open access

Vol 69, No 4 (2018)
Original article
Submitted: 2018-04-19
Accepted: 2018-12-06
Published online: 2018-12-19
Get Citation

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.
Affiliations
  1. Robert Gordon University, United Kingdom
  2. University of Birmingham, United Kingdom

open access

Vol 69, No 4 (2018)
MARITIME/OCCUPATIONAL MEDICINE Original article
Submitted: 2018-04-19
Accepted: 2018-12-06
Published online: 2018-12-19

Abstract

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.

Abstract

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.

Get Citation

Keywords

health; behaviour; health promotion; occupational health

About this article
Title

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

Journal

International Maritime Health

Issue

Vol 69, No 4 (2018)

Article type

Original article

Pages

248-256

Published online

2018-12-19

Page views

2086

Article views/downloads

1490

DOI

10.5603/IMH.2018.0040

Pubmed

30589064

Bibliographic record

IMH 2018;69(4):248-256.

Keywords

health
behaviour
health promotion
occupational health

Authors

Kathrine Gibson Smith
Vibhu Paudyal
Francis Quinn
Susan Klein
Derek Stewart

References (26)
  1. Oil and Gas UK. UK Continental Shelf Offshore Workforce Demographics Report 2015. Aberdeen: Oil and Gas UK. 2015.
  2. Oil and Gas UK. Medical aspects of fitness for work offshore: guidance for examining physicians. Aberdeen: Oil and Gas UK. 2008.
  3. Doig M. Offshore workers. In: Oxford: Oxford University Press; 2007. p. : 649–659.
  4. Health and Safety Executive. Health care and first aid on offshore installations and pipeline works. London: Crown. 2016.
  5. Ponsonby W, Mika F, Irons G. Offshore industry: medical emergency response in the offshore oil and gas industry. Occup Med (Lond). 2009; 59(5): 298–303.
  6. Mearns K, Hope L. Health and well-being in the offshore environment: The management of personal health. Health and Safety Executive. 2005.
  7. Mearns, K., Hope, L., Reader, K. Health and well-being in the offshore environment: The role of organisational support. Norwich: Crown; 2006. Report No. : RR376.
  8. Gibson Smith K, Paudyal V, Stewart D, et al. The self care behaviours of offshore workers: opportunities for behaviour change interventions. International Journal of Pharmacy Practice. 2015; 23(6): 6.
  9. Craig P, Dieppe P, Macintyre S, et al. Medical Research Council Guidance. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008; 337(5): a1655–592.
  10. Stewart D, Klein S. The use of theory in research. Int J Clin Pharm. 2016; 38(3): 615–619.
  11. Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012; 7: 37.
  12. Francis JJ, O'Connor D, Curran J. Theories of behaviour change synthesised into a set of theoretical groupings: introducing a thematic series on the theoretical domains framework. Implement Sci. 2012; 7: 35.
  13. Cane J, Richardson M, Johnston M, et al. From lists of behaviour change techniques (BCTs) to structured hierarchies: comparison of two methods of developing a hierarchy of BCTs. Br J Health Psychol. 2015; 20(1): 130–150.
  14. Michie S, Atkins L, West R. The Behaviour Change Wheel: A Guide To Designing Interventions. 2014. Great Britain: Silverback Publishing. 2015.
  15. Evers JC. From the past into the future. How technological developments change our ways of data collection, transcription and analysis. 2011.
  16. Ritchie J, Lewis J, Nicholls CM, et al. Qualitative research practice: A guide for social science students and researchers. Sage. 2013.
  17. Bryman A. Social research methods. OUP Oxford. 2012.
  18. Michie S, Johnston M, Francis J, et al. From Theory to Intervention: Mapping Theoretically Derived Behavioural Determinants to Behaviour Change Techniques. Applied Psychology. 2008; 57(4): 660–680.
  19. Cecchini M, Warin L. Impact of food labelling systems on food choices and eating behaviours: a systematic review and meta-analysis of randomized studies. Obes Rev. 2016; 17(3): 201–210.
  20. Royer H, Stehr M, Sydnor J. Incentives, Commitments and Habit Formation in Exercise: Evidence from a Field Experiment with Workers at a Fortune-500 Company. American Economic Journal: Applied Economics. 2015; 7(3): 51–84.
  21. Halpern SD, Asch DA, Volpp KG. Commitment contracts as a way to health. BMJ. 2012; 344: e522.
  22. Anderson-Bill ES, Winett RA, Wojcik JR. Social cognitive determinants of nutrition and physical activity among web-health users enrolling in an online intervention: the influence of social support, self-efficacy, outcome expectations, and self-regulation. J Med Internet Res. 2011; 13(1): e28.
  23. Dunton GF, Vaughan E. Anticipated affective consequences of physical activity adoption and maintenance. Health Psychol. 2008; 27(6): 703–710.
  24. Samdal GB, Eide GE, Barth T, et al. Effective behaviour change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses. Int J Behav Nutr Phys Act. 2017; 14(1): 42.
  25. Riethmeister V, Brouwer S, van der Klink J, et al. Work, eat and sleep: towards a healthy ageing at work program offshore. BMC Public Health. 2016; 16: 134.
  26. Phillips CJ, Marshall AP, Chaves NJ, et al. Experiences of using the Theoretical Domains Framework across diverse clinical environments: a qualitative study. J Multidiscip Healthc. 2015; 8: 139–146.

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