Prolonged Sitting Time : Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese
Martínez Ramos, Elena (Institut Català de la Salut)
Martín Borràs, Carme (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Trujillo, José Manuel (Servicio Andaluz de Salud. Centro de Asistencia Primaria Cuevas del Almanzora (Almeria, Andalusia))
Giné-Garriga, Maria (Universitat Ramon Llull. Departament de Ciències de l'Esport)
Martín-Cantera, Carlos (Universitat Autònoma de Barcelona. Departament de Medicina)
Solà Gonfaus, Mercè (Institut Català de la Salut. Centre d'Assistència Primària Les Planes (Sant Cugat del Vallès, Catalunya))
Castillo-Ramos, Eva (Institut Català de la Salut)
Pujol Ribera, Enriqueta (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Rodríguez, Dolors (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Puigdomènech, Elisa (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Beltran, Angela-Maria (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Serra Paya, Noemí (Universitat de Lleida)
Gascón Catalán, Ana (Universidad de Zaragoza)
Puig Ribera, Anna (Universitat de Vic)

Fecha:	2015
Resumen:	Background and Objectives: Prolonged sitting time has negative consequences on health, although the population is not well aware of these harmful effects. We explored opinions expressed by primary care patients diagnosed as overweight or moderately obese concerning their time spent sitting, willingness to change, and barriers, facilitators, goals and expectations related to limiting this behaviour. Methods: A descriptive-interpretive qualitative study was carried out at three healthcare centres in Barcelona, Spain, and included 23 patients with overweight or moderate obesity, aged 25 to 65 years, who reported sitting for at least 6 hours a day. Exclusion criteria were inability to sit down or stand up from a chair without help and language barriers that precluded interview participation. Ten in-depth, semi-structured interviews (5 group, 5 individual) were audio recorded from January to July 2012 and transcribed. The interview script included questions about time spent sitting, willingness to change, barriers and facilitators, and the prospect of assistance from primary healthcare professionals. An analysis of thematic content was made using ATLAS. Ti and triangulation of analysts. Results: The most frequent sedentary activities were computer use, watching television, and motorized journeys. There was a lack of awareness of the amount of time spent sitting and its negative consequences on health. Barriers to reducing sedentary time included work and family routines, lack of time and willpower, age and sociocultural limitations. Facilitators identified were sociocultural change, free time and active work, and family surroundings. Participants recognized the abilities of health professionals to provide help and advice, and reported a preference for patient-centred or group interventions. Conclusions: Findings from this study have implications for reducing sedentary behaviour. Patient insights were used to design an intervention to reduce sitting time within the frame of the SEDESTACTIV clinical trial.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Walking ; Obesity ; Habits ; Behavior ; Health services administration and management ; Qualitative studies ; Behavioral and social aspects of health ; Drug administration
Publicado en:	PloS one, Vol. 9, Issue 6 (June 2015) , p.0125739, ISSN 1932-6203

DOI: 10.1371/journal.pone.0125739
PMID: 26057237

21 p, 262.3 KB

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