scholarly journals Barriers and facilitators influencing the sustainment of health behaviour interventions in schools and childcare services: a systematic review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Adam Shoesmith ◽  
Alix Hall ◽  
Luke Wolfenden ◽  
Rachel C. Shelton ◽  
Byron J. Powell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Behaviour ◽  
Health Behaviours ◽  
Evidence Base ◽  
Barriers And Facilitators ◽  
Future Research ◽  
Leadership Support ◽  
Multi Level ◽  
Sustainability Framework ◽  
Integrated Sustainability

Abstract Background Sustainment has been defined as the sustained use or delivery of an intervention in practice following cessation of external implementation support. This review aimed to identify and synthesise factors (barriers and facilitators) that influence the sustainment of interventions (policies, practices, or programmes) in schools and childcare services that address the leading risk factors of chronic disease. Methods Seven electronic databases and relevant reference lists were searched for articles, of any design, published in English, from inception to March 2020. Articles were included if they qualitatively and/or quantitatively reported on school or childcare stakeholders’ (including teachers, principals, administrators, or managers) perceived barriers or facilitators to the sustainment of interventions addressing poor diet/nutrition, physical inactivity, obesity, tobacco smoking, or harmful alcohol use. Two independent reviewers screened texts, and extracted and coded data guided by the Integrated Sustainability Framework, an existing multi-level sustainability-specific framework that assesses factors of sustainment. Results Of the 13,158 articles identified, 31 articles met the inclusion criteria (8 quantitative, 12 qualitative, 10 mixed-methods, and 1 summary article). Overall, 29 articles were undertaken in schools (elementary n=17, middle n=3, secondary n=4, or a combination n=5) and two in childcare settings. The main health behaviours targeted included physical activity (n=9), diet (n=3), both diet and physical activity (n=15), and smoking (n=4), either independently (n=1) or combined with other health behaviours (n=3). Findings suggest that the majority of the 59 barriers and 74 facilitators identified to impact on intervention sustainment were similar across school and childcare settings. Factors predominantly relating to the ‘inner contextual factors’ of the organisation including: availability of facilities or equipment, continued executive or leadership support present, and team cohesion, support, or teamwork were perceived by stakeholders as influential to intervention sustainment. Conclusions Identifying strategies to improve the sustainment of health behaviour interventions in these settings requires a comprehensive understanding of factors that may impede or promote their ongoing delivery. This review identified multi-level factors that can be addressed by strategies to improve the sustainment of such interventions, and suggests how future research might address gaps in the evidence base. Trial registration This review was prospectively registered on PROSPERO: CRD42020127869, Jan. 2020.

scholarly journals Apps and wearables for monitoring physical activity and sedentary behaviour: A qualitative systematic review protocol on barriers and facilitators

2018 ◽  
Vol 4 ◽  
pp. 205520761877645 ◽  
Author(s):  
Laura J Wilde ◽  
Gillian Ward ◽  
Louise Sewell ◽  
Andre M Müller ◽  
Petra A Wark
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Sedentary Behaviour ◽  
Health Behaviours ◽  
Barriers And Facilitators ◽  
Cochrane Library ◽  
Qualitative Approaches ◽  
Mobile Phone Applications ◽  
Review Protocol ◽  
Critical Appraisal Skills

Objective Monitoring of physical activity and sedentary behaviours by mobile phone applications (apps) and wearable technology (wearables) may improve these health behaviours. This systematic review aims to synthesise the qualitative literature on the barriers and facilitators of using apps and wearables for monitoring physical activity and/or sedentary behaviour in adults. Methods This review protocol is registered in PROSPERO (CRD42017070194). Scientific databases including CINAHL Complete, MEDLINE, PsycINFO, SPORTDiscus, Cochrane Library and Scopus will be searched for relevant studies published from 1 January 2012 to the date the searches are conducted. Studies will be included if they incorporated adults who used an app or wearable for monitoring physical activity and/or sedentary behaviour; explored the barriers and/or facilitators of using an app and/or wearable; and were published in English. Following duplicate screening of titles and abstracts, full texts of potentially eligible papers will be screened to identify studies using qualitative approaches to explore barriers and facilitators of using apps and/or wearables for monitoring physical activity and/or sedentary behaviour. Discrepancies will be resolved through consensus or by consulting a third screener. Relevant excerpts (quotes and text) from the included papers will be extracted and analysed thematically. The Critical Appraisal Skills Programme Qualitative Research Checklist will be used to appraise included studies. Conclusion The results of this work will be useful for those intending to monitor physical activity and/or sedentary behaviour using these technologies.

scholarly journals Social participation is an important health behaviour for health and quality of life among chronically ill older Chinese people

2020 ◽  
Author(s):  
Zeyun Feng ◽  
Jane Murray Cramm ◽  
Anna Petra Nieboer
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Function ◽  
Health Behaviour ◽  
Social Participation ◽  
Health Behaviours ◽  
Chronically Ill ◽  
Healthy Diet ◽  
Physical Activity Maintenance

Abstract Background: Health behaviours (physical activity, maintenance of a healthy diet and not smoking) are known to be beneficial to the health and well-being of chronically ill people. With China's ageing population and increased prevalence of people with chronic diseases, the improvement of unhealthy behaviours in this population has become crucial. Although recent studies have highlighted the importance of social participation for health and quality of life (QoL) among older people, no study to date has included social participation along with more traditional health behaviours. Therefore, this study aimed to identify associations of multiple health behaviours (social participation, physical activity, maintenance of a healthy diet and not smoking) with health and QoL outcomes (including cognitive and physical function) among chronically ill older adults in China.Methods: For this nationally representative cross-sectional study, wave 1 data from the World Health Organization’s Study on global AGEing and adult health (China) were examined. In total, 6,629 community-dwelling older adults (mean age, 64.9 years) with at least one chronic disease were included. Multivariate linear regression analyses were used to evaluate associations of health behaviours with health and QoL outcomes while controlling for background characteristics.Results: Greater social participation was associated with better QoL [β = 0.127, standard error (SE) = 0.002, p < 0.001], cognitive function (β = 0.154, SE = 0.033, p < 0.001) and physical function (β = –0.102, SE = 0.008, p < 0.001). Physical activity was associated with better QoL (β = 0.091, SE = 0.015, p < 0.001) and physical function (β = –0.155, SE = 0.062, p < 0.001). Sufficient fruit and vegetable consumption was associated with better QoL (β = 0.087, SE = 0.015, p < 0.001).Conclusions: Our findings suggest that social participation is an important health behaviour for quality of life and cognitive function among chronically ill older people in China. Health promotion programmes should expand their focus to include social participation as a health behaviour, in addition to physical activity, maintenance of a healthy diet and not smoking.

scholarly journals Physical activity guidelines and guides for Canadians: facts and futureThis article is part of a supplement entitled Advancing physical activity measurement and guidelines in Canada: a scientific review and evidence-based foundation for the future of Canadian physical activity guidelines co-published by Applied Physiology, Nutrition, and Metabolism and the Canadian Journal of Public Health. It may be cited as Appl. Physiol. Nutr. Metab. 32(Suppl. 2E) or as Can. J. Public Health 98(Suppl. 2).

2007 ◽  
Vol 32 (S2E) ◽  
pp. S218-S224 ◽  
Author(s):  
Mark S. Tremblay ◽  
Roy J. Shephard ◽  
Lawrence R. Brawley ◽  
Christine Cameron ◽  
Cora Lynn Craig ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Evidence Base ◽  
Future Research ◽  
Activity Measurement ◽  
Health It ◽  
Scientific Review ◽  
Physical Activity Guidelines ◽  
Physical Activity Measurement ◽  
Applied Physiology

This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages, and of related evaluations are underlined. Recommendations on how to proceed are based on the evidence base provided by this series of papers; the immediate next steps mandated by this initiative are outlined and priorities for future research are indicated.

scholarly journals Moving Mindfully: The Role of Mindfulness Practice in Physical Activity and Health Behaviours

2021 ◽  
Vol 6 (1) ◽  
pp. 19
Author(s):  
Dev Roychowdhury
Keyword(s):  
Physical Activity ◽  
Physical Health ◽  
Health Behaviours ◽  
Mindfulness Practice ◽  
Future Research ◽  
Research And Practice ◽  
Mindfulness Practices ◽  
The Relationship ◽  
Global Population

Participation in regular physical activity yields numerous psychological and physical health benefits. Despite this, a large proportion of the global population is increasingly becoming inactive and sedentary, which has been linked to various causes of morbidity and mortality. One practice that has been found to encourage healthy participation in physical activity and associated health behaviours is mindfulness. Mindfulness practices have been consistently linked to higher levels of physical activity participation. However, the relationship between mindfulness practices and physical activity remains ambiguous. This present paper comments on the role of mindfulness practice in physical activity and health behaviours. Implications for future research and practice have also been addressed.

scholarly journals Association between allostatic load and health behaviours: a latent class approach

2019 ◽  
Vol 73 (4) ◽  
pp. 340-345 ◽  
Author(s):  
Sarah N Forrester ◽  
Jeannie-Marie Leoutsakos ◽  
Joseph J Gallo ◽  
Roland J Thorpe ◽  
Teresa E Seeman
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Alcohol Use ◽  
Health Behaviour ◽  
Allostatic Load ◽  
Latent Class ◽  
Health Behaviours ◽  
Biological Indicators ◽  
Latent Class Regression ◽  
Multiethnic Population

BackgroundAllostatic load (AL) has been characterised in many ways throughout the literature; however, its relationship to health behaviours has only been studied in limited populations. We aimed to uncover qualitative patterns of biological indicators in AL and determine if those patterns were associated with certain health behaviours.MethodsWe conducted latent class analysis using biological indicators from a multiethnic population. We fit latent class regression of class on health behaviours (smoking, poor diet, physical activity and alcohol use) to measure the association between each latent class of AL and each health behaviour.ResultsFour classes, ‘Metabolic+Cholesterol, ‘Blood Pressure’, ‘Metabolic+Blood Pressure’ and ‘Low’, were found in the sample. Latent class regression showed that physical activity and alcohol use were significantly associated with the ‘Metabolic+Blood Pressure’ class.ConclusionLess physical activity was required to improve AL than was previously found. Low to moderate alcohol use was beneficial for lower AL. Implications of the amount of physical activity necessary to lower AL is discussed.

scholarly journals Digital technology to support lifestyle and health behaviour changes in surgical patients: systematic review

BJS Open ◽  
2020 ◽  
Vol 5 (2) ◽  
Author(s):  
A Robinson ◽  
A K Husband ◽  
R D Slight ◽  
S P Slight
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Digital Technology ◽  
Elective Surgery ◽  
Digital Technologies ◽  
Health Behaviours ◽  
Surgical Patients ◽  
Long Term Conditions

Abstract Background Digital technologies (such as smartphone applications, activity trackers, and e-learning platforms) have supported patients with long-term conditions to change their lifestyle health behaviours. The aim of this study was to examine the effectiveness of digital technologies in supporting patients undergoing elective surgery to change their health behaviours. Methods A systematic review was conducted of articles reporting a digital intervention supporting behaviour change in adult patients who underwent elective bariatric, oncological or orthopaedic surgery. MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, and Scopus were searched from inception to March 2019 for quantitative intervention studies with a specific focus on physical activity, dietary intake, and weight loss in patients before and after surgery (PROSPERO: CRD42019127972). The Joanna Briggs Institute critical appraisal checklist was used to assess study quality. Results Of 3021 citations screened, 17 studies were included comprising 4923 surgical patients; these included experimental (pre–post design, feasibility studies, and RCTs) and observational studies. Three factors were identified as effective for supporting health behaviour change in elective surgical populations: digital technology delivery, implementation, and theoretical underpinning. Six of eight studies that referred to behaviour change theories observed significant improvements in health behaviour relating to reduced weight regain, and improved lifestyle choices for physical activity and diet. Meta-analysis was not possible because of heterogeneous outcome measures. Conclusion Digital technologies may effectively support behavioural change in patients undergoing elective surgery.

scholarly journals The The Barriers and Facilitators of Physical Activity Participation Among People Living with Type 2 Diabetes

2020 ◽  
Vol 3 ◽  
pp. 1-16
Author(s):  
Ozge Olbeci ◽  
Aycan Celik ◽  
Russell Jone
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Science Studies ◽  
Meta Analysis ◽  
Barriers And Facilitators ◽  
Primary Data ◽  
Future Research ◽  
Quantitative Studies ◽  
Facilitators And Barriers

Background: Type 2 diabetes mellitus (T2DM) is among the leading causes of serious mortality and health burden globally. Exercise is one of the commonly suggested preventions/ interventions for T2DM. However, many adults with T2DM are not achieving the recommended levels of physical activity. The objective of this systematic review is to investigate the barriers and facilitators to physical activity among people living with type 2 diabetes. Methods/Design: This review will be undertaken using the Preferred Reporting Items and Meta-analysis (PRISMA). The database search will be performed in MEDLINE, CINAHL, PubMed, and Web of Science. Studies included will report primary data (qualitative and quantitative) on people with T2DM (18 and over years of age). The review will be limited in English published between 2009 and 2020. A study design describing reasons for barriers, facilitators or both of physical activity among people with T2DM will be included. The risk of bias will be evaluated with Mixed-Methods Appraisal Tool (MMAT). Data synthesis will be conducted with narrative synthesis for quantitative studies, and thematic synthesis for qualitative studies followed by a mix-method synthesis to combine the previous synthesis. Discussion: This review will provide evidence for better understanding the facilitators and barriers to physical activity among people with T2DM. This information will also guide future research and support the development of the intervention to expand and increase facilitator factors determined by people with T2DM.    

scholarly journals Project SoL—A Community-Based, Multi-Component Health Promotion Intervention to Improve Healthy Eating and Physical Activity Practices among Danish Families with Young Children Part 2: Evaluation

2018 ◽  
Vol 15 (7) ◽  
pp. 1513 ◽  
Author(s):  
Bent Mikkelsen ◽  
Paul Bloch ◽  
Helene Reinbach ◽  
Tine Buch-Andersen ◽  
Lise Lawaetz Winkler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Healthy Eating ◽  
Quantitative Methods ◽  
Formative Evaluation ◽  
Health Indicators ◽  
Health Behaviours ◽  
Research Capacity ◽  
Overweight And Obesity ◽  
Future Research

Project SoL is implemented over a period of four years with the aim to promote healthy eating and physical activity among children aged 3–8 years by targeting the families in a Danish municipality based on the multi-component, supersetting strategy. Interventions are implemented in childcare centres, schools and supermarkets in three local communities as well as in local mass media and social media during a 19 months period in the Municipality of Bornholm. The matching Municipality of Odsherred serves as a control site based on its similarity to Bornholm regarding several socio-demographic and health indicators. The present paper gives an account of the design used for the summative and formative evaluation based on a realistic evaluation and a mixed methods approach combining qualitative and quantitative methods. Summative studies are conducted on changes of health behaviours among the involved families and within the municipalities in general, changes in community awareness of the project, changes in purchase patterns, changes in overweight and obesity among the targeted children and changes in knowledge and preferences among children due to sensory education workshops. The formative research comprises studies on children’s perceptions of health, perceptions of staff at supermarkets and media professionals on their roles in supporting the health promotion agenda, and motivations and barriers of community stakeholders to engage in health promotion at community level. The paper discusses operational issues and lessons learnt related to studying complex community interventions, cross-disciplinarily, interfaces between practice and research and research capacity strengthening; and suggests areas for future research. The development and implementation of the intervention and its theoretical foundation is described in a separate paper.

scholarly journals Too masculine for healthcare, too feminine for intense sports: correlation between gender conformity and pro-health behaviours

2021 ◽  
Vol Supplement 1 (13) ◽  
pp. 29-41
Author(s):  
ALEKSANDRA PAWLOWSKA ◽  
KORNELIA LIPOWSKA ◽  
DANIEL KROKOSZ
Keyword(s):  
Physical Activity ◽  
Protective Factor ◽  
Health Behaviours ◽  
Future Research ◽  
Physically Active ◽  
Gender Conformity ◽  
Femininity And Masculinity ◽  
Psychological Gender ◽  
Psychological Attitude ◽  
Inactive Group

Background: The goal of this paper is to examine to what extent levels of femininity and masculinity are associated with practicing several types of health behaviours among individuals who are physically active and inactive. Material/Methods: A total of 559 individuals aged between 35 and 45 (M = 39.4; SD = 3.2) took part in the study. The inactive group consisted of 211 individuals (n = 85 women, n = 126 men), and the active group consisted of 348 individuals (n = 131 women, n = 217 men). The participants completed the following pen-and-paper questionnaires: the Psychological Gender Inventory, the Health Behaviours Inventory, and the Inventory of Physical Activity Objectives. Results: Physical activity and androgynous psychological gender were shown to be associated with the levels of health behaviours in men and women. Among men, femininity turned out to be a factor protective against hegemonic masculinity, while among women it was observed that it is mainly masculinity that correlates with health behaviours. Physical activity was associated with a better psychological attitude. Conclusion: It is possible to treat physical activity as a protective factor against decreased mood and an aid in coping with decreased mood. Society and culture should encourage the development of femininity and masculinity from the earliest years. Future research on masculinity and femininity and pro-health behaviours should be aimed at looking for ways to promote physical activity among undifferentiated individuals.

scholarly journals Social participation is an important health behaviour for health and quality of life among chronically ill older Chinese people

2020 ◽  
Author(s):  
Zeyun Feng ◽  
Jane Murray Cramm ◽  
Anna Petra Nieboer
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Function ◽  
Health Behaviour ◽  
Social Participation ◽  
Health Behaviours ◽  
Chronically Ill ◽  
Healthy Diet ◽  
Physical Activity Maintenance

Abstract BackgroundHealth behaviours (physical activity, maintenance of a healthy diet and not smoking) are known to be beneficial to the health and well-being of chronically ill people. With China's ageing population and increased prevalence of people with chronic diseases, the improvement of unhealthy behaviours in this population has become crucial. Although recent studies have highlighted the importance of social participation for health and quality of life (QoL) among older people, no study to date has included social participation along with more traditional health behaviours. Therefore, this study aimed to identify associations of multiple health behaviours (social participation, physical activity, maintenance of a healthy diet and not smoking) with health and QoL outcomes (including cognitive and physical function) among chronically ill older adults in China. Methods For this nationally representative cross-sectional study, wave 1 data from the World Health Organization’s Study on global AGEing and adult health (China) were examined. In total, 6,629 community-dwelling older adults (mean age, 64.9 years) with at least one chronic disease were included. Multivariate linear regression analyses were used to evaluate associations of health behaviours with health and QoL outcomes while controlling for background characteristics. Results Greater social participation was associated with better QoL [β = 0.127, standard error (SE) = 0.002, p < 0.001], cognitive function (β = 0.154, SE = 0.033, p < 0.001) and physical function (β = –0.102, SE = 0.008, p < 0.001). Physical activity was associated with better QoL (β = 0.091, SE = 0.015, p < 0.001) and physical function (β = –0.155, SE = 0.062, p < 0.001). Sufficient fruit and vegetable consumption was associated with better QoL (β = 0.087, SE = 0.015, p < 0.001). Conclusions Our findings suggest that social participation is a crucial health behaviour for quality of life and cognitive function among chronically ill older people in China. Health promotion programmes should expand their focus to include social participation as a health behaviour, in addition to physical activity, maintenance of a healthy diet and not smoking.

Sign in / Sign up

Export Citation Format

Share Document