The Swedish School of Sport and Health Sciences, Department of Physical Activity and Health, Stockholm, Sweden.
Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2258564. doi: 10.1080/17482631.2023.2258564. Epub 2023 Sep 20.
This embedded qualitative study explored the acceptability, feasibility, and fidelity of two multi-level RCT interventions among office workers, aiming at improving movement behaviour to enhance mental health and cognition. The interventions addressed the organizational, environmental, and individual level.
Semi-structured interviews and focus group discussions were conducted with 38 stakeholders after completion of the interventions. Data were analysed using reflexive thematic analysis.
The interventions were well appreciated, and office workers attributed improvements in movement behaviour and wellbeing to the interventions. Especially the cognitive behavioural therapy (CBT) based counselling and free gym access were appreciated, feasible and delivered as planned. Participants described existing workplace norms as barriers to more activity, particularly for reducing sitting. Support from managers and team support were considered crucial components. However, delivering these components was difficult.
The findings support the design of the multi-level interventions for changing movement behaviour. Results highlight the potential of CBT for this target group and the importance of manager and team support. Desired effects of similar multi-level interventions, including CBT, might be achieved in future studies that carefully address the issues with feasibility and acceptability and the resulting low fidelity of some intervention components that were identified in this study.
本嵌入式定性研究旨在探索两项针对上班族的多水平 RCT 干预措施的可接受性、可行性和忠实度，旨在改善运动行为以促进心理健康和认知。这些干预措施针对组织、环境和个人层面。
干预措施完成后，对 38 名利益相关者进行了半结构化访谈和焦点小组讨论。使用反思性主题分析对数据进行分析。
干预措施受到高度赞赏，上班族将运动行为和幸福感的改善归因于干预措施。特别是基于认知行为疗法（CBT）的咨询和免费健身房使用受到赞赏，是可行的，并且按计划进行。参与者描述现有的工作场所规范是增加活动的障碍，特别是减少坐着的时间。经理和团队支持被认为是关键组成部分。然而，提供这些组件具有挑战性。
研究结果支持改变运动行为的多水平干预措施的设计。结果突出了 CBT 对这一目标群体的潜力，以及经理和团队支持的重要性。在未来的研究中，可能会实现类似的多水平干预措施的预期效果，包括 CBT，但需要仔细解决可行性和可接受性问题，以及本研究中确定的一些干预措施成分的忠实度低的问题。
