scholarly journals “Follow the Whistle: Physical Activity Is Calling You”: Evaluation of Implementation and Impact of a Portuguese Nationwide Mass Media Campaign to Promote Physical Activity

Author(s):  
Marlene Nunes Silva ◽  
Cristina Godinho ◽  
Marta Salavisa ◽  
Katherine Owen ◽  
Rute Santos ◽  
...  

To raise perceived capability (C), opportunity (O) and motivation (M) for physical activity (PA) behaviour (B) among adults, the Portuguese Directorate-General of Health developed a mass media campaign named “Follow the Whistle”, based on behaviour change theory and social marketing principles. Comprehensive formative and process evaluation suggests this media-led campaign used best-practice principles. The campaign adopted a population-wide approach, had clear behavioural goals, and clear multi-strategy implementation. We assessed campaign awareness and initial impact using pre (n = 878, 57% women) and post-campaign (n = 1319, 58% women) independent adult population samples via an online questionnaire, comprising socio-demographic factors, campaign awareness and recall, and psychosocial and behavioural measures linked to the COM-B model. PA was assessed with IPAQ and the Activity Choice Index. The post-campaign recall was typical of levels following national campaigns (24%). Post-campaign measures were higher for key theory-based targets (all p < 0.05), namely self-efficacy, perceived opportunities to be more active and intrinsic motivation. The impact on social norms and self-efficacy was moderated by campaign awareness. Concerning PA, effects were found for vigorous activity (p < 0.01), but not for incidental activity. Overall the campaign impacted key theory-based intermediate outcomes, but did not influence incidental activity, which highlights the need for sustained and repeated campaign efforts.

2021 ◽  
Author(s):  
Amanda C Jones ◽  
Leah Grout ◽  
Wilson Nick ◽  
Nhung Nghiem ◽  
Christine L Cleghorn

UNSTRUCTURED Background Evidence suggests that smartphone apps can be effective in the self-management of weight. Given the low cost, broad reach, and apparent effectiveness of apps at promoting weight loss, governments may seek to encourage the uptake of such apps as an opportunity for reducing excess weight among the population. However, the cost and potential cost-effectiveness are important considerations. Our study used a modeling approach to assess the health impacts, health system costs, cost-effectiveness, and health equity of a mass media campaign to promote high quality smartphone apps for weight loss in New Zealand. Methods We used an established proportional multistate life table model that simulates the 2011 New Zealand (NZ) adult population over the lifetime, sub-grouped by age, sex, and ethnicity (Māori [Indigenous]/non-Māori). The key risk factor was BMI. The model compared business-as-usual to a one-off mass media campaign intervention, which included the pooled effect size from a recent meta-analysis of smartphone weight loss apps. The resulting impact on BMI and BMI-related diseases was captured through changes in health gain (quality-adjusted life years; QALYs) and in health system costs (health system perspective). The difference in total health system costs was the net sum of interventions costs and downstream cost offsets due to altered disease rates. A discount rate of 3% was applied to health gains and health system costs. Multiple scenario and sensitivity analyses were also conducted, including an equity adjustment. Results Across the remaining lifetime of the modeled 2011 NZ population, the mass media campaign to promote weight loss apps usage had an estimated overall health gain of 181 (95% uncertainty interval [UI]: 113, 270) QALYs and health care costs of NZ$ -606,000 (95%UI: -2,540,000, 907,000). The mean health care costs were negative, representing an overall savings to the health system and a likely cost-saving intervention. Across the outcomes examined in this study, the modeled mass media campaign to promote weight loss apps among the general population would be expected to provide higher per capita health gain for Māori and hence reduce health inequalities arising from high BMI. Conclusions A modeled mass media campaign to encourage the adoption of smartphone apps to promote weight loss among the NZ adult population is expected to yield an overall gain in health and to be cost-saving to the health system. While other interventions in the nutrition and physical activity space are even more beneficial to health and produce larger cost-savings (eg, fiscal policies, food reformulation), governments may choose to include strategies to promote health app usage as complementary measures.


1993 ◽  
Vol 8 (4) ◽  
pp. 581-587 ◽  
Author(s):  
Adrian Bauman ◽  
Ral Antic ◽  
Abe Rubinfeld ◽  
Paul Zimmerman ◽  
Dick Gutch ◽  
...  

Sains Insani ◽  
2020 ◽  
Vol 5 (1) ◽  

The study investigated the impact of societal re-orientation programme (A Daidaita Sahu ) in minimizing adolescent antisocial behaviour among senior secondary school students of Municipal Education Zone, Kano-Nigeria. The objectives of the study were to find out the impact of A Daidaita Sahu in minimizing adolescent antisocial behaviour among students of the study area, identify the strategies used by A Daidaita Sahu in minimizing adolescent antisocial behaviour among the students respectively. The study adopted Ex post Facto (EPT) design. 245 samples out of 1,041 teacher’s population and 10 samples out of 37 principals were used for the study. Two (2) instruments were used for data collection in the study, namely: A Daidaita Sahu implementation strategy Scale (AIS-Scale) and Anti-social behaviour checklist (AB-Checklist) respectively. Reliability of internal consistency was sought using Cronbach’s Alpha formula. A positive reliability index for the AIS-Scale was found to be 0.744. The findings of the study revealed that A Daidaita Sahu programme has impact in minimizing adolescent antisocial behaviour among students. Mass media campaign, sensitization during school assemblies, involvement of; teachers, parents, religious leaders, CBOs, NGOs and student club and societies were the strategies used by A Daidaita Sahu in minimizing adolescent antisocial behaviour among students. Based on the findings above, the study recommends that Mass media campaign, sensitization during school assemblies and involvement of PTA, religious and community leaders, civil society organizations, government and educational administrators should be made the major strategies to be used in the fight against antisocial behaviour in secondary schools.


2014 ◽  
Vol 11 ◽  
Author(s):  
Jennifer C. Duke ◽  
Nathan Mann ◽  
Kevin C. Davis ◽  
Anna MacMonegle ◽  
Jane Allen ◽  
...  

1992 ◽  
Vol 7 (4) ◽  
pp. 241-247 ◽  
Author(s):  
MICHAEL BOOTH ◽  
ADRIAN BAUMAN ◽  
BRIAN OLDENBURG ◽  
NEVILLE OWEN ◽  
PAUL MAGNUS

2005 ◽  
Vol 8 (8) ◽  
pp. 1250-1257 ◽  
Author(s):  
Birgitte Wammes ◽  
Boudewijn Breedveld ◽  
Caspar Looman ◽  
Johannes Brug

AbstractObjectiveA 5-year nationwide mass media campaign aimed at prevention of overweight was organised from 2002 onwards. The present study evaluates the first campaign, which was aimed primarily at increasing awareness of weight gain.Design and subjectsData were collected by telephone interview in four independent cross-sectional surveys among non-obese Dutch adults aged 25–35 years (total n = 1949) for statistical analyses. Awareness of personal body-weight status, overweight-related risk perceptions, attitudes towards weight-gain prevention, motivation to prevent weight gain and self-reported body mass index (BMI) were measured in each survey. Campaign exposure was assessed in the post-intervention surveys. To identify intervention effects over time multiple linear and logistic regression analyses were used, adjusted for secular time effects and age.ResultsAfter the campaign about 65% of the respondents knew about the campaign. The campaign was associated with more positive attitudes towards the prevention of weight gain (β = 0.16; P ≤ 0.01) and higher self-reported BMI (β = 0.14; P ≤ 0.01).ConclusionsThe results suggest that the first campaign reached a large proportion of the population and initiated some positive change in attitudes, but did not achieve significant improvements in other determinants of weight-gain prevention among non-obese young adults.


2001 ◽  
Vol 21 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Adrian E Bauman ◽  
Bill Bellew ◽  
Neville Owen ◽  
Philip Vita

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