scholarly journals Acceptability, reach and implementation of a training to enhance teachers’ skills in physical activity promotion

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elina Renko ◽  
Keegan Knittle ◽  
Minttu Palsola ◽  
Taru Lintunen ◽  
Nelli Hankonen
Keyword(s):  
Physical Activity ◽  
Program Implementation ◽  
Real World ◽  
Physical Activity Promotion ◽  
School Staff ◽  
Future Research ◽  
Successful Implementation ◽  
Behavior Change Interventions ◽  
Activity Promotion ◽  
Long Term Follow Up

Abstract Background To achieve real-world impacts, behavior change interventions need to be scaled up and broadly implemented. Implementation is challenging however, and the factors influencing successful implementation are not fully understood. This study describes the nationwide implementation of a complex theory-based program targeting physical activity and sedentary behavior in vocational schools (Lets’s Move It; LMI). The implementation primarily involved a systematic and theory-based training and user manual for school staff. We explore how the perceived acceptability of this training (in line with the Theoretical Framework of Acceptability) relates to (un) successful implementation. The study evaluates (1) the experienced acceptability of the training and anticipated acceptability of later delivering the program; (2) reach and implementation, including adaptations and barriers; (3) whether acceptability ratings predict teachers’ intentions for implementation. Methods Upper secondary school staff from vocational and high schools (n = 194) enrolled in a two-part training, covering implementation of the LMI program and training in motivational interaction styles. One hundred fifty-one participants attended both parts of the training. Participants reported their perceived acceptability of the training and their implementation efforts in online questionnaires at baseline, after training sessions and at long-term follow-up. Qualitative data (open-ended questions) were analysed with content analysis to collate responses. Quantitative data analyses involved correlations and logistic regression. Results Participants rated the training as highly acceptable on all dimensions (average ratings exceeded 4.0 on a 5-point scale). The implementation reached at least 6100 students and 341 school classes. Most teachers intended to continue program implementation. Acceptability ratings explained 51.7% of teachers’ intentions to implement the student program (훘2 = 30.08; df = 8; p < .001), with affective attitude, perceived effectiveness and self-efficacy the most influential. Teachers commonly reported condensing program content, and reported deficits of time and collegial support as common barriers to implementation. Conclusion High acceptability and reach of the training indicate strong potential for implementation success. Multiple facets of acceptability seem important to successful implementation. Future research should explore ways to improve acceptability, thereby promoting successful implementation in real-world settings.

scholarly journals Acceptability, reach and implementation of a training to enhance teachers' skills in physical activity promotion

2019 ◽  
Author(s):  
Elina Renko ◽  
Keegan Phillip Knittle ◽  
Minttu Palsola ◽  
Taru Lintunen ◽  
Nelli Hankonen
Keyword(s):  
Physical Activity ◽  
Program Implementation ◽  
Real World ◽  
Physical Activity Promotion ◽  
School Staff ◽  
Training Intervention ◽  
Successful Implementation ◽  
Behavior Change Interventions ◽  
Activity Promotion ◽  
Nationwide Implementation

Background: In order to achieve real-world impacts, successful behavior change interventions need to be scaled up and broadly implemented. Implementation is challenging however, and the factors influencing successful implementation are not fully understood. This study describes the nationwide implementation of a complex theory-based program to promote physical activity and reduce sedentary behavior in vocational schools (Let’s Move It; LMI). The implementation primarily involved a systematic and theory-based training intervention and user manual for school staff. This study explores how the perceived acceptability of this training intervention (using the dimensions of the Theoretical Framework of Acceptability) relate to (un)successful implementation. The purpose is to evaluate (1) the experienced acceptability of the training intervention and anticipated acceptability of later delivering the program; (2) the reach and implementation, including adaptations and barriers; (3) the extent to which acceptability ratings predict teachers’ intentions for implementation.Methods: School staff (n=194) enrolled in a two-part training intervention, covering implementation of the LMI program and training in motivational interaction styles. Participants reported their perceived acceptability of the training intervention and their implementation efforts in online questionnaires at baseline, after training sessions and at long-term follow-up. Qualitative data were analysed with content analysis and quantitative data with correlations and logistic regression.Results: School staff rated the acceptability of the training intervention as very high on all assessed dimensions (average ratings exceeded 4.0 on a 5-point scale). The nationwide implementation reached at least 6,100 students and 341 school classes. Most teachers intended to continue program implementation, and higher ratings of acceptability were related to stronger subsequent intentions to implement the program. Teachers commonly reported condensing program content during implementation, and reported lacks of time and collegial support as the most common barriers to implementation. Conclusion: This case study presents the development and evaluation of the national real-world implementation of a physical activity program. Considerably high acceptability and reach of the training intervention indicates high potential for implementation success. The role of addressing the multiple facets of acceptability in implementation projects warrant more research focus.

Strategies to enhance compliance to physical activity for patients with insulin resistance

2007 ◽  
Vol 32 (3) ◽  
pp. 549-556 ◽  
Author(s):  
Alison Kirk ◽  
Pierpaolo De Feo
Keyword(s):  
Physical Activity ◽  
Insulin Resistance ◽  
Type 2 Diabetes ◽  
Wearable Sensors ◽  
Physical Activity Promotion ◽  
Physical Activity Behaviour ◽  
Future Research ◽  
Evidence Based ◽  
Activity Promotion

The evidence that physical activity is an effective therapeutic tool in the management of insulin resistance and type 2 diabetes is well documented. Limited research has addressed how best to promote and maintain physical activity in these individuals. This paper explores strategies to enhance compliance to physical activity for patients with insulin resistance. Several evidence-based guidelines and reviews recommend that physical activity interventions are based on a valid theoretical framework. However, there is no evidence-based consensus on the best theory or the combination of theories to use. Motivational tools such as pedometers, wearable sensors measuring energy expenditure, and point of choice prompts appear to be effective at stimulating short-term substantial increases in physical activity, but further strategies to maintain physical activity behaviour change are required. Physical activity consultation has demonstrated effective physical activity promotion over periods of up to 2 years in people with type 2 diabetes. Future research should identify the longer term effects of this intervention and the effectiveness of different methods of delivery. Overall, there needs to be a lot more focus on this area of research. Without this, the abundance of research investigating the effects of physical activity on people with insulin resistance and type 2 diabetes is essentially redundant.

scholarly journals Nine types of recommendations, guidelines and policies: an exploratory test of a proposed typology of physical activity promotion documents

2019 ◽  
Vol 77 (1) ◽  
Author(s):  
Peter Gelius ◽  
Sven Messing ◽  
Karim Abu-Omar
Keyword(s):  
Physical Activity ◽  
Policy Instruments ◽  
Physical Activity Promotion ◽  
Future Research ◽  
Physical Activity Guidelines ◽  
Activity Promotion ◽  
Evidence Type ◽  
Entire Matrix ◽  
Point Of Departure ◽  
Selection Of

Abstract Background The field of physical activity abounds with recommendations, guidelines, action plans and other documents published by experts, organizations and institutions at the national and international level. However, working with these documents is difficult since similar names (e.g. “recommendations”) may be used to label substantially different contents, while identical topics may hide behind different monikers (e.g. “guidelines” and “strategy”). Methods We built on an existing framework conceptualizing categories of physical activity evidence and on the Doern continuum for policy instruments to develop a nine-field matrix that classifies physical activity-related publications based on their evidence type and degree of coercion. We used a selection of eleven physical activity documents to perform an exploratory test of the functions and utility of the typology. Results Placing central physical activity documents into the typology shows that recommendations, guidelines, and policies are found across the entire matrix, regardless of their denomination. It also suggests that some documents transcend boundaries between types by falling into more than one category, and that some categories may be underrepresented in current physical activity promotion. Conclusions A typology to classify physical activity guidelines, recommendations, and policies can help us acquire a better overview of the landscape of existing physical activity documents than simple distinctions based on document names. It may guide both current initiatives and future development work in the field. It could also serve as a point of departure for future research, as conducting systematic overviews of the literature based on this typology may help reveal important gaps in current physical activity promotion.

scholarly journals A New Lens on Physical Activity Promotion: Can Technology Boost Exercise Prescription and Adherence?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 842-843
Author(s):  
Patricia Heyn ◽  
Amber Watts
Keyword(s):  
Physical Activity ◽  
Technology Use ◽  
Exercise Prescription ◽  
Exercise Adherence ◽  
National Standards ◽  
Future Research ◽  
Successful Implementation ◽  
Multiple Perspectives ◽  
Key Factors ◽  
Activity Promotion

Abstract Adherence to exercise prescription for older adults (OAs) is a significant problem and can have a detrimental effect on key health outcomes. Exercise adherence for OAs is a multifactorial problem encompassing many factors affecting adherence such as socioeconomic status, education, physical fitness, and mental and health status. Improving exercise adherence could have a significant impact on longevity, quality of life, and health care costs. This symposium brings multiple perspectives to closely examine promising technology approaches, both in the form of models and programs. We will also discuss gaps regarding adherence to physical activity (PA) and exercise prescription for OA and the application of current publicly available technologies to boost PA adherence and compliance accordingly to the U.S. Department of Health and Human Services national standards for promoting health and preventing disease. The symposium includes five novel presentations addressing several key factors related to successful implementation of technology approaches to exercise program delivery and adherence for OAs. In addition, we will have one presentation highlighting the key factors that impact exercise prescription, compliance, and adherence. The speakers will present and address important components related to technology use with the goal to increase older adult’s PA participation. The exercise programs will target key areas affecting older adult’s health such as cognitive function, falls, obesity, gender, environments, and self-efficacy. Technology user-usability perspective will be presented. Current challenges and recommendations for future research will be comprehensively discussed to properly address the exercise adherence and compliance needs of our OA populations.

scholarly journals Program EducAtivo: physical activity as a health education strategy

2019 ◽  
Vol 23 ◽  
pp. 1-6
Author(s):  
Ronailde Braga Guerra ◽  
Alex Antonio Florindo ◽  
Jaqueline Freitas de Oliveira Neiva ◽  
Douglas Roque Andrade
Keyword(s):  
Physical Activity ◽  
Health Education ◽  
Program Implementation ◽  
Physical Activity Promotion ◽  
Activity Promotion ◽  
Education Strategy ◽  
The University ◽  
Body Practices ◽  
Extension Program ◽  
Health Field

This study aimed to describe the transition from the intervention protocols of the research project entitled "Active Environment" to the conception of the university extension program known as "EducAtivo". Considering the complexity of the context of physical activity promotion and the need to understand its processes, this manuscript justifies itself as it addresses such need by reporting the procedures adopted along the extension program implementation. The result of this transition is the current proposal of EducAtivo, aimed at creating opportunities for health experiences and reflection, using physical activities/body practices as a health education strategy, apart from approaching related topics such as healthy eating. With an itinerant design, this program implements its activities in social spaces, bringing the university closer to the community. Furthermore, EducAtivo welcomes students from different courses, fostering qualification for multi-professional work, since this is fundamental in the health field. Fundraising has been sought, aiming to improve and increase the program.

scholarly journals Co-creating Physical Activity Interventions: a Mixed Methods Evaluation Approach

2021 ◽  
Author(s):  
Johanna Popp ◽  
Eva Grüne ◽  
Johannes Carl ◽  
Jana Semrau ◽  
Klaus Pfeifer
Keyword(s):  
Physical Activity ◽  
Real World ◽  
Qualitative Data ◽  
Qualitative Content Analysis ◽  
Physical Activity Promotion ◽  
Open Science ◽  
Evaluation Approach ◽  
Physical Activity Interventions ◽  
Activity Promotion ◽  
Cooperative Planning

Abstract Background: Co-creation strategies, such as cooperative planning, are promising as a means to ensure that physical activity interventions address real-world problems and are tailored to the target group. This has already been validated in diverse settings. However, questions targeting the transferability of cooperative planning to new settings and the key factors influencing its success or failure remain unclear. At the same time, co-creation processes are complex and evaluation can be challenging. Following calls for detailed reporting, this paper describes the programme activities, the underlying logic, and methodological design of a study that aims to evaluate the transfer of cooperative planning to new settings and to explore the associated key determinants.Methods: Cooperative planning was utilised as a strategy to target physical activity promotion in three real-world German settings in the nursing care and automotive mechatronics sectors. This involved researchers working alongside stakeholders from practice and policy to conjointly develop new interventions to promote physical activity in physically demanding jobs. A pragmatic approach is used to evaluate both the transferability and key determinants of this strategy. We developed a logic model for this co-creation process that describes the underlying assumptions and guides the evaluation. The evaluation outcomes of this study include planning meetings, newly developed interventions, and the determinants that are likely to affect cooperative planning. Quantitative and qualitative data will be collected using questionnaires, documents, and interviews. The quantitative data will be analysed descriptively, while the qualitative data will mainly be analysed using qualitative content analysis, split by settings. Subsequently, data triangulation will be used to integrate the quantitative and qualitative findings, which will then be compared across all three settings.Discussion: The study findings will contribute to a better understanding of co-creation strategies, their transferability and key determinants. The practical implications can include a checklist for assessing key determinants and a guideline for transferring cooperative planning into new settings to benefit more people. Ultimately, this study will help to advance co-creation strategies and may be relevant for researchers, practitioners, and policymakers targeting physical activity promotion in various contexts.Trial registration: Open Science Framework: https://osf.io/r6xnt/ (retrospectively registered)

scholarly journals Physical activity promotion in care homes

2017 ◽  
Vol 21 (4) ◽  
pp. 206-214 ◽  
Author(s):  
Lindsay Turpie ◽  
Sandy Whitelaw ◽  
Christopher Topping
Keyword(s):  
Physical Activity ◽  
Physical Activity Promotion ◽  
Care Homes ◽  
Successful Implementation ◽  
Structured Interviews ◽  
Content Type ◽  
Private Care ◽  
Activity Promotion ◽  
Key Staff ◽  
Insight Into

Purpose The purpose of this paper is to report on the implementation of a physical activity (PA) scheme – Let’s Motivate (LM) – within private care homes (CHs) in Dumfries and Galloway (D&G), Scotland; aiming to provide an insight into the different factors which might contribute to its success and further sustainability. Design/methodology/approach A qualitative study is described in which one-to-one semi-structured interviews were carried out with eight key staff involved in implementing the project within two purposively sampled CHs; in order to explore their views and experiences of implementation. Findings The paper provides an insight into the different factors which stand to both promote and impede the successful implementation of LM, within the two CHs involved. Originality/value This paper explores a new and innovative PA initiative in CHs in D&G, Scotland. Studies exploring the factors which can both promote and impede implementation are important as they can help to usefully inform the implementation and sustainability of initiatives.

Effectiveness of Social Marketing Interventions to Promote Physical Activity Among Adults: A Systematic Review

2016 ◽  
Vol 13 (11) ◽  
pp. 1263-1274 ◽  
Author(s):  
Yuan Xia ◽  
Sameer Deshpande ◽  
Tiberius Bonates
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Behavior Change ◽  
Social Marketing ◽  
Physical Activity Promotion ◽  
The Past ◽  
Behavior Change Interventions ◽  
Activity Promotion ◽  
The Social

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.

Multidimensional Scaling and Preference Mapping: Promising Methods for Investigating Older Adults’ Physical Activity Perceptions and Preferences

2000 ◽  
Vol 8 (4) ◽  
pp. 343-362 ◽  
Author(s):  
Luke E. Patrick ◽  
David A. Dzewaltowski
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Dimensional Space ◽  
Activity Patterns ◽  
Physical Activity Promotion ◽  
Physical Activities ◽  
Future Research ◽  
Preference Mapping ◽  
Activity Promotion ◽  
And Gender

Research on older adult physical activity promotion has lacked methods to measure older adults’ physical activity perceptions and preferences. This article describes perceptual and preference-mapping marketing techniques for investigating perceived features in physical activities. Using these techniques, investigators can represent the dimensions in which older adults perceive physical activity modes, label them, and consider individual differences. In this study, older adults compared 13 physical activities and ranked them by preference. A 4-dimensional space satisfactorily represented perceptions, and a 3-dimensional space, preferences. Physical activity perceptions varied along orthogonal dimensions of health affordance. intensity, social nature, and competitive nature. Categories of preference were revealed as dimensions relating to noncompetitive/self-efficacy attributes, intensity, and gender practices. The authors conclude that older adults’ physical activity preferences and perceptions can be represented by multiattribute dimensional spaces. Future research should employ these scaling techniques to describe relationships between older adults and multiattribute physical activities and determine how they influence perceptions, preferences, and physical activity patterns.

scholarly journals Interorganizational Networks in Physical Activity Promotion: A Systematic Review

2021 ◽  
Vol 18 (14) ◽  
pp. 7306
Author(s):  
Irina Timm ◽  
Simone Rapp ◽  
Christian Jeuter ◽  
Philip Bachert ◽  
Markus Reichert ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Systematic Review ◽  
Assessment Tool ◽  
Data Extraction ◽  
Physical Activity Promotion ◽  
Future Research ◽  
Predicting Factors ◽  
Activity Promotion ◽  
Set Up

Public health challenges such as physical inactivity are multiplex and cannot be effectively addressed by single organizations or sectors. For this reason, public health policies have to involve various sectors and foster partnerships among organizations. Social network analysis (SNA) provides a methodological toolkit that enables the investigation of relationships between organizations to reveal information about the structure and cooperation within networks. This systematic review provides an overview of studies utilizing SNA to analyze the structure of networks that promote physical activity, including the structural set-up, types, and conditions of cooperation, the existence or absence of key actors, the characteristics of organizations working together, and potential barriers limiting collaboration. In total, eight eligible studies were identified. To evaluate the quality of these studies, a quality assessment tool for SNA was created. Relevant aspects from each study were systematically outlined using a data extraction template developed for network studies. The studies reported low to moderate density scores with many ties not being realized. Organizations tend to work side by side than as real partners, whereas organizations of the same type are more strongly connected. Most of the studies identified governmental health organizations as key players in their networks. Network maturity influences network outcomes. Shared goals and geographic proximity are potential facilitators for network development. For future research, more sophisticated methods and longitudinal studies are required to describe how networks, with the aim of promoting physical activity, develop and change to identify predicting factors for an effective network structure.

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