UCL Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK.
Int J Environ Res Public Health. 2022 Jul 27;19(15):9169. doi: 10.3390/ijerph19159169.
Quantitative data show that physical activity (PA) reduced during the COVID-19 pandemic, with differential impacts across demographic groups. Qualitative research is limited; thus, this study aimed to understand barriers and facilitators to PA during the pandemic, focusing on groups more likely to have been affected by restrictions, and to map these onto the capability, opportunity, motivation model of behaviour (COM-B). One-to-one interviews were conducted with younger (aged 18-24) and older adults (aged 70+), those with long-term physical or mental health conditions, and parents of young children. Themes were identified using reflexive thematic analysis and were mapped onto COM-B domains. A total of 116 participants contributed (aged 18-93, 61% female, 71% White British). Key themes were the importance of the outdoor environment, impact of COVID-19 restrictions, fear of contracting COVID-19, and level of engagement with home exercise. Caring responsibilities and conflicting priorities were a barrier. PA as a method of socialising, establishing new routines, and the importance of PA for protecting mental health were motivators. Most themes mapped onto the physical opportunity (environmental factors) and reflective motivation (evaluations/plans) COM-B domains. Future interventions should target these domains during pandemics (e.g., adapting PA guidance depending on location and giving education on the health benefits of PA).
定量数据显示,在 COVID-19 大流行期间,身体活动(PA)减少了,不同的人群受到的影响也不同。定性研究的结果有限;因此,本研究旨在了解大流行期间 PA 的障碍和促进因素,重点关注那些更有可能受到限制影响的群体,并将这些因素映射到行为的能力、机会、动机模型(COM-B)上。对年轻人(18-24 岁)和老年人(70 岁以上)、有长期身体或心理健康状况的人以及有年幼子女的父母进行了一对一的访谈。使用反思性主题分析确定了主题,并将其映射到 COM-B 领域。共有 116 名参与者(年龄 18-93 岁,女性占 61%,白种人占 71%)做出了贡献。主要主题是户外环境的重要性、COVID-19 限制的影响、对感染 COVID-19 的恐惧以及在家锻炼的参与程度。照顾责任和相互冲突的优先事项是一个障碍。PA 作为一种社交、建立新习惯的方式,以及 PA 对保护心理健康的重要性是促进因素。大多数主题都映射到物理机会(环境因素)和反思性动机(评估/计划)COM-B 领域。未来的干预措施应在大流行期间针对这些领域(例如,根据地点调整 PA 指南,并进行 PA 对健康益处的教育)。