Predictors of Success of Workplace Physical Activity Interventions: A Systematic Review

2019 ◽  
Vol 16 (8) ◽  
pp. 647-656 ◽  
Author(s):  
Samuel D. Muir ◽  
Sandun S.M. Silva ◽  
Mulu A. Woldegiorgis ◽  
Hayley Rider ◽  
Denny Meyer ◽  
...  

Background: Despite holding great potential for addressing concerns regarding public health, recent systematic reviews have found effect sizes for interventions targeting physical activity to be small. Before interventions can be improved, the factors influencing outcomes must be identified. This systematic review aimed to identify predictors of success, measured in terms of engagement (eg, involvement duration) and health behavior change (eg, increased step counts), of workplace interventions targeting physical activity. Methods: A structured search of 3 databases (PubMed, PsycINFO, and Web of Science) was conducted to identify articles published between January 2000 and April 2017. For inclusion, articles needed to test a workplace intervention targeting physical activity and perform a quantitative analysis, identifying predictors of engagement or health behavior change. Results: Twenty-two studies were identified for review (median quality score = 70%). Demographic variables (eg, gender, age) were inconsistent predictors of success. However, employees in better health and physically active at baseline were found to have a greater likelihood of success. Conclusions: It appears that achieving successful results among employees at high risk of poor health outcomes remains a significant challenge for interventions. It is hoped that program developers can use this information to create effective interventions particularly for more sedentary employees.

Author(s):  
Derek Crawford ◽  
Katie Heinrich

Lack of physical activity participation for adults with a disability remain a large public health concern. For those with existing, or newly acquired disability, increased sedentary behavior stemming from physical impairments often results in the development of secondary chronic health conditions (e.g., obesity or osteoarthritis) which leads to participation restrictions within major life roles. Without intervention these secondary conditions further increase physical impairment which, in turn, sets these populations up for continuous negative health trajectories over their remaining lifespan. Physical activity can attenuate the development of secondary health conditions and optimize health outcomes within these populations. However, those with disability often do not possess the necessary physical capacity to maintain physically active lifestyles. Therefore, exercise programs specifically designed to increase physical functioning have been identified as a necessary intermediate step to reduce physical limitations prior to adoption of physically active lifestyles. Adoption of exercise program participation remains a difficult task for both the general population and those with disability alike. Based on current rates of physical inactivity, it is clear that traditional health behavior change models do not adequately address the complexity of this issue. This paper highlights some of the limitations within the current health behavior change models as they relate to exercise behavior. Additionally, a novel conceptual framework is presented for the intent of its incorporation within research and health promotion interventions targeting exercise behavior within disability populations.


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.


2019 ◽  
Vol 15 (9) ◽  
pp. e787-e797 ◽  
Author(s):  
Daniel L. Hall ◽  
Rachel B. Jimenez ◽  
Giselle K. Perez ◽  
Julia Rabin ◽  
Katharine Quain ◽  
...  

PURPOSE: Fear of cancer recurrence is highly prevalent among adult survivors of cancer. The role of fear of recurrence in the emotional distress of survivors of cancer, as well as health behaviors that may directly affect their health, remains unclear. To advance oncology practice, this study sought to examine the extent to which fear of recurrence stemming from physical symptoms accounts for emotional distress in a large sample of adult survivors of cancer and to extend the model to explain postdiagnosis self-reported health behavior change. METHODS: In 2016, 258 survivors of cancer at an academic hospital completed a survey of psychosocial needs. Items assessed physical symptoms (checklist), fear of cancer recurrence (Assessment of Survivor Concerns), emotional distress (anxiety and depressed mood), and health behaviors (current alcohol use, physical activity, diet, and sunscreen use, as well as changes after cancer diagnosis) informed by National Comprehensive Cancer Network survivorship guidelines. Indirect effects regression models accounting for relevant covariates (age and treatment history) used 5,000-iteration bootstrapping. RESULTS: Higher fear of cancer recurrence was associated with greater number of physical symptoms ( P < .001), greater emotional distress ( P < .05), lower moderate or vigorous physical activity ( P < .05), higher sunscreen use ( P < .05), and postdiagnosis increases in alcohol use ( P < .01) and reductions in physical activity ( P < .01). Fear of cancer recurrence models accounted for almost half of the variance in distress of survivors of cancer ( R2 = 0.44, P < .001) and, to a lesser yet significant extent, changes in alcohol consumption ( R2 = 0.09, P < .001) and physical activity ( R2 = 0.06, P = .003). CONCLUSION: Fear of cancer recurrence plays a central role in the emotional distress and key health behaviors of survivors of cancer. These findings support fear of cancer recurrence as a potential target for emotional health and health behavior change interventions.


2016 ◽  
Vol 12 (3) ◽  
pp. 184-199 ◽  
Author(s):  
Steve Amireault ◽  
Angela J. Fong ◽  
Catherine M. Sabiston

Multiple health behavior change (MHBC) interventions have great potential for enhancing health and well-being following cancer diagnosis and treatment. However, the characteristics and effects of MHBC interventions remain elusive for cancer survivors. The main purpose of this study was to evaluate the effectiveness of MHBC interventions on healthy eating and physical activity behaviors among cancer survivors. A secondary aim was to examine the effect of using a simultaneous and sequential design approach to MHBC (ie, changing both behaviors at the same time or one after the other). Randomized controlled trials reporting the impact of a MHBC intervention on both healthy eating and physical activity behaviors among cancer survivors were retrieved from MEDLINE, Cochrane Library, and PsycINFO. A total of 27 MHBC interventions were identified; most (92.6%) were designed to promote simultaneous change in both behaviors and assessed end-of-treatment effect among breast cancer survivors. MHBC interventions led by nurses or multidisciplinary teams showed the most compelling evidence for small to moderate improvement in both behaviors, with interventions that lasted ≥17 weeks more likely to improve both behaviors. This study identifies research priorities and provides preliminary evidence for clinical decision making and advancements in MHBC intervention design and delivery for clinical oncology.


2015 ◽  
Vol 21 (4) ◽  
pp. 214-229 ◽  
Author(s):  
Haruka Fujihira ◽  
Krzysztof Kubacki ◽  
Rimante Ronto ◽  
Bo Pang ◽  
Sharyn Rundle-Thiele

This article describes results of a systematic review of social marketing physical activity interventions targeting adults 60 years and over. Thirty-four articles covering seven social marketing interventions were identified following systematic literature review procedures. None of the identified interventions gave evidence that they addressed all six social marketing benchmark criteria; three interventions addressed five social marketing benchmark criteria and a further three interventions addressed four social marketing benchmark criteria. Four interventions reported positive behavior change, and no negative behavioral changes were reported among all seven social marketing interventions. Previous research shows that social marketing interventions employing all six benchmark criteria offer greater potential to change behaviors, yet none of the interventions in this review used all of the benchmark criteria. Audience segmentation and exchange were used by only three interventions.


2017 ◽  
Vol Volume 12 ◽  
pp. 2165-2178 ◽  
Author(s):  
Marie T Williams ◽  
Tanja Effing ◽  
Catherine Paquet ◽  
Carole Gibbs ◽  
Hayley Lewthwaite ◽  
...  

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