Willems Iris, Verbestel Vera, Altenburg Teatske, Dumuid Dorothea, Calders Patrick, De Craemer Marieke
Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Research Foundation Flanders, Brussels, Belgium.
BMC Public Health. 2025 Jun 5;25(1):2094. doi: 10.1186/s12889-025-23223-z.
Healthcare professionals (HCPs) such as Physical Activity on Prescription (PAP)-coaches and physiotherapists might play a crucial role in activating sedentary and/or inactive adults, which in turn might benefit their health. We aimed to explore the perceived facilitating factors to shift sedentary behavior (SB) into more physical activity (PA) comparing two perspectives 1) sedentary and/or inactive adults and 2) HCPs in their role to activate these adults.
A mixed method approach, i.e. concept mapping, was used to explore the facilitating factors among 1) HCPs (n = 10) and 2) adults (n = 40). During a brainstorm, perceived facilitating factors were gathered in response to one seeding statement 'what help(s) you/your clients to shift SB into (more) PA?'. Thereafter, all answers were sorted by relatedness into different piles and each answer was rated on effectiveness, feasibility, changeability and enjoyment (5-point Likert scale). Data analysis was done via RCMap.
Clusters identified by both HCPs and adults included 'social networks', 'everyday activities as opportunities for PA', 'awareness of PA benefits', 'motivation regarding PA', 'integration of PA into daily routines', 'goal-setting to facilitate PA', 'environmental facilities', 'financial resources', and 'technology, digital tools and external tools to facilitate PA'. Each group created unique clusters such as factors related to the 'work environment' by adults and factors related to 'tailored support to facilitate PA' by HCPs. The average rating for each cluster was higher for HCPs compared to adults for effectiveness (4/5 vs 3.5/5), feasibility (3.8/5 vs 3.1/5), and changeability (3.7/5 vs 3.2/5).
HCPs and sedentary and/or inactive adults identified factors at the intra- and interpersonal level which were rated as feasible, effective and changeable, as well as factors at the responsibility of external stakeholders such as employers or policy makers. These results highlight that future interventions aimed at shifting SB into PA include a multilevel challenge.
诸如运动处方教练和物理治疗师等医疗保健专业人员（HCPs）在促使久坐不动和/或缺乏运动的成年人积极运动方面可能发挥关键作用，这反过来可能有益于他们的健康。我们旨在从两个角度探讨将久坐行为（SB）转变为更多身体活动（PA）的感知促进因素：1）久坐不动和/或缺乏运动的成年人；2）HCPs在促使这些成年人积极运动方面所起的作用。
采用混合方法，即概念映射，来探讨1）HCPs（n = 10）和2）成年人（n = 40）中的促进因素。在头脑风暴期间，针对一个引导性陈述“什么有助于你/你的客户将久坐行为转变为（更多的）身体活动？”收集感知到的促进因素。此后，所有答案按相关性分类成堆，并对每个答案在有效性、可行性、可改变性和趣味性方面进行评分（5点李克特量表）。通过RCMap进行数据分析。
HCPs和成年人都确定的类别包括“社交网络”、“将日常活动作为身体活动的机会”、“对身体活动益处的认识”、“对身体活动的积极性”、“将身体活动融入日常生活”、“设定目标以促进身体活动”、“环境设施”、“财政资源”以及“促进身体活动的技术、数字工具和外部工具”。每个群体都创建了独特的类别，例如成年人的与“工作环境”相关的因素以及HCPs的与“提供量身定制的支持以促进身体活动”相关的因素。在有效性（4/5对3.5/5）、可行性（3.8/5对3.1/5）和可改变性（3.7/5对3.2/5）方面，HCPs对每个类别的平均评分高于成年人。
HCPs以及久坐不动和/或缺乏运动的成年人确定了在个人内部和人际层面上被评为可行、有效且可改变的因素，以及雇主或政策制定者等外部利益相关者应负责的因素。这些结果表明，未来旨在将久坐行为转变为身体活动的干预措施面临多层次挑战。
