Individual, social and environmental factors influencing dietary behaviour in shift workers with type 2 diabetes working in UK healthcare: A cross‐sectional survey

TY - JOUR

T1 - Individual, social and environmental factors influencing dietary behaviour in shift workers with type 2 diabetes working in UK healthcare: A cross‐sectional survey

AU - Rubner, Sophie

AU - D'Annibale, Maria

AU - Oliver, Nick

AU - McGowan, Barbara

AU - Guess, Nicola

AU - Lorencatto, Fabiana

AU - Gibson, Rachel

N1 - Funding Information: We thank all the respondents who completed the survey and to the Shift Diabetes steering group members. The Shift-Diabetes study is supported by Diabetes UK (Grant No. 19/0005979). Diabetes UK do not/will not have any role in the study design, management, data analysis and interpretation, writing of the report, or the decision to submit the report for publication. Funding Information: We thank all the respondents who completed the survey and to the Shift Diabetes steering group members. The Shift‐Diabetes study is supported by Diabetes UK (Grant No. 19/0005979). Diabetes UK do not/will not have any role in the study design, management, data analysis and interpretation, writing of the report, or the decision to submit the report for publication. Publisher Copyright: © 2023 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association.

PY - 2023/10

Y1 - 2023/10

N2 - Background: The present study aimed to understand the individual, social and environmental factors influencing dietary behaviour in shift workers with type 2 diabetes (T2D) working in UK healthcare settings. Methods: A cross-sectional study was conducted using data collected from an anonymous online survey. Participant agreement was measured using five-point Likert scale (strongly disagree to strongly agree) against 38 belief statements informed by the Theoretical Domains Framework (TDF) of behaviour change. Results: From the complete responses (n = 119), 65% worked shifts without nights, 27% worked mixed shift rota including nights and 8% worked only night shifts. The statements ranked with the highest agreements were in the TDF domains: Environment Context/Resources (ECR) – mainly identified as a barrier to healthy eating, Behaviour Regulation (BR) and intention (IN) – identified as enablers to healthy eating. For the belief statement ‘the available options for purchasing food are too expensive’ (ECR), 80% of night workers and 75% non-night workers agreed/strongly agreed. Taking their own food to work to prevent making unhealthy food choices (BR) had agreement/strong agreement in 73% of non-night and 70% night workers; 74% non-night workers and 80% of night workers agreed/strongly agreed with the statement ‘I would like to eat healthily at work’ (IN). Mixed shift workers agreed that following dietary advice was easier when working a non-night compared to a night shift (p = 0.002). Conclusions: Access and affordability of food were identified as important determinants of dietary behaviour during shifts. The findings support interventions targeting the food environment for shift workers with T2D.

AB - Background: The present study aimed to understand the individual, social and environmental factors influencing dietary behaviour in shift workers with type 2 diabetes (T2D) working in UK healthcare settings. Methods: A cross-sectional study was conducted using data collected from an anonymous online survey. Participant agreement was measured using five-point Likert scale (strongly disagree to strongly agree) against 38 belief statements informed by the Theoretical Domains Framework (TDF) of behaviour change. Results: From the complete responses (n = 119), 65% worked shifts without nights, 27% worked mixed shift rota including nights and 8% worked only night shifts. The statements ranked with the highest agreements were in the TDF domains: Environment Context/Resources (ECR) – mainly identified as a barrier to healthy eating, Behaviour Regulation (BR) and intention (IN) – identified as enablers to healthy eating. For the belief statement ‘the available options for purchasing food are too expensive’ (ECR), 80% of night workers and 75% non-night workers agreed/strongly agreed. Taking their own food to work to prevent making unhealthy food choices (BR) had agreement/strong agreement in 73% of non-night and 70% night workers; 74% non-night workers and 80% of night workers agreed/strongly agreed with the statement ‘I would like to eat healthily at work’ (IN). Mixed shift workers agreed that following dietary advice was easier when working a non-night compared to a night shift (p = 0.002). Conclusions: Access and affordability of food were identified as important determinants of dietary behaviour during shifts. The findings support interventions targeting the food environment for shift workers with T2D.

UR - http://www.scopus.com/inward/record.url?scp=85165238211&partnerID=8YFLogxK

U2 - 10.1111/jhn.13198

DO - 10.1111/jhn.13198

M3 - Article

SN - 0952-3871

VL - 36

SP - 1992

EP - 2009

JO - JOURNAL OF HUMAN NUTRITION AND DIETETICS

JF - JOURNAL OF HUMAN NUTRITION AND DIETETICS

IS - 5

ER -