男性在参与男性体重管理计划中改变饮食和增加身体活动时，如何接受和利用伴侣的支持。
How men receive and utilise partner support when trying to change their diet and physical activity within a men's weight management programme.
机构信息
Institute of Applied Health Sciences, University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD, UK.
MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, 200 Renfield Street, Glasgow, G2 3AX, UK.
出版信息
BMC Public Health. 2020 Feb 7;20(1):199. doi: 10.1186/s12889-020-8213-z.
BACKGROUND
The impacts of interventions designed to change health behaviours are potentially affected by the complex social systems in which they are embedded. This study uses Scottish data to explore how men receive and utilise partner support when attempting to change dietary practices and physical activity within the context of Football Fans in Training (FFIT), a gender-sensitised weight management and healthy living programme for men who are overweight/obese.
METHODS
Separate semi-structured face-to-face interviews were conducted with 20 men and their cohabiting female partners (total n = 40), 3-12 months after the men had completed FFIT. Data were thematically analysed and individual interviews were combined for dyadic analysis.
RESULTS
Men's and women's accounts suggested variations in men's need for, and utilisation of, partner support in order to make changes to dietary practices and physical activity. There were also differences in descriptions of women's involvement in men's behaviour changes. Typologies were developed categorising men as 'resolute', 'reliant'/'receptive' and 'non-responsive' and women as 'very involved', 'partially involved' and 'not involved'. Men were more reliant, and women more involved, in changes to dietary practices compared to physical activity. The role of partner involvement in promoting men's behaviour change seemed contingent on men's resoluteness, or their reliance on the partner support.
CONCLUSIONS
These results highlight how interactions between men's resoluteness/reliance on cohabiting female partners and the partners' involvement impact the extent to which female partners influence men's changes to dietary practices and physical activity following a weight loss intervention. Understanding this interaction could increase the impact of health interventions aimed at one individual's behaviour by considering other family members' roles in facilitating those changes. The typologies developed for this study might contribute towards the development of behaviour change theories within the cohabiting couple context.
背景
旨在改变健康行为的干预措施的效果可能会受到其所处的复杂社会系统的影响。本研究利用苏格兰的数据，探讨了男性在尝试改变饮食行为和体育活动时，是如何在“足球迷训练计划”（FFIT）中获得并利用伴侣支持的，FFIT 是一个针对超重/肥胖男性的性别敏感的体重管理和健康生活计划。
方法
在男性完成 FFIT 后 3-12 个月，对 20 名男性及其同居女性伴侣（总计 40 人）进行了单独的半结构化面对面访谈。对数据进行主题分析，并将个人访谈进行组合进行对偶分析。
结果
男性和女性的叙述表明，男性在改变饮食行为和体育活动方面，对伴侣支持的需求和利用程度存在差异。女性对男性行为改变的参与程度也存在差异。根据男性的“坚决”、“依赖/接受”和“不响应”以及女性的“非常参与”、“部分参与”和“不参与”这两种类型进行分类。与体育活动相比，男性在改变饮食行为方面更加依赖，而女性则更加参与。伴侣参与在促进男性行为改变方面的作用似乎取决于男性的坚决程度或对同居女性伴侣的依赖程度。
结论
这些结果突出了男性的坚决/依赖于同居女性伴侣的互动以及伴侣的参与程度如何影响女性伴侣对男性饮食行为和体育活动改变的影响程度。通过考虑其他家庭成员在促进这些改变方面的角色，了解这种相互作用可以提高针对个体行为的健康干预措施的效果。本研究中开发的类型学可能有助于在同居夫妇背景下发展行为改变理论。
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