Associations between Poor Sleep Quality and Stages of Change of Multiple Health Behaviors among Participants of Employee Wellness Program.
Associations between Poor Sleep Quality and Stages of Change of Multiple Health Behaviors among Participants of Employee Wellness Program.
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DOI：
10.1016/j.pmedr.2015.04.002
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发表时间：
2015-01-01
影响因子：
2.8
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中科院分区：
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本研究采用行为改变的跨理论模型，评估睡眠质量与健康行为改变的动机和维持过程之间的关系。目前的研究是对2008年收集的数据的分析，这些数据来自堪萨斯州雇员健康计划（N = 13,322）的参与者完成的在线健康风险评估（HRA）调查。使用多项逻辑回归，自我报告的睡眠质量和五种健康行为（压力管理，体重管理，体育活动，饮酒和吸烟）的变化阶段（即沉思前，沉思，准备，行动，维持）之间的关联进行了分析。调整协变量后，睡眠质量差与参与健康行为改变过程时的沉思、准备和某些情况下的行动阶段的可能性增加相关，但通常维持健康行为的可能性较低。目前的研究表明，睡眠质量差与考虑或开始改变行为的可能性增加有关，但维持健康行为改变的可能性降低。重要的是将改善睡眠作为EWP提供的生活方式管理干预措施之一，以全面降低健康风险并促进大量员工群体的健康。我们分析了员工健康计划参与者的在线HRA响应。我们研究了睡眠质量和健康行为变化阶段之间的关系。睡眠质量差与考虑或开始健康行为改变有关。睡眠质量差与维持健康变化的可能性较低有关。睡眠改善干预应包括在员工健康计划中。
Using the Transtheoretical Model of behavioral change, this study evaluates the relationship between sleep quality and the motivation and maintenance processes of healthy behavior change. The current study is an analysis of data collected in 2008 from an online health risk assessment (HRA) survey completed by participants of the Kansas State employee wellness program (N = 13,322). Using multinomial logistic regression, associations between self-reported sleep quality and stages of change (i.e. precontemplation, contemplation, preparation, action, maintenance) in five health behaviors (stress management, weight management, physical activities, alcohol use, and smoking) were analyzed. Adjusted for covariates, poor sleep quality was associated with an increased likelihood of contemplation, preparation, and in some cases action stage when engaging in the health behavior change process, but generally a lower likelihood of maintenance of the healthy behavior. The present study demonstrated that poor sleep quality was associated with an elevated likelihood of contemplating or initiating behavior change, but a decreased likelihood of maintaining healthy behavior change. It is important to include sleep improvement as one of the lifestyle management interventions offered in EWP to comprehensively reduce health risks and promote the health of a large employee population. We analyzed on-line HRA responses of employee wellness program participants. We examined association between sleep quality and stages of health behavior change. Poor sleep quality related to contemplating or initiating health behavior change. Poor sleep quality related to lower likelihood of maintaining healthy changes made. Sleep improvement intervention should be included in employee wellness programs.