scholarly journals Increasing the frequency of physical activity very brief advice for cancer patients. Development of an intervention using the behaviour change wheel

Public Health ◽  
2016 ◽  
Vol 133 ◽  
pp. 45-56 ◽  
Author(s):  
J. Webb ◽  
J. Foster ◽  
E. Poulter
2019 ◽  
Vol 27 (3) ◽  
pp. 34-43
Author(s):  
Méabh Corr ◽  
Elaine Murtagh

Background: Globally, the poor activity level of adolescent girls is a public health concern. Little research has involved adolescents in the design of interventions. This study assessed the feasibility of involving girls in the co-creation of an activity programme. Methods: Thirty-one students (15–17 years old) were recruited from a post-primary school. The Behaviour Change Wheel guided intervention design, providing insights into participants’ capability, opportunity and motivation for change. Step counts and self-reported physical activity levels were recorded pre- and post-intervention. Feasibility benchmarks assessed recruitment, data collection, acceptability and adherence. Results: Activity and educational sessions were delivered for six weeks during physical education class. Average attendance was 87% (benchmark = 80%). Eligibility was 61% (benchmark = 60%). There was a 100% retention rate (benchmark = 90%). All participants ( n = 31) completed baseline measures and 71% ( n = 22) completed post-measures. 54% ( n = 17) of students completed pedometer measurements, with 32% ( n = 10) having complete data. Average daily steps were 13,121 pre-intervention and 14,128 post-intervention ( p > 0.05). Data collection was feasible, receiving a mean score > 4/5 (benchmark > 3.5/5). Conclusions: The Behaviour Change Wheel can be used to co-create an activity programme with adolescent girls. Predetermined benchmarks, except for pedometer recordings, were reached or exceeded, providing evidence for the need of a randomised controlled trial to test effectiveness.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Mc Quinn ◽  
S Belton ◽  
A Staines ◽  
M Sweeney

Abstract Background National and international evidence indicate that adolescent's physical activity (PA) participation rates are low. In Ireland, 93% of adolescent girls (vs 86% boys) do not reach recommended PA guidelines for health. Literature indicates that socio-economic status is a predictor of PA participation. The aim of this study was to work with a socio-economically disadvantaged school in Dublin (Ireland) and, using the behaviour change wheel (BCW) framework, design the components of a school-based intervention to increase adolescent girls' PA levels. Methods A circular development process was undertaken to collectively design the intervention in accordance with the steps recommended by the BCW. One all-girl, socio-economically disadvantaged post-primary school was invited to take part. Public and Patient Involvement (PPI), alongside a cross-sectional, mixed-methods study design, was used to identify the barriers and facilitators to PA using both quantitative questionnaires, and three semi-structured focus groups. Results Girls (n = 287) felt they would be more active in school if they had 'more time to do it' and they 'developed a habit of doing it'. The qualitative data identified influence of their peers, beliefs about their capabilities, setting goals and lack of reinforcement as additional themes. Just 1.4% of students in this sample self-reported meeting the recommended PA guidelines. The BCW design process, informed by the data, PPI members and research team resulted in the selection of specific intervention functions and behaviour change techniques. Conclusions The PA levels of adolescent girls are far below recommended guidelines for optimum health. Helping schools to fulfil their PA promoting role should be a public health priority. The BCW provided a systematic framework for developing a PA school-based intervention. The feasibility and preliminary efficacy of the Girls Active Project will be examined. Key messages Physical activity levels of adolescent girls in Ireland are far below recommended guidelines for health. Using Public and Patient Involvement, and the Behaviour Change Wheel provided a well-founded framework with which to develop a school-based intervention to improve Physical Activity levels.


2021 ◽  
pp. 001789692110441
Author(s):  
Leo De Winter ◽  
Leslie Morrison Gutman

Objective: Despite its importance for mental and physical health, many adults fail to meet current physical activity recommendations. Furthermore, most adults who begin a physical activity programme revert to being less active or even inactive within the first 6 months. Fitness bootcamps represent a potential intervention for improving physical activity in healthy adults. However, no study to date has examined the influences on long-term participation in fitness bootcamps, which is the first step to developing an effective intervention. Using the Behaviour Change Wheel (BCW) framework, this study identified the facilitators and barriers to long-term (1 year or more) fitness bootcamp participation, which were then linked to behaviour change techniques (BCTs) to facilitate intervention development. Design: Qualitative research design. Setting: Data collection occurred in England. Method: Interviews were conducted with 15 long-term fitness bootcamp participants. Results: Thematic analysis revealed 17 facilitators and 6 barriers to long-term fitness bootcamp participation. Participants highlighted the importance of facilitators such as convenience, being outdoors and enjoyment. The social environment, including having a positive instructor and supportive group members, was further noted as a key influence on participation. While long-term participants faced occasional barriers to their routine such as physical injury, bad weather and competing events, the impact of these could be minimised through appropriate BCTs such as ‘demonstration of the behaviour’ and ‘restructuring the social/physical environment’. Conclusion: Findings from this study highlight the importance of social and environmental factors to promoting long-term fitness bootcamp participation and the inclusion of social and physical environmental restructuring as key intervention components.


2020 ◽  
Vol 20 ◽  
pp. 101224
Author(s):  
Stephanie Truelove ◽  
Leigh M. Vanderloo ◽  
Patricia Tucker ◽  
Katie M. Di Sebastiano ◽  
Guy Faulkner

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