found between groups for these indicators. (4) Service Functionality: While 81% of community health centres established menu bars, fewer than 40% offered substantive medical service functions. (5) Standardization: The rate of proper citation for reposted content was 92.1%, but only 11.1% of posts properly cited academic references. No significant differences were observed between groups regarding functionality or standardization.
Conclusion: WeChat remains the dominant platform for using new media among Shanghai community health centres. Common deficiencies exist in original content production, user interaction, service function development, and standardization. Pilot and non-pilot sites showed no significant differences across most metrics, suggesting that new media capacity building needs to be incorporated into policy evaluation systems with specific standards to facilitate the implementation of “high-quality development” policies. Short-video formats demonstrate potential advantages for user interaction and represent a key direction for optimizing health communication.