title: Prolonged Sitting Time: Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese.
abstract: OBJECTIVE
  Prolonged sitting time has negative consequences on health, although the population is not well aware of these harmful effects. We explored opinions expressed by primary care patients diagnosed as overweight or moderately obese concerning their time spent sitting, willingness to change, and barriers, facilitators, goals and expectations related to limiting this behaviour.
  
  
  METHODS
  A descriptive-interpretive qualitative study was carried out at three healthcare centres in Barcelona, Spain, and included 23 patients with overweight or moderate obesity, aged 25 to 65 years, who reported sitting for at least 6 hours a day. Exclusion criteria were inability to sit down or stand up from a chair without help and language barriers that precluded interview participation. Ten in-depth, semi-structured interviews (5 group, 5 individual) were audio recorded from January to July 2012 and transcribed. The interview script included questions about time spent sitting, willingness to change, barriers and facilitators, and the prospect of assistance from primary healthcare professionals. An analysis of thematic content was made using ATLAS.Ti and triangulation of analysts.
  
  
  RESULTS
  The most frequent sedentary activities were computer use, watching television, and motorized journeys. There was a lack of awareness of the amount of time spent sitting and its negative consequences on health. Barriers to reducing sedentary time included work and family routines, lack of time and willpower, age and sociocultural limitations. Facilitators identified were sociocultural change, free time and active work, and family surroundings. Participants recognized the abilities of health professionals to provide help and advice, and reported a preference for patient-centred or group interventions.
  
  
  CONCLUSIONS
  Findings from this study have implications for reducing sedentary behaviour. Patient insights were used to design an intervention to reduce sitting time within the frame of the SEDESTACTIV clinical trial.
authors.affiliation: Primary Healthcare Centre, Vilanova 1, Institut Català de la Salut (ICS), Barcelona, Spain; Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Martínez-Ramos
authors.affiliation: Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain; Department of Physical Activity and Sport Sciences, FPCEE Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
authors.forename: Carme
authors.initials: C
authors.lastname: Martín-Borràs
authors.affiliation: Primary Healthcare Centre, Cuevas del Almanzora, North Almeria Region, Spain.
authors.forename: José-Manuel
authors.initials: JM
authors.lastname: Trujillo
authors.affiliation: Department of Physical Activity and Sport Sciences, FPCEE Blanquerna, Universitat Ramon Llull, Barcelona, Spain; Department of Physical Therapy, FCS Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Giné-Garriga
authors.affiliation: Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain; Department of Medicine, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Martín-Cantera
authors.affiliation: Primary Healthcare Centre, Les Planes, ICS, Barcelona, Spain.
authors.forename: Mercè
authors.initials: M
authors.lastname: Solà-Gonfaus
authors.affiliation: Primary Healthcare Centre, Molí Nou, ICS, Barcelona, Spain.
authors.forename: Eva
authors.initials: E
authors.lastname: Castillo-Ramos
authors.affiliation: Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain; Department of Medicine, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain; Institut Català de la Salut, Generalitat de Catalunya, Barcelona, Spain.
authors.forename: Enriqueta
authors.initials: E
authors.lastname: Pujol-Ribera
authors.affiliation: Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
authors.forename: Dolors
authors.initials: D
authors.lastname: Rodríguez
authors.affiliation: Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain; Department of Medicine, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain.
authors.forename: Elisa
authors.initials: E
authors.lastname: Puigdomenech
authors.affiliation: Lifestyles Study Group, RedIAPP, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
authors.forename: Angela-Maria
authors.initials: AM
authors.lastname: Beltran
authors.affiliation: Department of Nursing, Universitat de Lleida, Lleida, Spain.
authors.forename: Noemi
authors.initials: N
authors.lastname: Serra-Paya
authors.affiliation: Department of Health Sciences, University of Zaragoza, Zaragoza, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Gascón-Catalán
authors.affiliation: Grup de Recerca en Esport i Activitat Física. Universitat de Vic. Universitat Central de Catalunya (UVic-UCC), Vic, Spain.
authors.forename: Anna
authors.initials: A
authors.lastname: Puig-Ribera
mesh_terms: D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology*; D011187:Posture / Q000502:physiology*; D011320:Primary Health Care; D057185:Sedentary Behavior; D013030:Spain; D013997:Time Factors