Systematic review of process evaluations of interventions in trials investigating sedentary behaviour in adults.

Autor:	Johansson JF; Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK jessica.johansson@bthft.nhs.uk.; Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK., Lam N; Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK.; Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK., Ozer S; Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK.; Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK., Hall J; Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK.; Faculty of Life Sciences and Health Studies, University of Bradford, Bradford, UK., Morton S; Geriatric Medicine, The University of Edinburgh Centre for Clinical Brain Sciences, Edinburgh, UK., English C; Faculty of Health and Medicine, The University of Newcastle School of Health Sciences, Callaghan, New South Wales, Australia., Fitzsimons CF; Institute of Sport, Physical Education and Health Sciences, University of Edinburgh Physical Activity for Health Research Centre, Edinburgh, UK., Lawton R; Institute of Psychological Sciences, University of Leeds, Leeds, UK.; Quality and Safety Research, Bradford Institute for Health Research, Bradford, UK., Forster A; Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK.; Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK., Clarke D; Academic Unit for Ageing and Stroke Research, University of Leeds, Leeds Institute of Health Sciences, Leeds, UK.; Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Jan 31; Vol. 12 (1), pp. e053945. Date of Electronic Publication: 2022 Jan 31.
DOI:	10.1136/bmjopen-2021-053945
Abstrakt:	Objectives: To systematically review and synthesise findings from process evaluations of interventions in trials which measured sedentary behaviour as an outcome in adults to explore: (1) how intervention content, implementation, mechanisms of impact and context influence outcomes and (2) how these interventions are experienced from different perspectives (participants, carers, staff). Design: Systematic review and narrative synthesis underpinned by the Medical Research Council process evaluation framework. Data Sources: Databases searches were conducted in March 2019 then updated in May 2020 and October 2021 in: CINAHL, SPORTDiscus, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, AMED; EMBASE, PsycINFO, MEDLINE, Web of Science and ProQuest Dissertations & Theses. Eligibility Criteria: We included: Process evaluations of trials including interventions where sedentary behaviour was measured as an outcome in adults aged 16 or over from clinical or non-clinical populations. We excluded studies if interventions were delivered in educational or workplace settings, or if they were laboratory studies focused on immediate effects of breaking sitting. Data Extraction and Synthesis: Two independent reviewers extracted and coded data into a framework and assessed the quality of studies using the Mixed Methods Appraisal Tool. We synthesised findings using a narrative approach. Results: 17 process evaluations were included. Five interventions focused on reducing sedentary behaviour or sitting time, 12 aimed to increase physical activity or promote healthier lifestyles. Process evaluations indicated changes in sedentary behaviour outcomes were shaped by numerous factors including: barriers (eg, staffing difficulties and scheduling problems) and facilitators (eg, allowing for flexibility) to intervention delivery; contextual factors (eg, usual lifestyle and religious events) and individual factors (eg, pain, tiredness, illness, age and individual preferences). Discussion: Intervention requires careful consideration of different factors that could influence changes in sedentary behaviour outcomes to ensure that interventions can be tailored to suit different individuals and groups. Prospero Registration Number: CRD42018087403. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu