Vol 69, No 4 (2018)
Original article
Published online: 2018-12-19

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Offshore workers and health behaviour change: an exploration using the Theoretical Domains Framework

Kathrine Gibson Smith1, Vibhu Paudyal2, Francis Quinn1, Susan Klein2, Derek Stewart1
Pubmed: 30589064
IMH 2018;69(4):248-256.


Background: Previous research has identified the importance of promoting behaviour change within the
offshore workforce. This qualitative study sought to: identify self-care behaviours perceived to require behaviour
change within the offshore workforce, and explore perceived potential behavioural determinants.
Materials and methods: This study included the perspectives of both offshore workers (OWs, n = 16) and
healthcare practitioners (HCPs, n = 12) from the global workforce. Telephone interviews were conducted,
recorded electronically and transcribed. Transcripts were analysed independently by two researchers using
a Framework Approach and the Theoretical Domains Framework (TDF) to support coding.
Results: Healthy eating and alcohol intake were behaviours perceived by OWs and HCPs to require change
within the offshore workforce. Knowledge (e.g. availability of nutritional knowledge), intentions (e.g. role of
motivation), memory, attention and decision process (e.g. effect of boredom), environmental context and
resources (e.g. influence of environmental stressors), social influences (e.g. influence of others), emotion
(e.g. influence of emotional state) and behavioural regulation (e.g. influence of willpower). TDF domains
were reported by both OWs and HCPs in relation to OWs’ healthy eating and physical activity behaviours.
Conclusions: The determinants identified as mechanisms of behaviour may be targeted in future interventions
which aim to promote engagement in self-care within the offshore workforce.

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