Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
Int J Behav Nutr Phys Act. 2024 Sep 27;21(1):110. doi: 10.1186/s12966-024-01661-z.
Non-communicable diseases are rising rapidly in low- and middle-income countries, leading to increased morbidity and mortality. Reducing sedentary behavior (SB) and increasing physical activity (PA) offer numerous health benefits. Workplaces provide an ideal setting for promoting SB/PA interventions; however, understanding the barriers and enablers is crucial for optimizing these interventions in workplace environments.
Nested within a cluster randomised controlled trial (the SMART-STEP trial), the present study employed in-depth interviews with 16 office workers who have completed 24 weeks of two distinct (technology assisted and traditional) workplace SB/PA interventions. Using a deductive analysis, semi-structured interviews were administered to explore the barriers and enablers to the SB/PA interventions at individual, interpersonal and organisational level using the socio-ecological model.
Several individual (poor goal setting, perceived health benefits & workload, attitude, intervention engagement), interpersonal (lack of peer support) and organisational (task prioritisation, lack of organisational norm and material or social reward) barriers were identified. Indian women engaged in desk-based office jobs often find themselves burdened with intense home and childcare responsibilities, often without sufficient support from their spouses. A primary concern among Indian office workers is the poor awareness and absence of cultural norms regarding the health risks associated with SB.
Raising awareness among workplace stakeholders-including office workers, peers, and the organization-is crucial before designing and implementing SB/PA interventions in Indian workspaces. Personalized interventions for Indian female office workers engaged in desk-bound work are warranted.
在中低收入国家，非传染性疾病迅速增加，导致发病率和死亡率上升。减少久坐行为（SB）和增加身体活动（PA）可带来诸多健康益处。工作场所为促进 SB/PA 干预措施提供了理想的环境；然而，了解障碍和促进因素对于优化工作场所环境中的这些干预措施至关重要。
在一项聚类随机对照试验（SMART-STEP 试验）中，本研究对 16 名已完成 24 周两种不同（技术辅助和传统）工作场所 SB/PA 干预措施的办公室工作人员进行了深入访谈。使用演绎分析，通过半结构化访谈，利用社会生态学模型，从个人、人际和组织层面探讨 SB/PA 干预措施的障碍和促进因素。
确定了几个个人（目标设定不佳、感知健康益处和工作量、态度、干预参与度）、人际（缺乏同伴支持）和组织（任务优先化、缺乏组织规范和物质或社会奖励）障碍。从事基于办公桌的办公室工作的印度女性经常发现自己承担着繁重的家庭和儿童保育责任，往往得不到配偶的充分支持。印度上班族的一个主要关注点是，对与 SB 相关的健康风险的认识不足，缺乏文化规范。
在印度工作场所设计和实施 SB/PA 干预措施之前，必须提高工作场所利益相关者（包括上班族、同事和组织）的意识。针对从事久坐工作的印度女性办公室工作人员，需要制定个性化的干预措施。
