Opportunities for Physical Activity Behavior Change Among Emergency Medical Services Clinicians: Qualitative Investigation.

IF 2.1 3区 医学 Q2 EMERGENCY MEDICINE
Michael W Supples, Allison M Chandler, Jason T Fanning, Anna C Snavely, Nicklaus P Ashburn, Stephen L Powell, James E Winslow, Jason P Stopyra, Justin B Moore, Simon A Mahler
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引用次数: 0

Abstract

Objectives: Emergency medical services (EMS) clinicians often do not achieve sufficient levels of physical activity. We investigate behavioral determinants that influence participation in physical activity among EMS clinicians.

Methods: We enrolled EMS clinicians from a North Carolina third-service EMS agency in 2023. A trained qualitative investigator conducted twenty virtual, 30-minute, individual, semi-structured interviews using an interview guide developed by experts in physical activity behaviors, EMS, and qualitative research. Interviews were guided by the Theoretical Domains Framework and Capability Opportunity Motivation Behavior Change Model. Structured interviews were digitally recorded and transcribed verbatim by a professional transcription service. Transcriptions were verified against audio for accuracy and de-identified. A codebook was established using a hybrid inductive/deductive approach, and thematic analysis was performed.

Results: The 20 participants had a median age of 31 years (IQR 27-34), of which 65% (13/20) were female. Several key themes emerged that represent opportunities for behavioral intervention. First, physical activity is often viewed as a process requiring high inhibitory self-regulation and is often paired with highly restrictive behaviors, which likely leads to existing poor behavioral habits. Existing confidence in being physically active was often tied to goal setting and mastery experiences, suggesting an opportunity to leverage specific and achievable goal setting, self-monitoring, and feedback. Further, EMS clinicians often struggle with incorporating physical activity amid work and life demands in a practical, sustainable way. They also identified a lack of available time, resources, and organizational support. High-quality social networks are foundational behavior change components and were often lacking among participants.

Conclusions: Behavioral determinants of physical inactivity included a theme of negative implicit associations around physical activity among some participants and need for achievable goal setting, self-monitoring, and building positive social support networks. Further investigation is needed to develop and test toolsets to improve physical activity behaviors among EMS clinicians.

急诊医疗服务临床医生身体活动行为改变的机会:定性调查。
目的:紧急医疗服务(EMS)临床医生往往没有达到足够的身体活动水平。我们调查影响EMS临床医生参与体力活动的行为决定因素。方法:我们于2023年招募了来自北卡罗来纳州第三服务EMS机构的EMS临床医生。一位训练有素的定性调查员使用由体育活动行为、EMS和定性研究方面的专家开发的访谈指南进行了20次虚拟的、30分钟的个人半结构化访谈。访谈以理论领域框架和能力机会动机行为改变模型为指导。结构化访谈被数字化记录,并由专业转录服务逐字转录。根据音频验证转录的准确性并去识别。采用归纳/演绎混合方法建立了密码本,并进行了专题分析。结果:20名参与者中位年龄为31岁(IQR 27-34),其中65%(13/20)为女性。出现了几个关键主题,代表了行为干预的机会。首先,体育活动通常被视为一个需要高度抑制性自我调节的过程,通常与高度限制性的行为相结合,这可能导致现有的不良行为习惯。对身体活动的现有信心通常与目标设定和掌握经验有关,这意味着有机会利用具体的、可实现的目标设定、自我监控和反馈。此外,EMS临床医生经常努力将身体活动与工作和生活需求结合起来,以一种实用、可持续的方式。他们还发现缺乏可用的时间、资源和组织支持。高质量的社交网络是行为改变的基本组成部分,而参与者往往缺乏这一点。结论:缺乏身体活动的行为决定因素包括一些参与者对身体活动的负面内隐联想、可实现的目标设定、自我监控和建立积极的社会支持网络的需求。需要进一步的研究来开发和测试工具集来改善EMS临床医生的身体活动行为。
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来源期刊
Prehospital Emergency Care
Prehospital Emergency Care 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.30
自引率
12.50%
发文量
137
审稿时长
1 months
期刊介绍: Prehospital Emergency Care publishes peer-reviewed information relevant to the practice, educational advancement, and investigation of prehospital emergency care, including the following types of articles: Special Contributions - Original Articles - Education and Practice - Preliminary Reports - Case Conferences - Position Papers - Collective Reviews - Editorials - Letters to the Editor - Media Reviews.
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