PDF(Pubmed)
Abstract：
UNASSIGNED: Both obesity and sedentary behavior (SB) are associated with negative health consequences including cardiovascular disease, diabetes, certain cancers and all-cause mortality. To date, perceived barriers and facilitators to interrupting SB in adults living with obesity have not been identified.
UNASSIGNED: This study aimed to identify these perceived barriers and facilitators by conducting a behavioral analysis underpinned by the theoretical domains framework (TDF) and the Capability, Opportunity, Motivation-Behavior (COM-B) model to enhance knowledge and inform future intervention development.
UNASSIGNED: A purposive and snowball sample (N = 21) of adults living with obesity took part in semi-structured interviews, guided by the TDF, to investigate perceived barriers or facilitators to interrupt SB. Transcribed interviews were inductively coded using reflexive thematic analysis. Key themes and subthemes were generated by grouping similar and recurring codes. Finally, subthemes were mapped to the TDF and COM-B.
UNASSIGNED: Five key themes were identified, which influence SB across all domains of living. These relate to (i) physical and mental wellbeing; (ii) motivational readiness; (iii) roles, responsibilities and support; (iv) weight bias and stigma; and (v) the environment. These themes were then deductively mapped to all 14 TDF domains and all six of the COM-B constructs.
UNASSIGNED: A complex interplay of individual, societal and policy factors contributes to the development and habituation of SB patterns in adults living with obesity. Factors identified in this study could assist in the development of interventions, strategies and policies designed to interrupt or reduce sedentary behavior in this population.
UNASSIGNED: This study aimed to identify these perceived barriers and facilitators by conducting a behavioral analysis underpinned by the theoretical domains framework (TDF) and the Capability, Opportunity, Motivation-Behavior (COM-B) model to enhance knowledge and inform future intervention development.
UNASSIGNED: A purposive and snowball sample (N = 21) of adults living with obesity took part in semi-structured interviews, guided by the TDF, to investigate perceived barriers or facilitators to interrupt SB. Transcribed interviews were inductively coded using reflexive thematic analysis. Key themes and subthemes were generated by grouping similar and recurring codes. Finally, subthemes were mapped to the TDF and COM-B.
UNASSIGNED: Five key themes were identified, which influence SB across all domains of living. These relate to (i) physical and mental wellbeing; (ii) motivational readiness; (iii) roles, responsibilities and support; (iv) weight bias and stigma; and (v) the environment. These themes were then deductively mapped to all 14 TDF domains and all six of the COM-B constructs.
UNASSIGNED: A complex interplay of individual, societal and policy factors contributes to the development and habituation of SB patterns in adults living with obesity. Factors identified in this study could assist in the development of interventions, strategies and policies designed to interrupt or reduce sedentary behavior in this population.
摘要：
■肥胖和久坐行为（SB）与包括心血管疾病在内的负面健康后果有关，糖尿病,某些癌症和全因死亡率。迄今为止,尚未发现肥胖成人阻断SB的感知障碍和促进因素.
■本研究旨在通过进行以理论领域框架（TDF）和能力为基础的行为分析来识别这些感知障碍和促进因素，机会,动机-行为（COM-B）模型，以增强知识并为未来的干预发展提供信息。
■有目的和滚雪球样本（N=21）的肥胖成年人参加了半结构化访谈，在TDF的指导下，调查中断SB的感知障碍或促进者。转录访谈使用反身主题分析进行归纳编码。关键主题和子主题是通过对相似和重复出现的代码进行分组而产生的。最后,子主题被映射到TDF和COM-B。
■确定了五个关键主题，影响生活所有领域的SB。这些涉及（i）身心健康；（ii）动机准备；（iii）角色，责任和支持；(Iv)权重偏差和污名；以及(v)环境。然后将这些主题演绎地映射到所有14个TDF域和所有6个COM-B构建体。
■个体之间复杂的相互作用，社会和政策因素有助于肥胖成年人SB模式的发展和习惯。本研究中确定的因素可以帮助制定干预措施，旨在中断或减少该人群久坐行为的策略和政策。
■本研究旨在通过进行以理论领域框架（TDF）和能力为基础的行为分析来识别这些感知障碍和促进因素，机会,动机-行为（COM-B）模型，以增强知识并为未来的干预发展提供信息。
■有目的和滚雪球样本（N=21）的肥胖成年人参加了半结构化访谈，在TDF的指导下，调查中断SB的感知障碍或促进者。转录访谈使用反身主题分析进行归纳编码。关键主题和子主题是通过对相似和重复出现的代码进行分组而产生的。最后,子主题被映射到TDF和COM-B。
■确定了五个关键主题，影响生活所有领域的SB。这些涉及（i）身心健康；（ii）动机准备；（iii）角色，责任和支持；(Iv)权重偏差和污名；以及(v)环境。然后将这些主题演绎地映射到所有14个TDF域和所有6个COM-B构建体。
■个体之间复杂的相互作用，社会和政策因素有助于肥胖成年人SB模式的发展和习惯。本研究中确定的因素可以帮助制定干预措施，旨在中断或减少该人群久坐行为的策略和政策。
