Individual-Level Behavior Change Strategies to Promote Physical Activity

Author(s):  
Kyle J. Davis ◽  
Samuel Hubley ◽  
Jenn Leiferman
2017 ◽  
Vol 51 (3) ◽  
pp. 376-390 ◽  
Author(s):  
Siobhan K McMahon ◽  
Beth Lewis ◽  
J Michael Oakes ◽  
Jean F Wyman ◽  
Weihua Guan ◽  
...  

2019 ◽  
Vol 22 (4) ◽  
pp. 178-186
Author(s):  
Sarah J. Donkers ◽  
Sarah Oosman ◽  
Stephan Milosavljevic ◽  
Kristin E. Musselman

Abstract Background: Although physical activity (PA) is considered the most important nonpharmaceutical intervention for persons with multiple sclerosis (MS), less than 20% of people with MS are engaging in sufficient amounts to accrue benefits. Promotion of PA is most effective when combined with additional behavior change strategies, but this is not routinely done in clinical practice. This study aimed to increase our understanding of current practice and perspectives of health care providers (HCPs) in Canada regarding their use of interventions to address PA behavior in MS management. Investigating HCPs’ perspectives on implementing PA behavior change with persons with MS will provide insight into this knowledge-to-practice gap. Methods: Semistructured focus groups were conducted with 31 HCPs working with persons with MS in Saskatchewan, Canada. Based on interpretive description, data were coded individually by three researchers, who then collaboratively developed themes. Analysis was inductive and iterative; triangulation and member reflections were used. Results: Five themes were established: 1) prescribing, promoting, and impacting wellness with PA; 2) coordinating communication and continuity in practice; 3) timely access to relevant care: being proactive rather than reactive; 4) enhancing programming and community-based resources; and 5) reconciling the value of PA with clinical practice. Conclusions: The HCPs value PA and want more support with application of behavior change strategies to deliver PA behavioral interventions, but due to the acute and reactive nature of health care systems they feel this cannot be prioritized in practice. Individual- and system-level changes are needed to support consistent and effective use of PA behavioral interventions in MS.


2005 ◽  
Vol 19 (6) ◽  
pp. 397-400 ◽  
Author(s):  
Bradley J. Cardinal

Purpose. Explore whether adults' physical activity behavior or their use of physical activity behavior-change strategies, as derived from the Transtheoretical Model, differed by handedness. Methods. A cross-sectional survey of 151 adults' hand preference (i.e., handedness: right, left, ambidextrous) and their use of the behavioral and cognitive processes of change, decisional balance scores (i.e., pros minus cons), self-efficacy, and their stage of change for physical activity involvement. Results. Left-handers showed significantly less use of the behavioral and cognitive processes of change compared to right-handers (M = 46.9 vs. M = 40.5 and M = 46.9 vs. M = 40.5, respectively). Left-handers were also significantly more likely to be in the earlier (i.e., inactive or irregularly active) stages of change relative to right-handers (84.6% vs. 48.1%, respectively). Discussion. Handedness may be a previously unrecognized, heritable correlate of physical activity behavior and the use of physical activity behavior-change strategies.


2011 ◽  
Vol 23 (5) ◽  
pp. 386-391 ◽  
Author(s):  
Mary A. Nies ◽  
Ross A. Dierkhising ◽  
Randal J. Thomas ◽  
Kristin Vickers ◽  
Simone Salandy

Objective: To assess expectations for recovery and use of behavior change strategies as predictors of subsequent diet and physical activity among adults recently hospitalized for a cardiac event. Design: Quasi-experimental design in which adults with recent cardiac event-related hospitalization completed surveys assessing health behaviors and attitudes immediately post-discharge and three months later. Results: Among those completing the study (n = 323), positive expectations about recovery and more frequent use of behavior change skills predicted greater physical activity and better nutrition at follow-up. In multivariate models, baseline health behavior was a significant predictor of physical activity and fruit and vegetable intake at follow-up (alpha = 0.05). Conclusions: Individuals participating in physical activity and eating a heart-healthy diet approximately three months after cardiac hospitalization possessed behavior change skills. Early intervention is critical as health behaviors occurring just days after hospitalization predicted future health behavior.


2017 ◽  
Vol 19 (4) ◽  
pp. 513-521 ◽  
Author(s):  
Kathryn Bus ◽  
Karissa L. Peyer ◽  
Yang Bai ◽  
Laura D. Ellingson ◽  
Gregory J. Welk

Health coaching is a common approach for promoting lifestyle changes, but little is known about the effectiveness of different delivery methods. The purpose of this study was to evaluate the effectiveness of in-person versus online health coaching when used as part of a facilitated behavior change program. To increase translatability, the study used a naturalistic design that enabled participants to self-select the coaching delivery method (Group) as well as the target behavior (diet, physical activity, or weight management). Regardless of group, participants were provided with a behavior-based monitoring device and guided to use it by the health coach. A sample of 92 adults participated and 86 completed pre–post evaluations to assess behavior change strategies and posttest outcome measurements for their specific goal. Two-way (Group × Time) analyses of variance were used to evaluate changes in behavioral strategies. Intent-to-treat regression analyses were used to compare postintervention outcomes for groups. The in-person group had significantly higher Healthy Eating Index scores than the online group ( p < .05), but nonsignificant group differences were observed for those targeting physical activity or weight change ( p > .05). The results support the use of health coaching for promoting behavior change and suggest that online coaching may be equally effective as in-person methods.


Author(s):  
Gemma Enright ◽  
Margaret Allman-Farinelli ◽  
Julie Redfern

Effective treatment interventions for childhood obesity involve parents, are multicomponent and use behavior change strategies, but more information is needed on the mechanisms influencing behavioral outcomes and the type of parental involvement that is efficacious in behavioral treatment interventions with school-age children. This review aimed to understand key characteristics of programs that contribute to dietary and physical activity behavioral outcomes, and through which key mechanisms. This was a systematic review with narrative synthesis following PRISMA guidelines and realist analysis using RAMESES guidelines to explain outcome patterns and influence of parental involvement. Overall, the findings contribute to understanding the complex relationship between family barriers to behavior change, strategies employed in treatment interventions and behavioral outcomes. Implications for enhancing future policy and practice include involving parents in goal setting, motivational counselling, role modeling, and restructuring the physical environment to promote mutual empowerment of both parents and children, shared value and whole-family ownership in which intrinsic motivation and self-efficacy are implicit. These characteristics were associated with positive dietary and physical activity behavior change in children and may be useful considerations for the design and implementation of future theory-based treatment interventions to encourage habitual healthy diet and physical activity to reduce childhood obesity.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S522-S522
Author(s):  
Alycia N Bisson ◽  
Victoria A Sorrentino ◽  
Margie E Lachman

Abstract Physical activity is one of the most promising and accessible strategies to promote healthy aging. Yet, the majority of middle-aged and older adults do not engage in the recommended amount of exercise despite awareness of its widespread benefits. Smartphone apps have the potential to be valuable tools in tracking and encouraging physical activity; however, few apps incorporate successful behavior change strategies. Drawing from interviews with older adults, we created a new smartphone app to encourage and track daily walking, StepMATE (Mobile App for Tracking Exercise). StepMATE uses behavior change strategies including action planning and social support to help users determine where, when, and with whom they will walk. The app records steps and also uses experience sampling to assess mood and energy levels twice a day. Adults ages 50 and over (N=58) participated in a one-month study where they used the app to set their own walking goals and track their daily walking. Using multilevel modeling, we found that on days in which adults take more steps than their average, they report higher mood and energy. We also found that on days in which participants achieve their step goal, they report higher mood and energy than on days when they do not achieve their goal. Discussion will center on motivational approaches to behavior change among sedentary older adults.


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