Informing the training of health care professionals to implement behavior change strategies for physical activity promotion in neurorehabilitation: a systematic review

Background:Social marketing managers promote desired behaviors to an audience by making them tangible in the form of environmental opportunities to enhance benefits and reduce barriers. This study proposed “benchmarks,” modified from those found in the past literature, that would match important concepts of the social marketing framework and the inclusion of which would ensure behavior change effectiveness. In addition, we analyzed behavior change interventions on a “social marketing continuum” to assess whether the number of benchmarks and the role of specific benchmarks influence the effectiveness of physical activity promotion efforts.Methods:A systematic review of social marketing interventions available in academic studies published between 1997 and 2013 revealed 173 conditions in 92 interventions.Results:Findings based on χ2, Mallows’ Cp, and Logical Analysis of Data tests revealed that the presence of more benchmarks in interventions increased the likelihood of success in promoting physical activity. The presence of more than 3 benchmarks improved the success of the interventions; specifically, all interventions were successful when more than 7.5 benchmarks were present. Further, primary formative research, core product, actual product, augmented product, promotion, and behavioral competition all had a significant influence on the effectiveness of interventions.Conclusions:Social marketing is an effective approach in promoting physical activity among adults when a substantial number of benchmarks are used and when managers understand the audience, make the desired behavior tangible, and promote the desired behavior persuasively.

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Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17030815 ◽

2020 ◽

Vol 17 (3) ◽

pp. 815

Author(s):

Romeu Mendes ◽

Marlene Nunes Silva ◽

Catarina Santos Silva ◽

Adilson Marques ◽

Cristina Godinho ◽

...

Keyword(s):

Physical Activity ◽

Health Care ◽

Primary Health Care ◽

Health Care Professionals ◽

Assessment Tool ◽

Physical Activity Promotion ◽

Brief Counseling ◽

Brief Assessment ◽

Primary Health ◽

Activity Promotion

Background: This paper aims to discuss how physical activity (PA) brief assessment, brief counseling, and self-monitoring tools were designed and implemented in the Portuguese National Health Service (NHS), and to report on their current use by health professionals and citizens. Methods: Three digital tools to facilitate PA promotion in primary health care (PHC) were developed: 1) a PA brief assessment tool was incorporated in the electronic health record platform “SClínico Cuidados de Saúde Primários“; 2) a brief counseling tool was developed in the software “PEM—Prescrição Eletrónica Médica” (electronic medical prescription); and 3) a “Physical Activity Card” was incorporated in an official NHS smartphone app called “MySNS Carteira”. Results: From September 2017 to June 2019, 119,386 Portuguese patients had their PA assessed in PHC. Between December 2017 and June 2019, a total of 7957 patients received brief intervention for PA by a medical doctor. Regarding the app “MySNS Carteira”, 93,320 users activated the “Physical Activity Card”, between February 2018 and December 2018. Conclusions: These tools represent key actions to promote PA among Portuguese citizens using PHC as a priority setting. Further initiatives will follow, including proper assessment of their clinical impact and training programs for health care professionals on PA promotion.

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Systematic review of physical activity promotion by community health workers

Preventive Medicine ◽

10.1016/j.ypmed.2015.08.007 ◽

2015 ◽

Vol 81 ◽

pp. 114-121 ◽

Cited By ~ 11

Author(s):

Evelyn Fabiana Costa ◽

Paulo Henrique Guerra ◽

Taynã Ishii dos Santos ◽

Alex Antonio Florindo

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Community Health ◽

Community Health Workers ◽

Health Workers ◽

Physical Activity Promotion ◽

Activity Promotion

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Effectiveness of physical activity promotion and exercise referral in primary care: protocol for a systematic review and meta-analysis of randomised controlled trials

Systematic Reviews ◽

10.1186/s13643-019-1198-y ◽

2019 ◽

Vol 8 (1) ◽

Cited By ~ 2

Author(s):

Jean-Pierre Laake ◽

Joanna Fleming

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Primary Care ◽

Sedentary Behaviour ◽

Physical Activity Promotion ◽

Self Report ◽

Activity Promotion ◽

Randomised Controlled ◽

The Uk ◽

Exercise Referral

Abstract Background Physical inactivity is the fourth leading risk factor for global mortality. Reducing sedentary behaviour and increasing physical activity are efficacious for improving many physical and mental health conditions including cardiovascular disease, type 2 diabetes and depression. Reducing sedentary behaviour and increasing physical activity can also be effective at reducing obesity; however, sedentary behaviour and reduced physical activity are also associated with mortality independently. Despite this, most adults in the UK do not currently meet the UK Chief Medical Officers’ guidelines for weekly physical activity. As most adults visit their general practitioner at least once a year, the primary care consultation provides a unique opportunity to deliver exercise referral or physical activity promotion interventions. This is a protocol for a systematic review of randomised controlled trials for the effectiveness of physical activity promotion and referral in primary care. Methods A comprehensive literature search of Embase, MEDLINE (Ovid), Web of Science (Core Collection), Scopus, CINAHL, PsycINFO, and The Cochrane Library (CENTRAL) will be conducted for studies with a minimum follow-up of 12 months that report physical activity as an outcome measure (by either self-report or objective measures) including an intention to treat analysis. The authors will screen papers, first by title and abstract and then by full text, independently assess studies for inclusion, appraise risk of bias and extract data. The quality of the evidence will be assessed using the GRADE (Grading of Recommendations Assessment, Development and Evaluations) approach. The primary outcome will be participation in physical activity at 12 months. Pooled effects will be calculated using random effects models. Results will be submitted for publication in a peer-reviewed journal and for presentation at UK national primary care conferences. Discussion This systematic review and meta-analyses will summarise the evidence for the effectiveness of physical activity promotion and referral as interventions for improving physical activity, as well as whether studies using objective measures of physical activity have similar effects to those studies using self-report measures. This knowledge has importance for primary care clinicians, patients and, given the focus of the recent NHS long-term plan on preventive medicine, those making policy decisions. Systematic review registration The protocol is registered with PROSPERO the international prospective register of systematic reviews, ID CRD42019130831

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Use of pedometers as a tool to promote daily physical activity levels in patients with COPD: a systematic review and meta-analysis

European Respiratory Review ◽

10.1183/16000617.0039-2019 ◽

2019 ◽

Vol 28 (154) ◽

pp. 190039 ◽

Cited By ~ 8

Author(s):

Matthew Armstrong ◽

Andrew Winnard ◽

Nikolaos Chynkiamis ◽

Spencer Boyle ◽

Chris Burtin ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Pulmonary Rehabilitation ◽

Meta Analysis ◽

Physical Activity Promotion ◽

Daily Physical Activity ◽

Cochrane Library ◽

Activity Levels ◽

Activity Promotion ◽

Physical Activity Levels

The aim of this study was to examine the use of pedometers as a tool to promote daily physical activity levels in patients with COPD.A systematic review meta-analysis of pedometer physical activity promotion in patients with COPD was conducted. Medline/PubMed, Cochrane Library, Web of Science and CINAHL were searched from inception to January 2019. The search strategy included the following keywords: physical activity promotion, pulmonary rehabilitation and daily physical activity. The eligibility criteria for selecting studies were randomised controlled trials reporting pedometer physical activity promotion in patients with COPD.Improvements in steps per day were found with pedometer physical activity promotion either standalone (n=12, mean 0.53 (95% CI 0.29–0.77); p=0.00001) or alongside pulmonary rehabilitation (n=7, 0.51 (0.13–0.88); p=0.006). A subgroup analysis reported significant differences in the promotion of physical activity based on baseline physical activity levels and the type of instrument used to assess levels of physical activity.Future trials should consider the way in which pedometers are used to promote physical activity to inform clinical practice in the setting of pulmonary rehabilitation.

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A systematic review of physical activity promotion in primary care office settings

British Journal of Sports Medicine ◽

10.1136/bjsm.32.1.11 ◽

1998 ◽

Vol 32 (1) ◽

pp. 11-16 ◽

Cited By ~ 53

Author(s):

C. B. Eaton ◽

L. M. Menard

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Primary Care ◽

Physical Activity Promotion ◽

Activity Promotion ◽

Primary Care Office

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Beyond TTM and ABC: A Practice Perspective on Physical Activity Promotion for Adolescent Females from Disadvantaged Backgrounds

Societies ◽

10.3390/soc10040080 ◽

2020 ◽

Vol 10 (4) ◽

pp. 80

Author(s):

Ellyse Hopkins ◽

Nicola Bolton ◽

David Brown ◽

Nic Matthews ◽

Melissa Anderson

Keyword(s):

Physical Activity ◽

Behavior Change ◽

Transtheoretical Model ◽

Practice Theory ◽

Physical Activity Promotion ◽

Critical Discussion ◽

Promising Alternative ◽

Change Models ◽

Disadvantaged Women ◽

Activity Promotion

This paper builds on a growing body of literature on the promise of practice theory in understanding and promoting behavior change in society and develops upon Blue (2017) and Spotswood et al.’s (2019) rationale for evolving theories of practice into the domain of contemporary physical activity research. We begin by considering the intersectional nature of the problem. Statistics reveal that physical activity gradients exist based on gender, as well as socio-economic position. Women, girls, and disadvantaged populations report lower levels of activity than more affluent males and females. More problematic still is what StreetGames (2017) call the “double jeopardy”, where these characteristics intersect, intensifying the negative gradient. Our argument then comprises three parts. First, we provide a critical discussion of intervention studies seeking to transform exercise behavior amongst these populations. The issue we identify is that studies typically rely on behavior change models, such as the Transtheoretical Model (TTM) and the ABC framework. However, these models tend to take insufficient account of the practical and social aspects of behavior change in physical activity, and thus their subjects often succumb to value-action gaps (Shove, 2010). Second, in contrast, we propose that practice theory provides a promising alternative theoretical lens for promoting behavior change in disadvantaged and often resistant populations. Third, the paper highlights a range of conceptual considerations for exploring the relationship between young, disadvantaged women and physical activity, as well as the development of tangible solutions to improve participation.

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