MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, 200 Renfield Street, Glasgow, G2 3QB, UK.
Institute of Health and Wellbeing, College of Social Science, University of Glasgow, 25-29 Bute Gardens, Glasgow, G12 8RS, UK.
BMC Public Health. 2018 Feb 27;18(1):291. doi: 10.1186/s12889-018-5179-1.
Receiving information about one's weight, Body Mass Index (BMI) and other indicators of health risk may prompt behaviour change. This study investigated men's reactions to receiving information on indicators of health risk prior to taking part in a men-only weight management programme, Football Fans in Training (FFIT). It also investigated the extent to which the information was reported as influencing lifestyle change and having adverse consequences.
We undertook a qualitative, semi-structured, telephone interview study with 28 men who took part in FFIT. We sought to interview approximately equal numbers of men who had and had not lost 5% or more of their pre-programme body weight by the end of the 12-week programme. Data were analysed thematically utilising principles of framework analysis.
Some men were apprehensive about receiving information which confirmed their overweight/obese status, particularly those less familiar with having similar information fed back to them. The professional football setting and the people present (including other men on the programme whom they perceived to be 'like them' and the fieldwork staff) were important factors in making the men feel comfortable in an otherwise potentially threatening situation. Men who achieved greater weight loss were more likely to report being motivated by this pre-programme feedback and to perceive themselves as responsible for their current weight and health status. However, for others the information only reaffirmed what they suspected about their relatively poor health status and was insufficient to prompt behaviour change.
Undertaking measurements and receiving information on health risk indicators, such as weight or BMI, within the context of behaviour change programmes can enhance motivation for behaviour change when communicated in an empathic and non-stigmatising way, and therefore should be considered as an integral part of interventions. However, providing feedback on health risk may be insufficient to prompt behaviour change in some people and may be detrimental to those with poor body image and/or lacking personal agency to adopt lifestyle changes. It is therefore imperative that adequate support and opportunities are made available when information on weight and disease risk are fed back within research or other settings.
接收有关体重、身体质量指数（BMI）和其他健康风险指标的信息可能会促使行为发生改变。本研究调查了男性在参加仅限男性的体重管理项目“足球迷在训练”（FFIT）之前收到健康风险指标信息时的反应。它还调查了这些信息在多大程度上被报告为影响生活方式的改变，并产生了不良后果。
我们对 28 名参加 FFIT 的男性进行了定性、半结构化的电话访谈研究。我们试图采访大约数量相等的男性，这些男性要么在 12 周的项目结束时体重减轻了 5%或更多，要么没有。数据通过框架分析的原则进行主题分析。
一些男性对收到确认其超重/肥胖状态的信息感到担忧，特别是那些对类似信息反馈不太熟悉的人。职业足球环境和在场的人（包括其他他们认为“像他们一样”的项目中的男性以及实地工作人员）是让男性在原本可能具有威胁性的情况下感到舒适的重要因素。体重减轻较多的男性更有可能报告说，他们受到项目前反馈的激励，并认为自己对当前的体重和健康状况负责。然而，对于其他人来说，这些信息只是再次证实了他们对自己相对较差的健康状况的怀疑，不足以促使他们改变行为。
在行为改变计划的背景下，进行测量并接收有关健康风险指标的信息，如体重或 BMI，如果以富有同情心和非污名化的方式传达，可能会增强行为改变的动力，因此应被视为干预措施的一个组成部分。然而，在某些人身上，提供健康风险反馈可能不足以促使行为发生改变，并且可能对那些身体形象较差和/或缺乏个人能力来改变生活方式的人有害。因此，在研究或其他环境中反馈体重和疾病风险信息时，必须提供足够的支持和机会。
