Exploration of the individual, social and environmental factors influencing dietary behaviour in shift workers with type 2 diabetes working in UK healthcare—The Shift‐Diabetes Study: A qualitative study using the theoretical domains framework
Authors' conclusion
The dietary behaviour of shift workers with T2D is influenced by interacting individual, socio-cultural and environmental factors. Intervention should focus on environmental restructuring and strategies that enable monitoring and meal planning.
Study context
- Population
- Shift workers (32–59 years) with T2D working night shifts as part of a mixed shift schedule in UK healthcare settingsconvenience sample
- Participants
- 15 workers
- Outcome
- Factors influencing dietary behaviour
Methodological detailssemi-structured interviews, theoretical domains framework, convenience sample, combined deductive framework and inductive thematic analysis
- Semi-structured interviews
- Theoretical domains framework
- Convenience sample
- Combined deductive framework and inductive thematic analysis
Main finding
As reported in the abstract
Influences on dietary behaviour (theoretical domains framework (TDF) domains)
- Key barriers: access and cost of food available during night work (Environment Context and Resources)
- Enablers and barriers: availability of staff facilities and time to take a break (Environment Context and Resources)
- Enablers and barriers: physical impact of night work (Beliefs About Consequences)
- Enablers and barriers: eating in response to stress or tiredness (Emotion)
- Enablers and barriers: advance planning of meals/food and taking own food to work (Behavioural Regulation)
Further findings
Potential behaviour change techniques
- Meal planning templates, self-monitoring and biofeedback, and increasing accessibility and availability of healthier food choices during night shifts
Original publication
Exploration of the individual, social and environmental factors influencing dietary behaviour in shift workers with type 2 diabetes working in UK healthcare—The Shift‐Diabetes Study: A qualitative study using the theoretical domains framework. Diabet Med. Published 29 July 2023. doi:10.
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