Addiction Research Group, Norwich Medical School, University of East Anglia, Norwich, UK.
Behavioural and Implementation Science Group, School of Health Sciences, University of East Anglia, Norwich, UK.
Br J Health Psychol. 2022 Sep;27(3):1153-1171. doi: 10.1111/bjhp.12592. Epub 2022 Mar 23.
During the COVID-19 UK first national lockdown (March-July 2020) enactment of healthy behaviours was fundamentally changed due to social restrictions. This study sought to understand perspectives on health behaviour change, as part of a wider study tracking reported health behaviour change over time.
A purposive sample was selected. N = 40 qualitative interviews were conducted remotely (phone/video) from participants across England and Wales, and transcribed verbatim. Descriptive case studies were shared at regular analysis meetings. Inductive reflexive thematic coding was undertaken and coding was discussed using a team approach to agreeing analytical codes. A multiple lens theoretical perspective was adopted to illuminate the perceived influences and restrictions on participants' reports of health behaviour change.
There was a clear progressive narrative for all participants, through initial responses and reactions to the pandemic, framed as 'disruption', then, as lockdown was acclimatized to, evidence of 'adaptation'. Adaptation was seen in terms of modification, substitution, adoption, discontinuation/cessation, stultification, maintenance and recalibration of health behaviours. An illustrative case study exemplifies the narrative encompassing these features and demonstrating the complex non-linear interactions between context and enacted health behaviours.
Individuals responded to pandemic-related social restrictions in complex ways. Those in contexts with existing social assets, community links and established patterns of healthy behaviours were able to respond positively, adapting by modifying behaviour and using technology to engage in healthy behaviours in new and innovative ways. For those in more vulnerable contexts, enacting (negative) health behaviour change was an expression of frustration at the limitations imposed by social restrictions.
在 2020 年 3 月至 7 月英国首次全国封锁期间，由于社交限制，健康行为的实施发生了根本性变化。本研究旨在了解健康行为改变的观点，作为一项跟踪随着时间推移报告的健康行为变化的更广泛研究的一部分。
采用目的性抽样。从英格兰和威尔士各地的参与者中远程（电话/视频）进行了 n = 40 次定性访谈，并逐字记录。定期在分析会议上分享描述性案例研究。采用归纳反思主题编码方法，并采用团队方法讨论编码，以达成分析代码的共识。采用多视角理论视角来阐明对参与者报告的健康行为改变的感知影响和限制。
所有参与者都有一个明确的渐进式叙述，最初是对大流行的反应和反应，被框定为“破坏”，然后，随着封锁的适应，出现了“适应”的证据。适应是通过修改、替代、采用、停止/停止、僵化、维持和重新校准健康行为来实现的。一个说明性的案例研究例证了包含这些特征的叙述，并展示了背景和实施的健康行为之间复杂的非线性相互作用。
个人以复杂的方式对与大流行相关的社会限制做出反应。那些在社会资产、社区联系和既定健康行为模式存在的背景下的人能够做出积极的反应，通过修改行为和使用技术以新的和创新的方式参与健康行为来适应。对于那些处于更脆弱背景下的人来说，实施（负面）健康行为改变是对社交限制所施加限制的挫败感的表达。
