影响在职成年人健康信念和久坐行为的视频干预研究

Melissa M Peachey, J. Richardson, V. D. Bello-Haas, A. Tang
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摘要

从事学术工作的成年人有久坐行为的风险。本研究的目的是确定教育视频对观众健康信念和久坐行为的影响。数据收集于2017年3月至4月,来自加拿大安大略省一家学术机构的健康成年人(n=71;年龄=40.00±12.1岁),采用单组前后设计。总结了减少家庭和工作中久坐行为的循证策略,并在5分钟的视频中作为行动提示。分别在观看视频前一周(T1)、后一周(T2)和一周(T3)使用国际体力活动问卷、久坐行为健康信念问卷和准备状态量表测量自我报告的体力活动、久坐活动、健康信念和改变意愿。每天通过参与者日志评估职业和休闲时间的坐着时间。参与者将工作日和周末的坐着时间分别减少了-35.9分钟/天(p=0.03)和-21.1分钟/天。在T2和T3之间,改变的准备度增加(p=0.004)。从T1到T2,与久坐行为相关的健康风险的感知严重程度(p=0.03)和易感性(p=0.01)增加。T2时的感知效益得分(rs=-0.25,p=0.04)与T2至T3的久坐时间减少呈负相关。接触视频可能影响了从事学术工作的健康成年人的几种健康益处结构,并减少了他们每天的久坐时间。
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Influencing Health Beliefs and sedentary Behaviours in Working Adults: A Video-Based Intervention Study
Adults working in academic occupations are at risk for exposure to sedentary behaviours. The aim of this study was to determine the influence of an educational video on viewer’s health beliefs and sedentary behaviours. Data was collected between March and April 2017 from healthy adults employed in an academic institution in Ontario, Canada (n=71; age= 40.0±12.1 y) using a single-group, pre-post design. Evidence-based strategies to reduce sedentary behaviour at home and at work were summarized and presented as cues to action in a 5-minute video. Self-reported physical activity, sedentary behaviours, health beliefs, and readiness to change were measured using the International Physical Activity Questionnaire, Sedentary behaviour Health Belief Questionnaire, and Readiness Ruler, respectively, one week before (T1), immediately after (T2), and one week after watching the video (T3). Occupational and leisure-time sitting time was assessed daily via participant log. Participants reduced weekday and weekend sitting time by-35.9 minutes/day (p=0.03) and-21.1 minutes/day (p=0.01), respectively. Readiness to change increased between T2 and T3 (p=0.004). Perceived severity of (p=0.03) and susceptibility to (p=0.01) the health risks associated with sedentary behaviour increased from T1 to T2. Perceived benefit scores (rs=-0.25, p=0.04) at T2 were inversely associated with reductions in sitting time from T2 to T3. It is possible that exposure to the video influenced several health benefits constructs and reduced daily sitting time in healthy adults working in academic occupations.
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