Biswas Aviroop, Faulkner Guy E, Oh Paul I, Alter David A
a Institute of Health Policy, Management & Evaluation , University of Toronto , Toronto , Canada.
b School of Kinesiology , University of British Columbia , Vancouver , Canada.
Disabil Rehabil. 2018 Sep;40(19):2267-2274. doi: 10.1080/09638288.2017.1334232. Epub 2017 Jun 6.
To understand the awareness of sedentary behavior, as well as the perceived facilitators and barriers to reducing sedentary behaviors from the perspectives of patients undertaking an exercise-based cardiac rehabilitation program, and from staff involved in supporting patient self-management.
A qualitative study was conducted at a large cardiac rehabilitation program in a metropolitan city in Canada. Guided by an ecological framework, semi-structured interviews were conducted individually with 15 patients, and in two focus groups with six staff. Transcribed interviews were analyzed by thematic analysis.
Patients placed little importance on reducing sedentary behavior as they were unconvinced of the health benefits, did not perceive themselves to be sedentary, or associated such behaviors with enjoyment and relaxation. While staff were aware of the risks, they saw them as less critical than other health behaviors. Intrapersonal factors (physical and psychosocial health) and environment factors (the information environment, socio-cultural factors) within leisure time, the home, and work, influenced sedentary behavior.
While these findings require further testing, future interventions may be effective if aimed at increasing awareness of the health benefits of reducing sedentary behavior, utilizing existing behavior change strategies, and using a participatory approach to tailor strategies to patients. Implications for rehabilitation Cardiac rehabilitation programs effectively use exercise promotion to improve the health of people with established cardiovascular disease. As sedentary lifestyles become more prevalent, recommendations to reduce the health risks of prolonged sedentary behavior that are specific to the characteristics and prognostic profiles of cardiac rehabilitation patients are needed. Cardiac rehabilitation programs must consider extending existing behavior change strategies utilized for exercise promotion towards addressing sedentary behaviors in order to be effective at reducing the sedentary time of patients. A participatory approach involving both patients and health professionals can support patients in reducing their sedentary behavior by providing a supportive environment for behavior change, increasing awareness and understanding of risks, discussing the feasibility of potential strategies, and setting achievable and actionable goals.
从参加基于运动的心脏康复计划的患者以及参与支持患者自我管理的工作人员的角度，了解久坐行为的认知情况，以及减少久坐行为的可感知促进因素和障碍。
在加拿大一个大城市的大型心脏康复项目中进行了一项定性研究。以生态框架为指导，对15名患者进行了单独的半结构化访谈，并对6名工作人员进行了两个焦点小组访谈。对转录后的访谈进行主题分析。
患者对减少久坐行为不太重视，因为他们不相信其对健康有益，不认为自己久坐，或者将此类行为与享受和放松联系在一起。虽然工作人员意识到了风险，但他们认为这些风险不如其他健康行为那么关键。休闲时间、家庭和工作中的个人因素（身体和心理社会健康）以及环境因素（信息环境、社会文化因素）影响了久坐行为。
虽然这些发现需要进一步验证，但如果未来的干预措施旨在提高对减少久坐行为健康益处的认识，利用现有的行为改变策略，并采用参与式方法根据患者情况定制策略，可能会有效。对康复的启示心脏康复项目有效地利用运动促进来改善已患心血管疾病患者的健康状况。随着久坐生活方式变得越来越普遍，需要针对心脏康复患者的特征和预后情况，提出减少长期久坐行为健康风险的建议。心脏康复项目必须考虑将用于促进运动的现有行为改变策略扩展到解决久坐行为，以便有效减少患者的久坐时间。一种让患者和健康专业人员都参与的方法，可以通过提供行为改变的支持环境、提高对风险的认识和理解、讨论潜在策略的可行性以及设定可实现和可操作的目标，来支持患者减少久坐行为。
