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基于 TDF 和 COM-B 的定性研究:探究伏案办公人员打破久坐行为的阻碍和促进因素

Perceived Barriers and Facilitators to Breaking Up Sitting Time among Desk-Based Office Workers: A Qualitative Investigation Using the TDF and COM-B.

机构信息

Institute for Health Research, University of Bedfordshire, Luton LU1 3JU, Bedfordshire, UK.

Institute for Sport and Physical Activity Research, School of Sport Science and Physical Activity, University of Bedfordshire, Polhill Avenue, Bedford MK41 9EA, Bedfordshire, UK.

出版信息

Int J Environ Res Public Health. 2019 Aug 14;16(16):2903. doi: 10.3390/ijerph16162903.

DOI:10.3390/ijerph16162903
PMID:31416112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6720704/
Abstract

High amounts of sedentary behaviour, such as sitting, can lead to adverse health consequences. Interventions to break up prolonged sitting in the workplace have used active workstations, although few studies have used behaviour change theory. This study aimed to combine the Theoretical Domains Framework (TDF) and the Capability, Opportunity, and Motivation to Behaviour system (COM-B) to investigate perceived barriers and facilitators to breaking up sitting in desk-based office workers. Semi-structured interviews with 25 desk-based employees investigated barriers and facilitators to breaking up sitting in the workplace. Seven core inductive themes were identified: and These themes were then deductively mapped to 11 of the 14 TDF domains and five of the six COM-B constructs. Participants believed that high amounts of sitting had adverse consequences but lacked knowledge regarding recommendations and were at times unmotivated to change. Physical and social opportunities were identified as key influences, including organisational support and height-adjustable desks. Future research should identify intervention functions, policy categories and behaviour change techniques to inform tailored interventions to change sitting behaviour of office workers.

摘要

大量久坐行为,如久坐,可能导致不良健康后果。为了打破工作场所中长时间久坐的习惯,已经采用了活动工作站,但很少有研究使用行为改变理论。本研究旨在结合理论领域框架(TDF)和能力、机会和动机到行为系统(COM-B),以调查在基于办公桌的上班族中打断久坐的感知障碍和促进因素。对 25 名基于办公桌的员工进行了半结构化访谈,以调查在工作场所中打断久坐的障碍和促进因素。确定了七个核心归纳主题:缺乏知识、缺乏动机、任务影响、社会影响、物理环境、行为习惯和自我效能感。这些主题随后被演绎映射到 TDF 领域的 14 个领域和 COM-B 构建的 6 个构建中的 5 个。参与者认为大量久坐有不良后果,但缺乏关于建议的知识,有时也没有动力去改变。物理和社会机会被认为是关键影响因素,包括组织支持和可调节高度的办公桌。未来的研究应该确定干预功能、政策类别和行为改变技术,以提供针对改变上班族久坐行为的定制干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc9/6720704/963bc661cf7c/ijerph-16-02903-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc9/6720704/963bc661cf7c/ijerph-16-02903-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bc9/6720704/963bc661cf7c/ijerph-16-02903-g001.jpg

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