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Time-Use Sequences: A Mixed-Methods Study Exploring How, When, and Where Spatiotemporal Patterns of Everyday Routines

Brittany V Barber1, George Kephart2, Michael Vallis3

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Incorporating spatiotemporal contexts into behavior change interventions helps tailor strategies for cardiovascular disease prevention. Understanding patient routines reveals opportunities to modify daily activities and mitigate risks effectively.

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behavior change interventioncardiovascular risk factorsgeo-ethnographymixed methodsphysical activityspatiotemporal contextstime-use patterns

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Area of Science:

  • Cardiovascular disease secondary prevention
  • Behavior change interventions
  • Spatiotemporal context in health

Background:

  • Behavior change interventions are crucial for cardiovascular disease (CVD) secondary prevention.
  • Lack of spatiotemporal context limits understanding of behavior maintenance.
  • This study explores incorporating patient activity contexts into interventions.

Purpose of the Study:

  • To investigate how spatiotemporal contexts of patient activities can be integrated into behavior change interventions.
  • To identify opportunities for modifying patient behaviors for CVD risk reduction.

Main Methods:

  • A mixed-methods approach using adapted geo-ethnography.
  • Data collected from 29 cardiac patients in Nova Scotia, Canada (June-September 2021).
  • Focused on detailed descriptions of patients' daily routines (where, when, how time is spent).

Main Results:

  • Most patients exceeded physical activity guidelines but had prolonged sedentary periods.
  • Patient time-use patterns are heterogeneous and context-specific.
  • Identified specific times, locations, and activities offering opportunities for health behavior adaptation.

Conclusions:

  • Interventions can integrate tools to collect and communicate spatial and temporal patient routine contexts.
  • Time-use patterns offer insights for tailoring behavior change interventions.
  • Adapting routines in real-world contexts can mitigate cardiovascular risk factors.