卡车司机对可穿戴设备及健康促进的认知：一项定性研究。
Truck drivers' perceptions on wearable devices and health promotion: a qualitative study.
作者信息
Greenfield Rama, Busink Ellen, Wong Cybele P, Riboli-Sasco Eva, Greenfield Geva, Majeed Azeem, Car Josip, Wark Petra A
机构信息
Global eHealth Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, The Reynolds Building, St Dunstan's Road, London, W6 8RP, UK.
Health Services and Outcomes Research Programme, Lee Kong Chian School of Medicine, Imperial College & Nanyang Technological University, Singapore, Singapore.
出版信息
BMC Public Health. 2016 Jul 30;16:677. doi: 10.1186/s12889-016-3323-3.
BACKGROUND
Professional truck drivers, as other shift workers, have been identified as a high-risk group for various health conditions including cardiovascular disease, obesity, diabetes, sleep apnoea and stress. Mobile health technologies can potentially improve the health and wellbeing of people with a sedentary lifestyle such as truck drivers. Yet, only a few studies on health promotion interventions related to mobile health technologies for truck drivers have been conducted. We aimed to explore professional truck drivers' views on health promotion delivered via mobile health technologies such as wearable devices.
METHODS
We conducted a phenomenological qualitative study, consisting of four semi-structured focus groups with 34 full-time professional truck drivers in the UK. The focus groups were audio-taped, transcribed verbatim and analysed using thematic content analysis. We discussed drivers' perceptions of their health, lifestyle and work environment, and their past experience and expectations from mobile health technologies.
RESULTS
The participants viewed their lifestyle as unhealthy and were aware of possible consequences. They expressed the need and wish to change their lifestyle, yet perceived it as an inherent, unavoidable outcome of their occupation. Current health improvement initiatives were not always aligned with their working conditions. The participants were generally willing to use mobile health technologies such as wearable devices, as a preventive measure to avoid prospect morbidity, particularly cardiovascular diseases. They were ambivalent about privacy and the risk of their employer's monitoring their clinical data.
CONCLUSIONS
Wearable devices may offer new possibilities for improving the health and wellbeing of truck drivers. Drivers were aware of their unhealthy lifestyle. They were interested in changing their lifestyle and health. Drivers raised concerns regarding being continuously monitored by their employer. Health improvement initiatives should be aligned with the unique working conditions of truck drivers. Future research is needed to examine the impact of wearable devices on improving the health and wellbeing of professional drivers.
背景
职业卡车司机与其他轮班工作者一样，已被认定为患多种健康问题的高危人群，这些健康问题包括心血管疾病、肥胖症、糖尿病、睡眠呼吸暂停和压力。移动健康技术有可能改善像卡车司机这种久坐不动生活方式人群的健康状况。然而，针对卡车司机与移动健康技术相关的健康促进干预措施的研究却很少。我们旨在探讨职业卡车司机对通过可穿戴设备等移动健康技术进行健康促进的看法。
方法
我们开展了一项现象学定性研究，由四个半结构化焦点小组组成，共有34名英国全职职业卡车司机参与。焦点小组进行了录音，逐字转录，并采用主题内容分析法进行分析。我们讨论了司机对自身健康、生活方式和工作环境的看法，以及他们过去对移动健康技术的体验和期望。
结果
参与者认为他们的生活方式不健康，并意识到可能产生的后果。他们表达了改变生活方式的需求和愿望，但认为这是其职业固有的、不可避免的结果。当前的健康改善举措并不总是与他们的工作条件相契合。参与者普遍愿意使用可穿戴设备等移动健康技术，作为预防未来发病的措施，尤其是预防心血管疾病。他们对隐私以及雇主监测其临床数据的风险感到矛盾。
结论
可穿戴设备可能为改善卡车司机的健康状况提供新的可能性。司机们意识到自己不健康的生活方式。他们有兴趣改变自己的生活方式和健康状况。司机们对雇主持续监测他们表示担忧。健康改善举措应与卡车司机独特的工作条件相契合。未来需要开展研究，以检验可穿戴设备对改善职业司机健康状况的影响。
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