“Replanning” a Statewide Walking Program Through the Iterative Use of the Reach, Effectiveness, Adoption, Implementation, and Maintenance Framework

2021 ◽  
pp. 1-8
Author(s):  
Laura E. Balis ◽  
Samantha M. Harden
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Physical Activity Promotion ◽  
Health Impact ◽  
Activity Levels ◽  
Implementation Quality ◽  
Walking Program ◽  
Activity Promotion ◽  
Core Components ◽  
Iterative Evaluation

Background: Interventions undergo adaptations when moving from efficacy to effectiveness trials. What happens beyond these initial steps—that is, when the “research” is over—is often unknown. The degree to which implementation quality remains high and impacts remain robust is underreported as these data are often less valued by community entities. Comprehensive and iterative evaluation is recommended to ensure robust outcomes over time. Methods: The reach, effectiveness, adoption, implementation, and maintenance framework was used within an assess, plan, do, evaluate, report process to determine the degree to which a statewide physical activity promotion program aligned with evidence-based core components, assess who was reached and impacts on physical activity behaviors, and make decisions for future iterations. Results: Walk Across Arkansas was adopted by a majority of delivery agents and was effective at increasing physical activity levels postprogram, but those effects were not maintained after 6 months. Future decisions included recruitment strategies to reach a more diverse population and a blueprint document to reduce program drift. Conclusions: This article details the process of “replanning” a community-based physical activity intervention to understand public health impact and make decisions for future iterations. Pragmatic reach, effectiveness, adoption, implementation, and maintenance questions were useful throughout the assess, plan, do, evaluate, report process.

scholarly journals Physical activity modification in youth with congenital heart disease: a comprehensive narrative review

2020 ◽  
Author(s):  
Arend W. van Deutekom ◽  
Adam J. Lewandowski
Keyword(s):  
Physical Activity ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Physical Activity Intervention ◽  
Large Range ◽  
Physical Activity Promotion ◽  
Activity Levels ◽  
Activity Promotion

Abstract Congenital heart disease (CHD) affects nearly 1% of births. As survival rates have dramatically improved, the majority of individuals with CHD now live into adulthood. As these patients age, they become prone to a large range of complications, such as chronic heart failure and acquired cardiovascular disease. Promotion of a healthy and active lifestyle from childhood onwards has been suggested as a sustainable and effective strategy to enhance cardiovascular health, improve quality of life and reduce immediate and long-term risk in people with CHD. Well-established physical activity consensus statements for youth with CHD have now been published. In this article, we review how increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, what is known about physical activity in children with CHD, describe the unique factors that contribute to achieving sufficient and insufficient physical activity levels and summarize the evidence of trials on physical activity promotion in youth with CHD. Furthermore, we discuss some of the challenges that need to be addressed by further research regarding the optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD. Impact Congenital heart disease (CHD) affects nearly 1% of births, with the majority of individuals with CHD now living into adulthood due to improved survival. As CHD patients age, they become prone to a large range of cardiovascular complications. This article discusses how and why increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, the barriers to achieving sufficient physical activity levels and the evidence from trials on physical activity promotion in youth with CHD. The optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD are discussed.

Pedestrian Activity Among California Adults

2009 ◽  
Vol 6 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Anna E. Mathews ◽  
Natalie Colabianchi ◽  
Brent Hutto ◽  
Delores M. Pluto ◽  
Steve P. Hooker
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Activity Patterns ◽  
Physical Activity Promotion ◽  
Activity Level ◽  
Activity Levels ◽  
Public Health Agencies ◽  
Activity Promotion ◽  
Health Agencies ◽  
Random Digit Dial

Background:The objectives of this study were to assess (1) pedestrian activity levels among adults, (2) where and why adults engage in pedestrian activity, and (3) what adults consider when deciding where to engage in pedestrian activity.Methods:Pedestrian activity was assessed in 12,036 California adults, ≥18 years, using a random digit-dial telephone survey.Results:Significant differences were identified by race, sex, age, and physical activity level in the type, location, and purpose of pedestrian activities. Men engage in pedestrian activity at work, and women engage in pedestrian activity while escorting children to school and running errands. Whites primarily engage in leisure-time pedestrian activity, and non-whites are more likely to engage in pedestrian activity for transportation. Older adults were less active than their younger counterparts.Conclusions:These findings should be considered by public health agencies and their partners as they continue to increase and promote opportunities for pedestrian activity. Additional research is needed to assess older adults’ physical activity patterns and preferences, barriers, and facilitators to effectively tailor physical activity promotion efforts to this at-risk group.

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

2019 ◽  
Vol 28 (154) ◽  
pp. 190039 ◽  
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.

scholarly journals Perceptions of barriers and facilitators in physical activity participation among women in Thiruvananthapuram City, India

2016 ◽  
Vol 23 (4) ◽  
pp. 27-36 ◽  
Author(s):  
Elezebeth Mathews ◽  
J. K. Lakshmi ◽  
T. K. Sundari Ravindran ◽  
Michael Pratt ◽  
K. R. Thankappan
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Physical Activity Promotion ◽  
Activity Level ◽  
Barriers And Facilitators ◽  
Cultural Barriers ◽  
Cultural Norms ◽  
Group Discussions ◽  
Activity Promotion ◽  
Social Norming

Background: Despite the known benefits of physical activity, very few people, especially women, are found to engage in regular physical activity. This study explored the perceptions, barriers and facilitators related to physical activity among women in Thiruvananthapuram City, India. Methods: Four focus group discussions were conducted among individuals between 25 and 60 years of age, in a few areas of Thiruvananthapuram City Corporation limits in Kerala, preparatory to the design of a physical activity intervention trial. An open-ended approach was used and emergent findings were analyzed and interpreted. Results: Women associated physical activity mostly with household activities. The majority of the women considered their activity level adequate, although they engaged in what the researchers concluded were quite low levels of activity. Commonly reported barriers were lack of time, motivation, and interest; stray dogs; narrow roads; and not being used to the culture of walking. Facilitators of activity were seeing others walking, walking in pairs, and pleasant walking routes. Walking was reported as the most feasible physical activity by women. Conclusion: Physical activity promotion strategies among women should address the prevailing cultural norms in the community, and involve social norming and overcoming cultural barriers. They should also target the modifiable determinants of physical activity, such as improving self-efficacy, improving knowledge on the adequacy of physical activity and its recommendations, facilitating goal-setting, and enhancing social support through peer support and group-based activities.

scholarly journals A comprehensive physical activity promotion programme at elementary school: the effects on physical activity, physical fitness and psychosocial correlates of physical activity

2007 ◽  
Vol 10 (5) ◽  
pp. 477-484 ◽  
Author(s):  
Stefanie JM Verstraete ◽  
Greet M Cardon ◽  
Dirk LR De Clercq ◽  
Ilse MM De Bourdeaudhuij
Keyword(s):  
Physical Activity ◽  
Elementary Schools ◽  
Physical Fitness ◽  
Leisure Time ◽  
Physical Activity Promotion ◽  
Activity Levels ◽  
Accelerometer Data ◽  
Psychosocial Correlates ◽  
Promotion Programme ◽  
Activity Promotion

AbstractObjectiveTo evaluate the effects of a comprehensive physical activity (PA) promotion programme in elementary schools on children's total PA levels, leisure-time PA, physical fitness and psychosocial correlates of PA.DesignA pre-test–post-test design over two school years.Setting and subjectsSixteen elementary schools (764 children, mean age: 11.2 ± 0.7 years) were randomly assigned to the intervention condition (n = 8) and the control condition (n = 8). The intervention included a health-related physical education programme, an extracurricular PA promotion programme and classroom-based PA education lessons. In the total sample, leisure-time PA, psychosocial correlates of PA and physical fitness were measured using a PA questionnaire and the Eurofit test battery. In a sub-sample, total PA levels were measured using an accelerometer.ResultsAccording to accelerometer data, children's moderate PA and moderate-to-vigorous PA (MVPA) levels decreased less in the intervention schools than in the control schools (P < 0.01). The average time spent on MVPA decreased by 9 min per day in the intervention schools compared with 33 min per day in the control schools. Children in the intervention schools reported significantly more moderate PA in leisure time than the controls (P < 0.05). No overall improvement of physical fitness and no effects on the psychosocial correlates of PA were found.ConclusionsThe comprehensive PA promotion programme was successful in preventing a decline in children's total activity levels. Furthermore, the intervention increased children's PA engagement in leisure time. Therefore, implementation needs to be encouraged.

Perceived Enjoyment Moderates the Efficacy of an Individually Tailored Physical Activity Intervention

2006 ◽  
Vol 28 (3) ◽  
pp. 300-309 ◽  
Author(s):  
David M. Williams ◽  
George D. Papandonatos ◽  
Melissa A. Napolitano ◽  
Beth A. Lewis ◽  
Jessica A. Whiteley ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Physical Activity Promotion ◽  
Controlled Clinical Trial ◽  
Physical Activity Interventions ◽  
Activity Promotion ◽  
Contact Control ◽  
Active Adults ◽  
Physical Activity Recall ◽  
Physical Activity Promotion Program

Given the decreased rate of morbidity and mortality associated with physical activity, understanding the factors that enhance the efficacy of physical activity interventions is a priority. The present study examined the moderating effect of baseline enjoyment of physical activity on the efficacy of a physical activity intervention. Participants were 238 healthy low-active adults enrolled in Project STRIDE, a randomized, controlled, clinical trial comparing individually tailored print and telephone interventions to a contact control. Results indicated a significant interaction between intervention assignment (telephone or print intervention vs. contact control) and baseline enjoyment on physical activity at 6 months, as measured by the 7-Day Physical Activity Recall (z = 2.44, p < .05). These results indicate that our motivationally tailored physical activity promotion program may be more effective among individuals reporting greater enjoyment of physical activity at baseline, and suggest that attention be paid to designing programs that can be effective for participants who report lower levels of physical activity enjoyment.

Using Logic Models as Iterative Tools for Planning and Evaluating Physical Activity Promotion Programs in Curitiba, Brazil

2010 ◽  
Vol 7 (s2) ◽  
pp. S155-S162 ◽  
Author(s):  
Isabela C. Ribeiro ◽  
Andrea Torres ◽  
Diana C. Parra ◽  
Rodrigo Reis ◽  
Christine Hoehner ◽  
...  
Keyword(s):  
Physical Activity ◽  
American Literature ◽  
Latin American ◽  
Comprehensive Evaluation ◽  
Latin American Literature ◽  
Physical Activity Promotion ◽  
Health Impact ◽  
Influential Factors ◽  
Logic Models ◽  
Activity Promotion

Background:The Guide for Useful Interventions for Activity in Brazil and Latin America (GUIA), a systematic review of community-based physical activity (PA) interventions in Latin American literature, selected the CuritibAtiva program for a comprehensive evaluation. We describe the process of developing logic models (LM) of PA community interventions from Curitiba, Brazil, and discuss influential factors.Methods:The year-long process included engaging stakeholders involved in the promotion of PA in Curitiba, working with stakeholders to describe the programs and their goals, and developing LMs for the 2 main secretaries promoting PA in the city.Results & Conclusions:As a result of stakeholder interviews and discussion and the development of the LMs, local officials are coordinating programming efforts and considering ways the programs can be more complementary. The process has prompted program managers to identify overlapping programs, refine program goals, and identify gaps in programming. It also helped to frame evaluation questions, identify data sources, describe realistic outcomes, and reinforce the importance of intersectoral alliances for public health impact. Developing LMs proved to be feasible in the Latin American context, therefore adaptable and useful for other PA promotion programs in the region.

scholarly journals Toward a Better Understanding of the Link Between Parent and Child Physical Activity Levels: The Moderating Role of Parental Encouragement

2015 ◽  
Vol 12 (9) ◽  
pp. 1238-1244 ◽  
Author(s):  
Eleanor B. Tate ◽  
Anuja Shah ◽  
Malia Jones ◽  
Mary Ann Pentz ◽  
Yue Liao ◽  
...  
Keyword(s):  
Physical Activity ◽  
Vigorous Physical Activity ◽  
Physical Activity Promotion ◽  
Activity Levels ◽  
Linear Regression Models ◽  
Parental Encouragement ◽  
Activity Promotion ◽  
Objectively Measured ◽  
Moderating Role

Background:Research on adolescent physical activity is mixed regarding the role of parent activity. This study tested parent encouragement, direct modeling, and perceived influence as moderators of objectively-measured (accelerometer) parent and child moderate-to-vigorous physical activity (MVPA) associations.Methods:Parent-child dyads (n = 423; mean child age = 11.33 yrs.) wore accelerometers for 7 days; parents completed surveys. Hierarchical linear regression models tested moderation using a product of constituent terms interaction.Results:Parent-reported encouragement moderated the association between parent and child MVPA (β = –.15, P = .01, ΔR2 = .02, P < .01). Among parents with lower MVPA, child MVPA was higher for children receiving high encouragement (mean = 3.06, SE = .17) vs. low (mean = 3.03, SE = .15, P = .02) and moderate encouragement (mean = 3.40, SE = .09) vs. low (P = .04).Conclusions:Physical activity promotion programs may use parent encouragement as a tool to boost child activity, but must consider other child and parent characteristics that could attenuate effects.

scholarly journals Long-term engagement with a practice-based exercise referral scheme: Patients’ perceptions of effectiveness

2015 ◽  
Vol 3 (3) ◽  
pp. 369
Author(s):  
Martyn Queen ◽  
Diane Crone ◽  
Andrew Parker
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Status ◽  
Physical Activity Intervention ◽  
Health Centre ◽  
Activity Levels ◽  
Activity Promotion ◽  
Self Assessed Health ◽  
Exercise Referral

Objectives Limited and contradictory evidence exists on the long-term effectiveness of exercise referral schemes (ERS) for physical activity promotion and its impact on perceived health status. The intention of this study was to investigate patients’ views of a physical activity intervention on their self-assessed health status.Methods A longitudinal qualitative study design was employed with 12 patients aged 55 – 74, attending a primary care physical activity intervention. Semi-structured interviews took place on three occasions over a 12 month period in a Primary Care Health Centre. Transcripts of recorded interviews were coded and thematically analysed using grounded theory techniques.Results The majority of patients believed that their engagement with the Scheme and resultant long-term increase in physical activity behaviour, helped to improve their health status. This was evident through improved perceptions of medical conditions, through stabilisation or reductions in medication and visits to medical services.Conclusion The findings show the value of a long-term physical activity intervention in a Primary Care setting, through increases in physical activity levels and patients self-assessed health status. These findings can serve as guide for future service commissioners of ERS.

scholarly journals Exploring the impact of the ‘new’ ParticipACTION: overview and introduction of the special issue

2018 ◽  
Vol 38 (4) ◽  
pp. 153-161 ◽  
Author(s):  
Guy Faulkner ◽  
Lira Yun ◽  
Mark S. Tremblay ◽  
John C. Spence
Keyword(s):  
Physical Activity ◽  
Physical Activity Promotion ◽  
Population Based ◽  
Organizational Level ◽  
Activity Levels ◽  
Marketing Organization ◽  
Individual Level ◽  
Activity Promotion ◽  
The Impact

ParticipACTION is the Canadian physical activity communications and social marketing organization first launched in the fall of 1971 and then ceased operations in 2001. ParticipACTION was relaunched in 2007. Framed as a public health natural experiment, evidence was collected from a population-based survey of knowledge, awareness, understanding of physical activity, and physical activity levels among Canadians (individual level), and key informant surveys and interviews examining capacity, readiness and advocacy for physical activity promotion among physical activity organizations (organizational level). The purpose of this paper is to first provide an overview of some of the major initiatives undertaken by the ‘new’ ParticipACTION that may have contributed to any changes at these individual or organizational levels. Second, the paper sets the stage for the three empirical papers in this special series reporting follow-up results.

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