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什么有效?一项以工作为重点的传统生活方式干预参与者体验的定性研究。

What works? A qualitative study of participants experiences of a traditional lifestyle intervention with a work focus.

机构信息

The National Advisory Unit on Occupational Rehabilitation, Rauland, Norway.

Volda University College, Institute of Social Science, Volda, Norway, and Research and Development Manager, Muritunet Rehabilitation Centre, Norway.

出版信息

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2116988. doi: 10.1080/17482631.2022.2116988.

DOI:10.1080/17482631.2022.2116988
PMID:36053211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9448365/
Abstract

PURPOSE

Obesity is related to lower labour force participation, increased sickness absence and reduced productivity. The rehabilitation services in Norway have not had much experience introducing a work dimension into lifestyle interventions for persons with obesity. Therefore, this study aimed to evaluate one such type of intervention.

METHODS

This is a qualitative study seeking to gather data on the participants' experiences. Twenty participants were recruited from two lifestyle interventions. Intervention A, with work focus, included lectures and individual guidance from a work consultant in addition to the lifestyle intervention. Intervention B was a traditional lifestyle intervention. Data were collected by semi-structured interviews held at each stay.

RESULTS

Seven main themes emerged and one of them pointed towards a confusion of the aim of the intervention, which was viewed as focusing on lifestyle rather than a process focused on work. Otherwise, the results showed that persons with obesity struggle with many of the same inhibiting factors as other groups with reduced work ability.

CONCLUSIONS

The application process might explain the focus on lifestyle change. Communication, guidance and support reduce barriers for lifestyle change, but work is important for general health and social well-being and a work focus may therefore be beneficial in all lifestyle interventions.

摘要

目的

肥胖与劳动力参与率降低、病假增加和生产力下降有关。挪威的康复服务机构在将工作维度引入肥胖人群的生活方式干预方面经验不足。因此,本研究旨在评估此类干预措施之一。

方法

这是一项定性研究,旨在收集参与者的经验数据。从两种生活方式干预中招募了 20 名参与者。以工作为重点的干预 A 除了生活方式干预外,还包括工作顾问的讲座和个别指导。干预 B 是一种传统的生活方式干预。数据通过每次入住时的半结构化访谈收集。

结果

出现了七个主要主题,其中一个主题指出干预的目的存在混淆,干预被视为侧重于生活方式,而不是侧重于工作的过程。否则,结果表明,肥胖者与其他工作能力降低的群体一样,存在许多相同的抑制因素。

结论

应用过程可能解释了对生活方式改变的关注。沟通、指导和支持减少了生活方式改变的障碍,但工作对一般健康和社会福祉很重要,因此工作重点可能对所有生活方式干预都有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fde1/9448365/1547e3c21bc4/ZQHW_A_2116988_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fde1/9448365/1547e3c21bc4/ZQHW_A_2116988_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fde1/9448365/1547e3c21bc4/ZQHW_A_2116988_F0001_B.jpg

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Lifestyle and Work-Related Factors Associated with Work Ability and Work Participation for People with Obesity: A Prospective Observational Study After Vocational Rehabilitation.肥胖人群工作能力和工作参与度与生活方式及工作相关因素的关联:职业康复后的前瞻性观察研究
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Person-related factors associated with work participation in employees with health problems: a systematic review.与健康问题员工工作参与相关的人员相关因素:系统评价。
Int Arch Occup Environ Health. 2018 Jul;91(5):497-512. doi: 10.1007/s00420-018-1308-5. Epub 2018 Apr 26.
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A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life.综述的系统评价:探讨肥胖、体重减轻与健康相关生活质量之间的关系。
Clin Obes. 2017 Oct;7(5):273-289. doi: 10.1111/cob.12203. Epub 2017 Jul 10.
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Overweight and obesity are progressively associated with lower work ability in the general working population: cross-sectional study among 10,000 adults.超重和肥胖与一般劳动人口的工作能力逐渐下降相关:一项针对 10000 名成年人的横断面研究。
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