PDF(Pubmed)
Abstract：
UNASSIGNED: There is scarcity of data exploring the dynamics of barriers to changing physical activity (PA) and eating habits during a lifestyle intervention in a primary care setting. The aim of the present study was to investigate barriers to lifestyle change before and during a primary care lifestyle intervention in adults with different sociodemographic backgrounds.
UNASSIGNED: Barriers to healthy eating and PA were assessed in 114 adults (age = 55 ± 9 years) using a questionnaire before inclusion in the intervention. During the lifestyle intervention, factors perceived as obstacles to reach goals for PA and healthy eating habits were collected using focus group interviews in a sub-sample of 25 adults and analyzed using thematic analysis.
UNASSIGNED: At least 1 barrier to changing eating and PA habits was reported in 65% and 67% of the population, respectively, without differences due to sex, place of birth, and educational level. Before entering the lifestyle intervention, intrapersonal factors including lack of willpower and lack of enjoyment were the dominant barriers to PA and healthy eating, irrespective of place of birth, sex, and education level. In contrast, environmental factors such as lack of support from family and work-related constraints emerged as important barriers to overcome during the action phase of the lifestyle intervention.
UNASSIGNED: The present study highlights the dynamics of barriers to changing PA and eating habits in a primary care lifestyle intervention, emphasizing the need for barrier assessment during the different phases of an intervention to tailor support activities for successful lifestyle behavioral change.
UNASSIGNED: Barriers to healthy eating and PA were assessed in 114 adults (age = 55 ± 9 years) using a questionnaire before inclusion in the intervention. During the lifestyle intervention, factors perceived as obstacles to reach goals for PA and healthy eating habits were collected using focus group interviews in a sub-sample of 25 adults and analyzed using thematic analysis.
UNASSIGNED: At least 1 barrier to changing eating and PA habits was reported in 65% and 67% of the population, respectively, without differences due to sex, place of birth, and educational level. Before entering the lifestyle intervention, intrapersonal factors including lack of willpower and lack of enjoyment were the dominant barriers to PA and healthy eating, irrespective of place of birth, sex, and education level. In contrast, environmental factors such as lack of support from family and work-related constraints emerged as important barriers to overcome during the action phase of the lifestyle intervention.
UNASSIGNED: The present study highlights the dynamics of barriers to changing PA and eating habits in a primary care lifestyle intervention, emphasizing the need for barrier assessment during the different phases of an intervention to tailor support activities for successful lifestyle behavioral change.
摘要：
■在初级保健环境中的生活方式干预期间，缺乏探索改变身体活动（PA）和饮食习惯的障碍的动态的数据。本研究的目的是调查在具有不同社会人口统计学背景的成年人进行初级保健生活方式干预之前和期间生活方式改变的障碍。
■在纳入干预措施之前，使用问卷调查对114名成年人（年龄=55±9岁）的健康饮食和PA障碍进行了评估。在生活方式干预期间，在25名成人的子样本中使用焦点小组访谈收集了被认为是达到PA目标的障碍和健康饮食习惯的因素，并使用主题分析进行了分析。
■据报道，在65％和67％的人口中，至少有1个障碍阻碍了饮食和PA习惯的改变，分别,没有因性别而产生的差异，出生地,和教育水平。在进入生活方式干预之前，包括缺乏意志力和缺乏享受在内的因素是PA和健康饮食的主要障碍，无论出生地,性别,和教育水平。相比之下,在生活方式干预的行动阶段，缺乏家庭支持和工作相关限制等环境因素成为需要克服的重要障碍。
■本研究强调了初级保健生活方式干预中改变PA和饮食习惯的障碍的动态，强调需要在干预的不同阶段进行障碍评估，以定制支持活动，以成功改变生活方式行为。
■在纳入干预措施之前，使用问卷调查对114名成年人（年龄=55±9岁）的健康饮食和PA障碍进行了评估。在生活方式干预期间，在25名成人的子样本中使用焦点小组访谈收集了被认为是达到PA目标的障碍和健康饮食习惯的因素，并使用主题分析进行了分析。
■据报道，在65％和67％的人口中，至少有1个障碍阻碍了饮食和PA习惯的改变，分别,没有因性别而产生的差异，出生地,和教育水平。在进入生活方式干预之前，包括缺乏意志力和缺乏享受在内的因素是PA和健康饮食的主要障碍，无论出生地,性别,和教育水平。相比之下,在生活方式干预的行动阶段，缺乏家庭支持和工作相关限制等环境因素成为需要克服的重要障碍。
■本研究强调了初级保健生活方式干预中改变PA和饮食习惯的障碍的动态，强调需要在干预的不同阶段进行障碍评估，以定制支持活动，以成功改变生活方式行为。
