scholarly journals Digital behavior change interventions to promote physical activity and/or reduce sedentary behavior in older adults: A systematic review and meta-analysis

2019 ◽  
Vol 120 ◽  
pp. 68-87 ◽  
Author(s):  
Stephanie Stockwell ◽  
Patricia Schofield ◽  
Abi Fisher ◽  
Joseph Firth ◽  
Sarah E. Jackson ◽  
...  
2018 ◽  
Author(s):  
Keegan Phillip Knittle ◽  
Johanna Nurmi ◽  
Rik Crutzen ◽  
Nelli Hankonen ◽  
Marguerite Beattie ◽  
...  

Motivation is a proximal determinant of behavior in many psychological theories, and increasing motivation is central to most behavior change interventions. This systematic review and meta-analysis sought to fill a gap in the literature by identifying features of behavior change interventions associated with favorable changes in three prominent motivational constructs: intention, stage of change and autonomous motivation. A systematic literature search identified 88 intervention studies (N = 18,804) which assessed changes in at least one of these motivational constructs for physical activity (PA). Intervention descriptions were coded for potential moderators, including behavior change techniques (BCTs), modes of delivery and theory use. Random effects comparative subgroup analyses identified 19 BCTs and 12 modes of delivery associated with changes in at least one motivational outcome. Interventions which were delivered face-to-face or in gym settings, or which included the BCTs problem solving, self-monitoring of behavior or behavioral practice/rehearsal, or which included the combination of self-monitoring of behavior with any other BCTs derived from control theory, were all associated with beneficial changes in multiple motivational constructs. Meta-regression analyses indicated that increases in intention and stage of change, but not autonomous motivation, were related to increases in PA. The intervention characteristics identified here as effective in changing motivation seemed to form clusters related to behavioral experience and self-regulation, which have previously been linked to changes in behavior as well. These BCTs and modes of delivery merit further systematic study, and could be used as a foundation for improving interventions targeting increases in motivation for PA.


2019 ◽  
pp. 155982761987688
Author(s):  
Kristina Zawaly ◽  
Richard Fortier ◽  
Stephen Buetow ◽  
Lynette Tippett ◽  
Ngaire Kerse

Objective. A systematic review with a meta-analysis explored effects of cognitively loaded physical activity interventions on global cognition in community-dwelling older adults (≥65 years of age) experiencing mild cognitive impairment (MCI), compared to any control. Methods. A literature search was conducted in 4 databases (MEDLINE [OvidSP], PubMed, CINAHL, and the Cochrane Central Register of Controlled Trials [Wiley]) from inception until January 30, 2018. The meta-analysis was conducted with Review Manager 5.3. Results. Six randomized controlled trials (RCTs) with 547 participants were identified. The interventions ranged from 4 to 52 weeks. Baseline and initial follow-up assessments were used. The primary pooled analysis of all RCTs demonstrated a nonsignificant trivial effect (standardized mean difference [SMD] 0.07, 95% confidence interval [CI] −0.44 to 0.58) favoring the intervention. In pooled subanalysis of 4 RCTs (n = 405) using the same global cognition measure (Mini-Mental State Examination) and duration of intervention >12 weeks, the intervention group achieved a small but significant improvement for global cognition (SMD 0.45, 95% CI 0.14 to 0.75). Conclusion. When all the RCTs were pooled, the effect of cognitively loaded physical activity intervention on global cognitive function in older adults with MCI remained unclear. The subgroup analysis provides translation evidence for future RCT study designs.


2020 ◽  
pp. 1-20
Author(s):  
Mary Katherine Huffman ◽  
Jason Brian Reed ◽  
Theresa Kathleen Carpenter ◽  
Steve Amireault

2019 ◽  
Vol 27 (5) ◽  
pp. 746-754 ◽  
Author(s):  
Valerie Senkowski ◽  
Clara Gannon ◽  
Paul Branscum

Physical activity interventions among older adults vary widely in the techniques used to elicit behavior change. The purpose of this systematic review was to determine what behavior change techniques (BCTs) are used in interventions to increase physical activity among older adults using the theory of planned behavior and to make suggestions for BCTs that appear to be more effective. A database search identified peer-reviewed articles documenting interventions based on the theory of planned behavior. Seven articles (three randomized controlled trial, three quasi-experimental, and onen-of-1) from four countries (the United States, the United Kingdom, Australia, and the Netherlands) were included for review. Researchers independently coded BCTs using a hierarchical taxonomy of 93 BCTs. The most frequently coded BCTs includedGoal Setting(n = 5 studies),Action Planning(n = 5 studies), andCredible Source(n = 5 studies). Of the 93 BCTs in the taxonomy, only 26 were used, indicating potential opportunities to implement and evaluate less commonly used techniques in future studies.


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