scholarly journals Using self-determination theory to understand and improve recruitment for the Coaching for Healthy Ageing (CHAnGE) trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259873
Author(s):  
Abby Haynes ◽  
Catherine Sherrington ◽  
Geraldine Wallbank ◽  
James Wickham ◽  
Allison Tong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Controlled Trial ◽  
Qualitative Evaluation ◽  
Cluster Randomised Controlled Trial ◽  
Self Determination Theory ◽  
Healthy Ageing ◽  
Self Determination ◽  
Structured Interviews ◽  
Change Trial ◽  
Health Coaches

Background Intervention trials promoting physical activity among older people frequently report low and unrepresentative recruitment. Better understanding of reasons for participation can help improve recruitment. This study explored why participants enrolled in the Coaching for Healthy Ageing (CHAnGE) trial, including how their decision was influenced by recruitment strategies. CHAnGE was a cluster randomised controlled trial testing the effectiveness of a healthy ageing program targeting inactivity and falls. Seventy-two groups of people aged 60+ were recruited from community organisations via informal presentations by the health coaches. Methods We conducted a secondary thematic analysis of interview data from our wider qualitative evaluation in which 32 purposively sampled trial participants took part in semi-structured interviews about their experiences of CHAnGE. Data relating to recruitment and participation were analysed inductively to identify themes, then a coding framework comprising the core constructs from self-determination theory—autonomy, competence and relatedness—was used to explore if and how this theory fit with and helped to explain our data. Results Recruitment presentations promoted the CHAnGE intervention well in terms of addressing value expectations of structured support, different forms of accountability, credibility, achievability and, for some, a potential to enhance social relationships. Participation was motivated by the desire for improved health and decelerated ageing, altruism and curiosity. These factors related strongly to self-determination concepts of autonomy, competence and relatedness, but the intervention’s demonstrated potential to support self-determination needs could be conveyed more effectively. Conclusions Findings suggest that recruitment could have greater reach using: 1. Strengths-based messaging focusing on holistic gains, 2. Participant stories that highlight positive experiences, and 3. Peer support and information sharing to leverage altruism and curiosity. These theory-informed improvements will be used to increase participation in future trials, including people in hard-to-recruit groups. They may also inform other physical activity trials and community programs.

scholarly journals Bristol Girls Dance Project: a cluster randomised controlled trial of an after-school dance programme to increase physical activity among 11- to 12-year-old girls

2016 ◽  
Vol 4 (6) ◽  
pp. 1-176 ◽  
Author(s):  
Russell Jago ◽  
Mark J Edwards ◽  
Simon J Sebire ◽  
Emma L Bird ◽  
Keeley Tomkinson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Adolescent Girls ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Self Determination Theory ◽  
Self Determination ◽  
After School ◽  
Cluster Randomised ◽  
Clinical Trials Unit ◽  
Randomised Controlled

BackgroundMany children do not meet UK physical activity (PA) guidelines. Girls are less active than boys, and the age-related decline in activity is steeper for girls. Dance is the favourite form of PA among adolescent girls in the UK. Participation in after-school dance classes could significantly contribute to girls’ PA. Therefore, after-school dance may be effective for increasing PA levels.ObjectivesTo determine the effectiveness and cost-effectiveness of a dance-based intervention to increase the objectively assessed mean weekday minutes of moderate- to vigorous-intensity physical activity (MVPA) of Year 7 girls (11- and 12-year olds) 1 year after baseline measurement.DesignTwo-arm cluster randomised controlled trial and economic evaluation. Year 7 girls in participant schools received a ‘taster’ session and were invited to participate. Up to 33 girls per school were able to participate. Schools were randomly assigned (equal numbers) to intervention or control arms.SettingA total of 18 mainstream secondary schools across greater Bristol.ParticipantsYear 7 girls in participating schools who could participate in physical education.InterventionNine intervention schools received an after-school dance intervention (40 × 75-minute sessions) underpinned by self-determination theory, which attempts to improve intrinsic motivation for being active, and delivered by external dance instructors. Control schools continued as normal.Main outcome measuresThe main outcome was accelerometer-assessed mean minutes of MVPA at T2. Measures were assessed at baseline (T0), the end of the intervention (T1) and at T0 + 52 weeks (T2).ResultsBaseline MVPA levels were high. A total of 508 girls were included in the primary analysis, which found no difference in weekday MVPA between trial arms. There was no effect on secondary accelerometer outcomes. Data were subjected to a per-protocol analysis and no effect was found. However, at T1, girls who attended dance classes had 4.61 minutes more of MVPA and 14.27 minutes more of light-intensity activity between 15.00 and 17.00 on the days on which they attended intervention sessions. The intervention was inexpensive at £73 per participant (£63 when excluding dance instructor travel) but was not cost-effective owing to the ineffectiveness of the intervention. The European Quality of Life-5 Dimensions Youth survey data were unresponsive to changes in the sample. The process evaluation reported that girls in attendance enjoyed the sessions, that exertion levels were low during sessions and that attendance was low and declined. Fidelity to the session-plan manual was low but theoretical fidelity (to self-determination theory) was good. Qualitative information provides information for improving future interventions.ConclusionsThe intervention was enjoyed by participants. However, there was no difference in the MVPA levels (which were high at baseline) of girls allocated to receive dance compared with girls receiving the control. High baseline MVPA levels indicate that the study appealed to an already active cohort and, therefore, may not have targeted those most in need of an intervention. Dance is an enjoyable activity for adolescent girls and could be further trialled as a means by which to increase PA. Research might consider the impact of dividing the intervention period into smaller blocks.Trial RegistrationCurrent Controlled Trials ISRCTN52882523.FundingThe National Institute for Health Research Public Health Research programme. The work was also undertaken with the support of the Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UK Clinical Research Collaboration (UKCRC) PHR Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UKCRC, is gratefully acknowledged. This study was designed and delivered in collaboration with the Bristol Randomised Trials Collaboration, a UKCRC Registered Clinical Trials Unit in receipt of NIHR Clinical Trials Unit support funding. All intervention costs were funded by the respective councils to which the participant schools were affiliated, namely North Somerset Council, Bristol City Council, and Bath and North East Somerset Council.

scholarly journals Impact of a residential program on the psychological needs, motivation and physical activity of obese adults: A controlled trial based on Self-Determination Theory

2018 ◽  
pp. 33-40
Author(s):  
Julie Boiché ◽  
Mathieu Gourlan ◽  
Léna Rubin
Keyword(s):  
Physical Activity ◽  
Repeated Measures ◽  
Standard Care ◽  
Controlled Trial ◽  
Self Determination Theory ◽  
Psychological Needs ◽  
Self Determination ◽  
Control Group ◽  
Obese Adults ◽  
Perceived Relatedness

Purpose: This study aimed to examine the increased benefits of a Self Determination Theory (SDT)-based motivational component on psychological needs’ fulfillment, self-determined motivation and Physical Activity (PA) of obese patients taking part in a rehabilitation program. Methods: Fourty-nine obese adults (mean age = 52 years, mean BMI = 38.25 kg/m2) attended a 3-week residential intervention. Patients in the Motivation group (n = 24) received a standard care plus SDT-based intervention (i.e., improved supervised PA sessions + a 1-hour motivational session). Patients in the Control group (n = 25) only benefited from standard care. Psychological needs and motivation were measured at baseline, at the end of the program and one month after. PA was measured at baseline and one month after the end of the program. Repeated measures ANOVAs were performed to compare the evolution of the variables between groups. Results: The results indicated that participants from both groups displayed significant changes in their perceived autonomy, relatedness, intrinsic motivation and integrated regulation between the beginning and the end of the program. Next, participants from both groups showed a decrease in perceived relatedness between the end of the program and one month after. Last, the participants from the Motivation group reported greater increase of their PA scores between the beginning of the program and one month after as compared to those in the Control group. Conclusions: Obesity interventions should integrate motivational components in order to promote behavior maintenance after programs have ended.

scholarly journals The Role of Self-Determination in Changing Physical Activity Behavior in People Diagnosed With Bowel Polyps: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 28 (1) ◽  
pp. 42-52 ◽  
Author(s):  
Liane S. Lewis ◽  
Barnabas Shaw ◽  
Srijit Banerjee ◽  
Pryscilla Dieguez ◽  
James Hernon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Physical Activity Behavior ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Behavioral Regulation ◽  
Randomized Controlled ◽  
Supervised Exercise

This nonblinded randomized controlled trial investigated the efficacy of a physical activity (PA) intervention underpinned by self-determination theory. Participants (N = 31, mean age 69 years [SD = 4.9]) diagnosed with bowel polyps were randomized to an active lifestyle program (ALP; n = 17) or standard care (n = 14). ALP received supervised exercise and counseling for 6 months. Both groups were followed up at 12 months. Outcomes were change in PA and behavioral regulation. Data were analyzed with intention to treat. At 6 months, differences were observed for behavioral regulation in favor of ALP (p < .05). PA differences were significant for leisure, walking, and vigorous in favor of ALP (p < .05). The self-determination theory can be an effective strategy for promoting PA behavior change in this population, but a larger trial is needed to further explore the utility of the self-determination theory in this context.

scholarly journals Multidisciplinary training program for the promotion of physical activity and other healthy habits in adolescents: justification, design and methodology of PAP study

2019 ◽  
Author(s):  
Pedro Antonio Sánchez-Miguel ◽  
Mikel Vaquero-Solís ◽  
David Sánchez-Oliva ◽  
Juan José Pulido González ◽  
Miguel Angel Tapia Serrano
Keyword(s):  
Physical Activity ◽  
Training Program ◽  
Physical Inactivity ◽  
Controlled Trial ◽  
Self Determination Theory ◽  
Overweight And Obesity ◽  
The Self ◽  
Self Determination ◽  
Cross Sectional ◽  
Healthy Habits

Abstract Overweight and obesity are one of the most important health problems worldwide. Physical inactivity is indicated as one of the most determining factors of overweight and obesity. The Self-Determination Theory points out the importance of motivation in the patterns related to physical activity. The aims of this study were to show the reasons for performing and the methods of a randomised controlled trial o evaluate the effectiveness of a multidisciplinary physical activity programme to promote physical activity levels in inactive school children and encourage healthy lifestyles, carried out under the Self-Determination Theory postulates. The present paper presents a RCT for adolescents of 1st and 2nd grades of Secondary Compulsory School. The multidisciplinary training program consists of two parts: the first part is cross-sectional, and the second part, the Physical Activity Program, is of a longitudinal nature. This project takes into account the socio-economic impact that a healthy lifestyle will generate, as well as its potential to apply the results and transfer them to the productive sector. This study is of great interest to the scientific community as it will provide relevant information on physical inactivity issues, sedentary lifestyle, generation of healthy habits and physical exercise.

scholarly journals Development and Testing of a Personalized Web-Based Diet and Physical Activity Intervention Based on Motivational Interviewing and the Self-Determination Theory: Protocol for the MyLifestyleCoach Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Juul M J Coumans ◽  
Catherine A W Bolman ◽  
Stijn A H Friederichs ◽  
Anke Oenema ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Healthy Eating ◽  
Controlled Trial ◽  
Intervention Mapping ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Web Based ◽  
Randomized Controlled

BACKGROUND Unhealthy dietary patterns and insufficient physical activity (PA) are associated with negative health outcomes, such as cardiovascular diseases, type 2 diabetes, cancer, overweight, and obesity. This makes the promotion of healthy dietary and PA behaviors a public health priority. OBJECTIVE This paper describes the development, design, and evaluation protocol of a Web-based computer-tailored (CT) dietary and PA promotion intervention, <i>MyLifestyleCoach</i>. A Web-based format was chosen for its accessibility and large-scale reach and low-cost potential. To achieve effective and persistent behavioral change, this innovative intervention is tailored to individual characteristics and is based on the self-determination theory and motivational interviewing (MI). METHODS The 6 steps of the intervention mapping protocol were used to systematically develop <i>MyLifestyleCoach</i> based on the existing effective CT PA promotion intervention <i>I Move</i>. The <i>MyLifestyleCoach</i> intervention consists of 2 modules: <i>I Move</i>, which is aimed at promoting PA, and <i>I Eat</i>, which is aimed at promoting healthy eating. Development of the <i>I Eat</i> module was informed by the previously developed <i>I Move</i>. Both modules were integrated to form the comprehensive <i>MyLifestyleCoach</i> program. Furthermore, <i>I Move</i> was slightly adapted, for example, the new Dutch PA guidelines were implemented. A randomized controlled trial consisting of an intervention condition and waiting list control group will be used to evaluate the effectiveness of the intervention on diet and PA. RESULTS Self-reported measures take place at baseline, 6 months, and 12 months after baseline. Enrollment started in October 2018 and will be completed in June 2020. Data analysis is currently under way, and the first results are expected to be submitted for publication in 2020. CONCLUSIONS <i>MyLifestyleCoach</i> is one of the first interventions to translate and apply self-determination theory and techniques from MI in Web-based computer tailoring for an intervention targeting PA and dietary behavior. Intervention mapping served as a blueprint for the development of this intervention. We will evaluate whether this approach is also successful in promoting eating healthier and increasing PA using an randomized controlled trial by comparing the intervention to a waiting list control condition. The results will provide an insight into the short- and long-term efficacy and will result in recommendations for the implementation and promotion of healthy eating and PA among adults in the Netherlands. CLINICALTRIAL Dutch Trial Register NL7333; https://www.trialregister.nl/trial/7333 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14491

scholarly journals Development and Testing of a Personalized Web-Based Diet and Physical Activity Intervention Based on Motivational Interviewing and the Self-Determination Theory: Protocol for the MyLifestyleCoach Randomized Controlled Trial

10.2196/14491 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e14491 ◽  
Author(s):  
Juul M J Coumans ◽  
Catherine A W Bolman ◽  
Stijn A H Friederichs ◽  
Anke Oenema ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Healthy Eating ◽  
Controlled Trial ◽  
Intervention Mapping ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Web Based ◽  
Randomized Controlled

Background Unhealthy dietary patterns and insufficient physical activity (PA) are associated with negative health outcomes, such as cardiovascular diseases, type 2 diabetes, cancer, overweight, and obesity. This makes the promotion of healthy dietary and PA behaviors a public health priority. Objective This paper describes the development, design, and evaluation protocol of a Web-based computer-tailored (CT) dietary and PA promotion intervention, MyLifestyleCoach. A Web-based format was chosen for its accessibility and large-scale reach and low-cost potential. To achieve effective and persistent behavioral change, this innovative intervention is tailored to individual characteristics and is based on the self-determination theory and motivational interviewing (MI). Methods The 6 steps of the intervention mapping protocol were used to systematically develop MyLifestyleCoach based on the existing effective CT PA promotion intervention I Move. The MyLifestyleCoach intervention consists of 2 modules: I Move, which is aimed at promoting PA, and I Eat, which is aimed at promoting healthy eating. Development of the I Eat module was informed by the previously developed I Move. Both modules were integrated to form the comprehensive MyLifestyleCoach program. Furthermore, I Move was slightly adapted, for example, the new Dutch PA guidelines were implemented. A randomized controlled trial consisting of an intervention condition and waiting list control group will be used to evaluate the effectiveness of the intervention on diet and PA. Results Self-reported measures take place at baseline, 6 months, and 12 months after baseline. Enrollment started in October 2018 and will be completed in June 2020. Data analysis is currently under way, and the first results are expected to be submitted for publication in 2020. Conclusions MyLifestyleCoach is one of the first interventions to translate and apply self-determination theory and techniques from MI in Web-based computer tailoring for an intervention targeting PA and dietary behavior. Intervention mapping served as a blueprint for the development of this intervention. We will evaluate whether this approach is also successful in promoting eating healthier and increasing PA using an randomized controlled trial by comparing the intervention to a waiting list control condition. The results will provide an insight into the short- and long-term efficacy and will result in recommendations for the implementation and promotion of healthy eating and PA among adults in the Netherlands. Trial Registration Dutch Trial Register NL7333; https://www.trialregister.nl/trial/7333 International Registered Report Identifier (IRRID) DERR1-10.2196/14491

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