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The SOS-framework (systems of sedentary behaviours) : an international transdisciplinary consensus framework for the study of determinants, research priorities and policy on sedentary behaviour across the life course: A DEDIPAC-study

Chastin, Sebastien F M and De Craemer, Marieke and Lien, Nanna and Bernaards, Claire and Buck, Christoph and Oppert, Jean-Michel and Nazare, Julie-Anne and Lakerveld, Jeroen and O'Donoghue, Grainne and Holdsworth, Michelle and Owen, Neville and Brug, Johannes and Cardon, Greet and Conroy, David and Healy, Genevieve and Langøien, Lars Joren and Reilly, John and Rutter, Harry and Salmon, Jo and Skelton, Dawn and Abula, Kahaerjiang and Ahrens, Wolfgang and Alshayji, Iqbal and Arrogi, Anass and Arundell, Lauren and Filho, Valter Cordeiro Barbosa and Brondeel, Ruben and Bullock, Victoria and Burns, Jill and Busschaert, Cedric and Capranica, Laura and Chastin, Sebastien and Condello, Giancarlo and Crist, Katie and Dall, Philippa and De Cocker, Katrien and De Lepeleere, Sara and Dontje, Manon and Duvivier, Bernard and Edelson, Lisa and Fenton, Sally and Fisher, Koren and Fletcher, Elly and Freiberger, Ellen and Hadgraft, Nyssa and Harvey, Julie and Hawari, Nabeha and Hayee, Mahwish and Hayes, Catherine and Hinkley, Trina and Huang, Wendy and Kilpatrick, Michelle and Kirk, Alison and Koorts, Harriet and Leask, Calum and Lee, Jungwha and Loyen, Anne and Määttä, Suvi and Mair, Jacqueline and McMicha, Lauren and Mellis, Michelle and Nicolaou, Mary and O'Dolan, Catriona and Olander, Ellinor and Orme, Mark and Perchoux, Camille and Pulsford, Richard and Rebar, Amanda and Routen, Ash and Rutten, Geert and Sanderson, Paul and Savelberg, Hans and Schmitz, Carrie and Shaw, Richard and Sherar, Lauren and Da Silva, Kelly Samara and Sudholz, Bronwyn and Timperio, Anna and van Lieshout, Robin and Whelan, Maxine and Wong, Stephen (2016) The SOS-framework (systems of sedentary behaviours) : an international transdisciplinary consensus framework for the study of determinants, research priorities and policy on sedentary behaviour across the life course: A DEDIPAC-study. International Journal of Behavioral Nutrition and Physical Activity, 13. ISSN 1479-5868

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Abstract

Background: Ecological models are currently the most used approaches to classify and conceptualise determinants of sedentary behaviour, but these approaches are limited in their ability to capture the complexity of and interplay between determinants. The aim of the project described here was to develop a transdisciplinary dynamic framework, grounded in a system-based approach, for research on determinants of sedentary behaviour across the life span and intervention and policy planning and evaluation. Methods: A comprehensive concept mapping approach was used to develop the Systems Of Sedentary behaviours (SOS) framework, involving four main phases: (1) preparation, (2) generation of statements, (3) structuring (sorting and ranking), and (4) analysis and interpretation. The first two phases were undertaken between December 2013 and February 2015 by the DEDIPAC KH team (DEterminants of DIet and Physical Activity Knowledge Hub). The last two phases were completed during a two-day consensus meeting in June 2015. Results: During the first phase, 550 factors regarding sedentary behaviour were listed across three age groups (i.e., youths, adults and older adults), which were reduced to a final list of 190 life course factors in phase 2 used during the consensus meeting. In total, 69 international delegates, seven invited experts and one concept mapping consultant attended the consensus meeting. The final framework obtained during that meeting consisted of six clusters of determinants: Physical Health and Wellbeing (71 % consensus), Social and Cultural Context (59 % consensus), Built and Natural Environment (65 % consensus), Psychology and Behaviour (80 % consensus), Politics and Economics (78 % consensus), and Institutional and Home Settings (78 % consensus). Conducting studies on Institutional Settings was ranked as the first research priority. The view that this framework captures a system-based map of determinants of sedentary behaviour was expressed by 89 % of the participants. Conclusion: Through an international transdisciplinary consensus process, the SOS framework was developed for the determinants of sedentary behaviour through the life course. Investigating the influence of Institutional and Home Settings was deemed to be the most important area of research to focus on at present and potentially the most modifiable. The SOS framework can be used as an important tool to prioritise future research and to develop policies to reduce sedentary time.