识别行为障碍和促进因素，以促使男性参与基于社区的生活方式干预，改善身心健康和幸福感。
Identifying behavioural barriers and facilitators to engaging men in a community-based lifestyle intervention to improve physical and mental health and well-being.
机构信息
Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK.
Newcastle United Foundation, Newcastle Upon Tyne, UK.
出版信息
Int J Behav Nutr Phys Act. 2023 Mar 6;20(1):25. doi: 10.1186/s12966-023-01425-1.
BACKGROUND
There are few community-based lifestyle interventions designed to target physical and mental health of men. We conducted a qualitative focus group study with men to explore their perceived barriers and facilitators to uptake and engagement with interventions designed to improve their physical and mental health and wellbeing.
METHODS
A volunteer sampling approach (advertisements posted on a premier league football club's social media) was used to recruit men aged 28 to 65 years who were interested in improving their physical and/or mental health and wellbeing. Focus group discussions were conducted at a local premier league football club to 1) explore men's perceived barriers and facilitators to uptake of community-based interventions; 2) identify health issues considered important to address; 3) obtain participant views on how to best engage men in community-based interventions; and 4) use the findings to inform the development of a multibehavioural complex community-based intervention (called 'The 12 Man').
RESULTS
Six focus group discussions were conducted (duration 27 to 57 min) involving 25 participants (median age 41 years, IQR = 21 years). Thematic analyses generated seven themes: 'Lifestyle behaviours for both mental health and physical health'; 'work pressures are barriers to engaging with lifestyle behaviour change'; previous injuries are barriers to engagement in physical activity and exercise'; personal and peer group relationships impact on lifestyle behaviour change'; relationships between body image and self-confidence on mastery of skills for physical activity and exercise'; building motivation and personalised goal setting'; and 'credible individuals increase uptake and continued engagement with lifestyle behaviour change'.
CONCLUSIONS
Findings suggest that a multibehavioural community-based lifestyle intervention designed for men should promote parity of esteem between physical and mental health. It should also acknowledge individual needs and preferences, emotions in the context of goal setting and planning, and be delivered by a knowledgeable and credible professional. The findings will inform the development of a multibehavioural complex community-based intervention ('The 12 Man').
背景
针对男性身心健康的社区生活方式干预措施较少。我们对男性进行了一项定性焦点小组研究，以探讨他们对改善身心健康和幸福感的干预措施的接受和参与的感知障碍和促进因素。
方法
采用志愿者抽样方法（在一家英超足球俱乐部的社交媒体上发布广告）招募年龄在 28 至 65 岁之间、有兴趣改善身心健康和幸福感的男性。在当地的一家英超足球俱乐部进行焦点小组讨论，以：1）探讨男性对接受社区干预的感知障碍和促进因素；2）确定被认为重要的健康问题；3）了解参与者对如何最好地让男性参与社区干预的看法；4）利用研究结果为一种多行为复杂的社区干预措施（称为“12 人计划”）的制定提供信息。
结果
进行了六次焦点小组讨论（持续时间 27 至 57 分钟），涉及 25 名参与者（中位数年龄 41 岁，IQR=21 岁）。主题分析产生了七个主题：“心理健康和身体健康的生活方式行为”；“工作压力是参与生活方式行为改变的障碍”；“以前的伤害是参与体育活动和锻炼的障碍”；“个人和同伴关系影响生活方式行为的改变”；“身体形象和自信心之间的关系对体育活动和锻炼技能的掌握”；“建立动机和个性化目标设定”；和“可信的个人增加对生活方式行为改变的接受和持续参与”。
结论
研究结果表明，专为男性设计的多行为社区生活方式干预措施应促进身心健康之间的同等重视。它还应该承认个人的需求和偏好、目标设定和规划背景下的情绪，以及由知识渊博和可信的专业人员提供。研究结果将为多行为复杂的社区干预措施（“12 人计划”）的制定提供信息。
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