Formative Research to Develop the IDEFICS Physical Activity Intervention Component: Findings from Focus Groups with Children and Parents

2010 ◽  
Vol 7 (2) ◽  
pp. 246-256 ◽  
Author(s):  
Leen Haerens ◽  
Ilse De Bourdeaudhuij ◽  
Gabriele Eiben ◽  
Fabio Lauria ◽  
Silvia Bel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Children ◽  
Focus Groups ◽  
Physical Activity Intervention ◽  
Perceived Barriers ◽  
Activity Levels ◽  
Personal Factors ◽  
Intervention Component ◽  
Community Based ◽  
Children And Parents

Background:The current study aimed at describing influencing factors for physical activity among young children to determine the best approaches for developing the IDEFICS community based intervention.Methods:In 8 European sites a trained moderator conducted a minimum of 4 focus groups using standardized questioning guides. A total of 56 focus groups were conducted including 36 focus groups with parents and 20 focus groups with children, of which 74 were boys and 81 girls. Key findings were identified through independent reviews of focus group summary reports using content analysis methods.Findings:Findings were generally consistent across countries. The greatest emphasis was on environmental physical (eg, seasonal influences, availability of facilities and safety), institutional (eg, length of breaks at school), and social factors (eg, role modeling of parents). Most cited personal factors by parents were age, social economical status, and perceived barriers. Both children and parents mentioned the importance of children’s preferences.Conclusions:To increase physical activity levels of young children the intervention should aim at creating an environment (physical, institutional, social) supportive of physical activity. On the other hand strategies should take into account personal factors like age and social economical status and should consider personal barriers too.

scholarly journals Development of a hybrid sleep and physical activity improvement intervention for adults with osteoarthritis-related pain and sleep disturbance: a focus group study with potential users

2021 ◽  
pp. 204946372110260
Author(s):  
Daniel Whibley ◽  
Kevin Stelfox ◽  
Alasdair L Henry ◽  
Nicole KY Tang ◽  
Anna L Kratz
Keyword(s):  
Physical Activity ◽  
Pain Management ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Sleep Disturbances ◽  
Physical Activity Intervention ◽  
Focus Group Study ◽  
Intervention Component ◽  
Beneficial Impact ◽  
Improvement Intervention

Objective: Suboptimal sleep and physical activity are common among people living with osteoarthritis (OA) and simultaneous improvements in both may have a beneficial impact on pain. This study aimed to gather perspectives of people living with OA on important aspects to incorporate in a hybrid sleep and physical activity improvement intervention for OA pain management. Design: Qualitative study using two rounds of two focus groups. Setting and participants: Focus groups were conducted with adults living with OA-related chronic pain and sleep disturbances. Eighteen people attended focus groups in January 2020 and, of these, 16 attended subsequent focus groups in February 2020. Methods: Discussion at the first round of focus groups informed generation of prototype intervention materials that were shared, discussed and refined at the second round of focus groups. Thematic analysis was used to identify themes and sub-themes from the data. Results: Three themes, each with three sub-themes, were identified: facilitators of engagement with the intervention (sub-themes: motivational language, accountability and education); barriers to engagement (sub-themes: suboptimal interaction with healthcare practitioners, recording behaviour as burdensome/disruptive and uncertainty about technique) and characteristics of a physical activity intervention component (sub-themes: tailored, sustainable and supported). Conclusion: We have identified important aspects to incorporate into the design and delivery of a hybrid sleep and physical activity improvement intervention for OA pain management. Insights will be incorporated into intervention materials and protocols, with feasibility and acceptability assessed in a future study.

scholarly journals “I feel proper self-conscious all the time”: A qualitative study of adolescent girls’ views of menstruation and physical activity.

2020 ◽  
Vol 5 ◽  
pp. 279
Author(s):  
Jessica Harvey ◽  
Lydia Emm-Collison ◽  
Simon J. Sebire
Keyword(s):  
Physical Activity ◽  
Adolescent Girls ◽  
Thematic Analysis ◽  
Strong Influence ◽  
Perceived Barriers ◽  
Activity Levels ◽  
Personal Factors ◽  
Sports Teams ◽  
Effective Interventions ◽  
Active Data

Background: Many children and adolescents do not engage in sufficient physical activity. Girls are less active than boys, and their activity levels decline more steeply with age. Menstruation may be associated with the decline in girls’ activity but there are few person-centred studies examining adolescent girl’s experiences of menstruation and physical activity. These are needed to understand the influence that menstruation has on the physical activity experiences of girls to inform effective interventions. Methods: Focus groups were conducted with 46 girls aged 13-15 years across three schools. The discussions explored; experiences of, barriers to and facilitators of being active during menstruation; experiences in physical education/sports teams; and talking with others about periods and being active. Data were analysed using thematic analysis. Results: Four themes were identified: 1) balancing perceived barriers and benefits 2) motivation and enjoyment, 3) social influences and 4) coping strategies. Participants reported using diverse strategies to overcome barriers to being active posed by menstruation and the importance of peer-support and enjoyable forms of activity. Conclusions: Menstruation has a strong influence on girls’ physical activity experiences through intra- and inter-personal factors. The implications for how these can be addressed in efforts to increase girls’ physical activity are discussed.

The impact of participant pathways on the effectiveness of a community-based physical activity intervention grounded in motivational interviewing

2020 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
James Steele ◽  
Steven Mann ◽  
Bernadette Dancy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Motivational Interviewing ◽  
Social Action ◽  
Multilevel Models ◽  
Physical Activity Intervention ◽  
Mental Wellbeing ◽  
Community Based ◽  
The Impact ◽  
Time Point

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.

“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 Iterative development of a multiple technology-based physical activity intervention for Latina adolescents: The Chicas Fuertes Study (Preprint)

2020 ◽  
Author(s):  
Britta Larsen ◽  
Emily D. Greenstadt ◽  
Brittany L. Olesen ◽  
Bess H. Marcus ◽  
Job Godino ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Media ◽  
Focus Group ◽  
Focus Groups ◽  
Text Messaging ◽  
Physical Activity Intervention ◽  
Target Population ◽  
Text Messages ◽  
Study Objective ◽  
Latina Adolescents

BACKGROUND Adolescent girls report the lowest levels of physical activity (PA) of any demographic group, with rates especially low for racial/ethnic minority girls. Only 3% of Latina teens meet national PA guidelines, and these habits appear to persist into adulthood. Developing effective interventions to increase PA in Latina teens is necessary for preventing disease and reducing disparities. OBJECTIVE The study objective was to develop a mHealth PA intervention for Latina adolescents using a multi-stage iterative process based on an adaptation of the IDEAS (Integrate, DEsign, Assess, Share) framework. METHODS Development of the intervention was accomplished through three iterations: 1) feedback from a previous web-based pilot study, Niñas Saludables; 2) conducting focus groups with the target population; and, 3) vetting the final materials with a youth advisory board (YAB) comprising Latina adolescents. Based on feedback from participants in the Niñas Saludables study, plans to improve the intervention included incorporating visual social media posts and text messaging, adding a commercial wearable tracker, and revising the existing website to be primarily visual; proposed procedures and material were then refined through focus groups. Participants for focus groups (N=50) were girls age 13-18 who could speak and read in English who were recruited from local high schools and after school programs serving a high proportion of Latinos. Facilitated discussions focused on experience with PA and social media apps, and specific feedback on intervention material prototypes and possible names and logos. Materials were refined based on their feedback, then were beta tested by the YAB. YAB members (N=4) were Latinas age 13-18 who were not regularly active and were recruited via word of mouth and selected through an application process. RESULTS The focus group discussions yielded the following findings: PA preferences included walking, running and group fitness classes, while the least popular activities were running, swimming, and biking. Most participants used some form of social media, with Instagram being the most favored. Participants preferred text messages be sent no more than once a day, be personalized, and be positively worded. Focus group participants preferred an intervention directly targeting Latinas, and social media posts that were brightly colored, included girls of all body types, and provided specific tips and information. Modified intervention materials were generally perceived favorably by the YAB members, who provided suggestions for further refinements including incorporation of some Spanish phrases. CONCLUSIONS Latina teens were generally enthusiastic about an mHealth PA intervention, provided the materials were targeted specifically to them and their preferences. Through multiple iterations of development and feedback with the target population, we gained insight into the needs of Latina teens and joined with industry partners to build a viable final product.

scholarly journals Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

2020 ◽  
Author(s):  
Paul Collings ◽  
Sufyan A Dogra ◽  
Silvia Costa ◽  
Daniel D Bingham ◽  
Sally E. Barber
Keyword(s):  
Physical Activity ◽  
Young Children ◽  
South Asian ◽  
Sedentary Time ◽  
Activity Levels ◽  
Light Physical Activity ◽  
Asian Children ◽  
Physical Activity Levels ◽  
Vector Magnitude ◽  
British Children

Abstract Background: Evidence suggests that South Asian school-aged children and adults are less active compared to the white British population. It is unknown if this generalises to young children. We aimed to describe variability in levels of physical activity and sedentary time in a bi-ethnic sample of young children from a deprived location. Methods: This observational study included 202 South Asian and 140 white British children aged 1.5 to 5y, who provided 3,181 valid days of triaxial accelerometry (Actigraph GT3X+). Variability in sedentary time and physical activity levels were analysed by linear multilevel modelling. Logistic multilevel regression was used to identify factors associated with physical inactivity (failing to perform ≥180 minutes of total physical activity including ≥60 minutes moderate-to-vigorous physical activity (MVPA) per day). Results: There were no significant ethnic differences in the overall levels of behaviours; South Asian and white British children spent half of daily time sedentary, just over 40% in light physical activity, and the remaining 7.5 to 8% of time in MVPA. Sedentary time was lower and physical activity levels were higher in older children, and levels of MVPA and vector magnitude counts per minute (CPM) were higher on weekends compared to weekdays. In South Asian children, sedentary time was lower on weekends. Sedentary time was lower and physical activity levels were higher in spring compared to winter in white British children, and in all seasons compared to winter in South Asian children. South Asian children born at high birth weight performed more MVPA, and in both ethnicities there was some evidence that children with older mothers were more sedentary and less active. Sedentary time was higher and light physical activity was lower in South Asian children in the highest compared to the lowest income families. South Asian girls performed less MVPA, registered fewer vector magnitude CPM, and were 3.5 times more likely to be physically inactive than South Asian boys. Conclusions: Sedentary time and physical activity levels vary by socio-demographic, temporal and perinatal characteristics in young children from a deprived location. South Asian girls have the most to gain from efforts to increase physical activity levels.

Erratum: Stanish et al. (2015)

2018 ◽  
Vol 35 (3) ◽  
pp. 326
Keyword(s):  
Physical Activity ◽  
Autism Spectrum Disorder ◽  
Intellectual Disabilities ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Perceived Barriers ◽  
Activity Levels ◽  
Typically Developing ◽  
Link Type ◽  
Activity Enjoyment

In the article Stanish, H., Curtin, C., Must, A., Phillips, S., Maslin, M., and Bandini, L. (2015). Enjoyment, barriers, and beliefs about physical activity in adolescents with and without autism spectrum disorder. Adapted Physical Activity Quarterly, 32(4), 302-317. doi:10.1123/APAQ.2015-0038, the authors omitted acknowledgment that the study was an extension of a larger (parent) study that compared physical activity levels and correlates among adolescents with intellectual disabilities (ID) and typically developing (TD) adolescents. Some of the methods for the study published in this journal are identical to those in the parent study, and the same comparison group of TD adolescents was used for both disability groups (ID and autism spectrum disorder). The online version of the article has been corrected.The parent study was published as Stanish, H.I., Curtin, C., Must, A., Phillips, S., Maslin, M., & Bandini, L. (2016). Physical activity enjoyment, perceived barriers, and beliefs among adolescents with and without intellectual disabilities. Journal of Physical Activity and Health, 13(1), 102–110. doi:10.1123/jpah.2014-0548.

Perceived Barriers to Walking in the Neighborhood Environment: A Survey of Middle-Aged and Older Adults

2007 ◽  
Vol 15 (3) ◽  
pp. 318-335 ◽  
Author(s):  
Jill Dawson ◽  
Melvyn Hillsdon ◽  
Irene Boller ◽  
Charlie Foster
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Neighborhood Environment ◽  
Perceived Barriers ◽  
Activity Levels ◽  
Environmental Attributes ◽  
Physical Activity Levels ◽  
Health Related ◽  
Low Levels ◽  
The Uk

The authors investigated whether low levels of walking among older adults in the UK were associated with demographic and health characteristics, as well as perceived environmental attributes. Survey data were obtained from self-administered standard questionnaires given to 680 people age 50+ (mean age 64.4 yr) attending nationally led walking schemes. Items concerned with demographic characteristics and perceived barriers to neighborhood walking were analyzed using multiple logistic regression. Citing more than 1 environmental barrier to walking, versus not, was associated with significantly reduced levels of (leisure) walking (MET/hr) in the preceding week (Z = –2.35, p = .019), but physical activity levels overall did not differ significantly (Z = –0.71, p = .48). Citing a health-related barrier to walking significantly adversely affected overall physical activity levels (Z = –2.72, p = .006). The authors concluded that, among older people who favor walking, health problems might more seriously affect overall physical activity levels than perceived environmental barriers.

scholarly journals Influence of a Physical Activity Intervention on Perceived Barriers and Benefits in Women

2016 ◽  
Vol 48 ◽  
pp. 596
Author(s):  
Kathryn E. Lundberg ◽  
Tanis J. Walch ◽  
John S. Fitzgerald ◽  
James R. Whitehead
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Perceived Barriers
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