O3-14-03: A SCOPING REVIEW OF BEHAVIOUR CHANGE THEORIES IN ADULTS WITHOUT DEMENTIA TO DEVELOP AND ADAPT THE ‘PHYT IN DEMENTIA’, A MODEL PROMOTING PHYSICAL ACTIVITY IN PEOPLE WITH DEMENTIA

Abstract Background Evidence suggests that unhealthy lifestyle behaviours are modifiable risk factors for postoperative complications. Digital behaviour change interventions (DBCIs), for instance text messaging programs and smartphone apps, have shown promise in achieving lifestyle behaviour change in a wide range of clinical populations, and it may therefore be possible to reduce postoperative complications by supporting behaviour change perioperatively using digital interventions. This scoping review was conducted in order to identify existing research done in the area of perioperative DBCIs for reducing alcohol consumption, improving dietary intake, increasing physical activity and smoking cessation. Main text This scoping review included eleven studies covering a range of surgeries: bariatric, orthopaedic, cancer, transplantation and elective surgery. The studies were both randomised controlled trials and feasibility studies and investigated a diverse set of interventions: one game, three smartphone apps, one web-based program and five text message interventions. Feasibility studies reported user acceptability and satisfaction with the behaviour change support. Engagement data showed participation rates ranged from 40 to 90%, with more participants being actively engaged early in the intervention period. In conclusion, the only full-scale randomised controlled trial (RCT), text messaging ahead of bariatric surgery did not reveal any benefits with respect to adherence to preoperative exercise advice when compared to a control group. Two of the pilot studies, one text message intervention, one game, indicated change in a positive direction with respect to alcohol and tobacco outcomes, but between group comparisons were not done due to small sample sizes. The third pilot-study, a smartphone app, found between group changes for physical activity and alcohol, but not with respect to smoking cessation outcomes. Conclusion This review found high participant satisfaction, but shows recruitment and timing-delivery issues, as well as low retention to interventions post-surgery. Small sample sizes and the use of a variety of feasibility outcome measures prevent the synthesis of results and makes generalisation difficult. Future research should focus on defining standardised outcome measures, enhancing patient engagement and improving adherence to behaviour change prior to scheduled surgery.

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Systematic review of behaviour change techniques to promote participation in physical activity among people with dementia

British Journal of Health Psychology ◽

10.1111/bjhp.12279 ◽

2017 ◽

Vol 23 (1) ◽

pp. 148-170 ◽

Cited By ~ 19

Author(s):

Samuel R. Nyman ◽

Natalia Adamczewska ◽

Neil Howlett

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Behaviour Change ◽

Behaviour Change Techniques ◽

People With Dementia

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External Validation of the ‘PHYT in Dementia’, a Theoretical Model Promoting Physical Activity in People with Dementia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17051544 ◽

2020 ◽

Vol 17 (5) ◽

pp. 1544 ◽

Cited By ~ 2

Author(s):

Claudio Di Lorito ◽

Alessandro Bosco ◽

Kristian Pollock ◽

Rowan H. Harwood ◽

Roshan das Nair ◽

...

Keyword(s):

Physical Activity ◽

Theoretical Model ◽

Behaviour Change ◽

External Validation ◽

Holistic Approach ◽

Personal History ◽

Change Strategies ◽

Personal Beliefs ◽

People With Dementia ◽

New Codes

Physical activity is beneficial for people with dementia. We previously developed a theoretical model to explain behaviour change in physical activity in dementia (PHYT-in-dementia). This study aimed to externally validate the model. Validation occurred through the process evaluation of a programme promoting activity in people with dementia (PrAISED 2). Twenty participants with dementia and their carers were interviewed to investigate their experience of the programme. The data were analysed through content analysis. The original constructs of the model were used as initial codes and new codes were generated, if elicited from the data. The constructs were also ranked, based on their frequency in the interviews. All of the original model constructs were validated and two novel constructs created: ‘personal history’ and ‘information/knowledge’. Certain constructs (e.g., support) were more frequently mentioned than others (e.g., personal beliefs). We suggested modifications and integrated them into a revised model. The PHYT-in-dementia recognised that dementia has an impact on motivation to initiate and maintain behaviour change over time. The model advocates that interventions adopt a more holistic approach than traditional behaviour change strategies. The suggested revisions require further validation to accurately predict behaviour change in physical activity in people with dementia.

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The effects of long-term physical activity interventions in communities: Scoping review in the Nordic countries

Scandinavian Journal of Public Health ◽

10.1177/14034948211020599 ◽

2021 ◽

pp. 140349482110205

Author(s):

Elsi H. Haverinen ◽

Hanna M. Elonheimo ◽

Hanna K. Tolonen ◽

Pekka J. Jousilahti ◽

Heini J.C. Wennman

Keyword(s):

Public Health ◽

Physical Activity ◽

Behaviour Change ◽

Scoping Review ◽

Current Knowledge ◽

Health Planning ◽

Age Groups ◽

Population Level ◽

Nordic Countries

Aims: Physical activity (PA) is an important part of maintaining good overall health. Currently, the number of insufficiently physically active adults and children is alarmingly high worldwide. To tackle the challenge, several interventions have been conducted, however, current knowledge on intervention effectiveness is still inconclusive. This scoping review aimed to summarize the effects of long-term PA interventions across all age groups in the Nordic countries. Methods: A scoping review was conducted by including all age groups and interventions lasting more than 12 months. The aims of the interventions had to focus on increasing PA and/or fitness. The Behaviour Change Wheel framework was used to describe components of the intervention functions. Results: Initially, 1937 studies were identified. Twelve intervention studies fulfilled the inclusion criteria and were included in the analysis. From the included studies, seven focused on children and/or their parents and five on working-age adult populations. Most of the studies built on theoretical backgrounds and included several behaviour change functions. A hindering factor for synthesis was variation in measurement methods: both subjective and objective outcome measures were reported. Among all age groups, intervention effects on PA were modest. Conclusions: There was no clear evidence of increased PA or fitness from long-term interventions in communities. However, even small improvements in PA are important for increasing PA at a population level and enhancing public health. More research is required for evidence-based community and public health planning.

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Economic Instruments for Population Diet and Physical Activity Behaviour Change: A Systematic Scoping Review

PLoS ONE ◽

10.1371/journal.pone.0075070 ◽

2013 ◽

Vol 8 (9) ◽

pp. e75070 ◽

Cited By ~ 27

Author(s):

Ian Shemilt ◽

Gareth J. Hollands ◽

Theresa M. Marteau ◽

Ryota Nakamura ◽

Susan A. Jebb ◽

...

Keyword(s):

Physical Activity ◽

Behaviour Change ◽

Scoping Review ◽

Physical Activity Behaviour ◽

Economic Instruments ◽

Diet And Physical Activity ◽

Activity Behaviour

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Use of Physical Activity Questionnaires in People With Dementia: A Scoping Review

Journal of Aging and Physical Activity ◽

10.1123/japa.2018-0031 ◽

2019 ◽

Vol 27 (3) ◽

pp. 413-421 ◽

Cited By ~ 3

Author(s):

Nicolas Farina ◽

Laura J. Hughes ◽

Amber Watts ◽

Ruth G. Lowry

Keyword(s):

Physical Activity ◽

Scoping Review ◽

People With Dementia ◽

Activity Questionnaires

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Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review.

Applied Physiology Nutrition and Metabolism ◽

10.1139/apnm-2020-0461 ◽

2020 ◽

Author(s):

Marian C Brennan ◽

Janie A Brown ◽

Nikos Ntoumanis ◽

Gavin D Leslie

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Patient Education ◽

Behaviour Change ◽

Scoping Review ◽

Barriers And Facilitators ◽

Inclusion Criteria ◽

Behaviour Change Interventions ◽

Barriers To Physical Activity

To identify and map barriers and facilitators of physical activity (PA) in adults living with type 1 diabetes (T1D) in any care setting or environment. A scoping review was conducted in accordance with the PRISMA-ScR guidelines to address the aim of this review. Exclusion / inclusion criteria were determined a priori. Articles captured in the search were subject to title and abstract screening before full text articles were assessed for eligibility against the exclusion / inclusion criteria. Included articles underwent critical appraisal before being charted, mapped, and discussed. Forty-six articles were included in the final synthesis. Most commonly, articles reported cross-sectional survey studies (46%), then qualitative designs (17%), and opinion or text (17%). Experimental studies accounted for 13% of included articles. Fear of hypoglycaemia / hypoglycaemia was the most commonly reported barrier and patient education the most commonly discussed facilitator. Quality appraisal revealed methodological issues among included articles. Higher quality research with theoretically sound behaviour change interventions combined with targeted patient education is needed to address fear of hypoglycaemia / hypoglycaemia as a barrier to PA. Novelty bullets • Hypoglycaemia and fear of hypoglycaemia were the most commonly reported barriers to physical activity in adults with T1D • Powered RCTs are required to establish efficacy of behaviour change interventions targeting these barriers to physical activity

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OP81 Development of behaviour change intervention to promote physical activity for cancer survivors: a mixed method approach using MRC framework

10.1136/jech-2020-ssmabstracts.80 ◽

2020 ◽

Author(s):

S Nafees ◽

J Garzoni ◽

N Din ◽

J Hiscock ◽

M Hendry ◽

...

Keyword(s):

Physical Activity ◽

Cancer Survivors ◽

Behaviour Change ◽

Mixed Method ◽

Behaviour Change Intervention ◽

Mixed Method Approach ◽

Mrc Framework ◽

Method Approach

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Physical Activity Behavior from a Transdisciplinary Biopsychosocial Perspective: a Scoping Review

Sports Medicine - Open ◽

10.1186/s40798-020-00279-2 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Jannika M. John ◽

Vanessa Haug ◽

Ansgar Thiel

Keyword(s):

Physical Activity ◽

Scoping Review ◽

Social Factors ◽

Biopsychosocial Model ◽

Scientific Work ◽

Physical Activity Behavior ◽

Biopsychosocial Approach ◽

Scoping Reviews ◽

Activity Behavior ◽

Biopsychosocial Perspective

Abstract Background Physical activity behavior is a complex and multidimensional phenomenon. For its analysis, transdisciplinary biopsychosocial approaches yield great potential. In health research, the biopsychosocial model has experienced a renaissance. Researchers have tried to grasp the complex interplay of biological, psychological, and social factors. With this scoping review, we aimed to examine how the ‘biopsychosocial’ has been conceptualized in scientific work related to physical activity behavior. Methods The scoping review was informed by the PRISMA guidelines for scoping reviews (PRISMA-ScR). A systematic literature search was conducted in Web of Science, SportDiscus, PsycArticles, PsycInfo, and PubMed. Only articles published in peer-reviewed journals that contained all three components of a biopsychosocial approach (e.g., bio/physio/genetic, psycho/mental, and socio/cultural/environmental) were included. We only included articles in our narrative synthesis that integrated physical activity behavior into a biopsychosocial model, or investigated or described physical activity behavior on the basis of such a model. Results Thirteen studies met the inclusion criteria; eight articles pursued a biopsychosocial approach in the tradition of Engel, five employed a socio-ecological approach. The models in the analyzed articles referred to either correlates of physical activity behavior, or the influence of physical activity on health or aging. Only a minority of the articles, however, referred to interactions between biological, psychological, and social factors. Conclusions The included articles were quite heterogeneous in their approach to physical activity from a biopsychosocial perspective. The included articles illustrate that the adoption of a biopsychosocial perspective may assist to capture and understand the complex phenomenon of physical activity behavior and might inform future transdisciplinary physical activity research.

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