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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Public Health 1/2018

National policies for the promotion of physical activity and healthy nutrition in the workplace context: a behaviour change wheel guided content analysis of policy papers in Finland

Zeitschrift:
BMC Public Health > Ausgabe 1/2018
Autoren:
Tuija Seppälä, Nelli Hankonen, Eveliina Korkiakangas, Johanna Ruusuvuori, Jaana Laitinen
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-017-4574-3) contains supplementary material, which is available to authorized users.
An erratum to this article is available at https://​doi.​org/​10.​1186/​s12889-017-4709-6.

Abstract

Background

Health policy papers disseminate recommendations and guidelines for the development and implementation of health promotion interventions. Such documents have rarely been investigated with regard to their assumed mechanisms of action for changing behaviour. The Theoretical Domains Framework (TDF) and Behaviour Change Techniques (BCT) Taxonomy have been used to code behaviour change intervention descriptions, but to our knowledge such “retrofitting” of policy papers has not previously been reported. This study aims first to identify targets, mediators, and change strategies for physical activity (PA) and nutrition behaviour change in Finnish policy papers on workplace health promotion, and second to assess the suitability of the Behaviour Change Wheel (BCW) approach for this purpose.

Method

We searched all national-level health policy papers effectual in Finland in August 2016 focusing on the promotion of PA and/or healthy nutrition in the workplace context (n = 6). Policy recommendations targeting employees’ nutrition and PA including sedentary behaviour (SB) were coded using BCW, TDF, and BCT Taxonomy.

Results

A total of 125 recommendations were coded in the six policy papers, and in two additional documents referenced by them. Psychological capability, physical opportunity, and social opportunity were frequently identified (22%, 31%, and 24%, respectively), whereas physical capability was almost completely absent (1%). Three TDF domains (knowledge, skills, and social influence) were observed in all papers. Multiple intervention functions and BCTs were identified in all papers but several recommendations were too vague to be coded reliably. Influencing individuals (46%) and changing the physical environment (44%) were recommended more frequently than influencing the social environment (10%).

Conclusions

The BCW approach appeared to be useful for analysing the content of health policy papers. Paying more attention to underlying assumptions regarding behavioural change processes may help to identify neglected aspects in current policy, and to develop interventions based on recommendations, thus helping to increase the impact of policy papers.
Zusatzmaterial
Additional file 1: Description of selected policy papers and data unit selection strategy. (DOCX 20 kb)
12889_2017_4574_MOESM1_ESM.docx
Additional file 2: Coding instructions. (DOCX 19 kb)
12889_2017_4574_MOESM2_ESM.docx
Additional file 3: Table S1. Identified mechanisms of action for nutrition and PA recommended in health policy papers. (DOCX 17 kb)
12889_2017_4574_MOESM3_ESM.docx
Additional file 4: Table S2. Identified intervention content recommended in policy papers for nutrition and PA. (DOCX 22 kb)
12889_2017_4574_MOESM4_ESM.docx
Additional file 5: Table S3. Frequencies of different targets in recommendations for each policy paper. (DOCX 14 kb)
12889_2017_4574_MOESM5_ESM.docx
Literatur
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