Student-Led Motivational Interviewing for Physical Activity Promotion among Rural Adults: A Feasibility and Acceptability Trial

In many countries, rural residents have lower life expectancies and poorer health outcomes than urban residents. Adults living in rural Australia have lower physical activity levels than major city counterparts, contributing to this observed health disparity. As physical activity interventions in rural populations have shown minimal success, there is an urgent need for innovative and affordable interventions that facilitate active lifestyles in this vulnerable population. This study assessed the feasibility of physical activity-focused motivational interviewing, delivered by university health sciences undergraduates in a rural Australian region. “Health age” was assessed at baseline (n = 62) from physiological and behavioral measures, immediately followed by the motivational interview, with health age again assessed at 8 weeks follow-up. Mixed methods using a questionnaire (n = 41 at both time points) and one-on-one interview (n = 8) identified aspects of intervention acceptability and feasibility. A large majority rated the motivational interview as meaningful (98%), empathetic (96%), autonomy-focused (88%), and likely to lead to sustained behavior change (98%). Interviews highlighted several potential attitudinal and structural factors that might influence long-term behavior change. Further development of this strategy in rural regions will depend on a deeper understanding of individuals’ and communities’ awareness, attitudes, and beliefs in relation to active lifestyles.

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Pedestrian Activity Among California Adults

Journal of Physical Activity and Health ◽

10.1123/jpah.6.1.15 ◽

2009 ◽

Vol 6 (1) ◽

pp. 15-23 ◽

Cited By ~ 5

Author(s):

Anna E. Mathews ◽

Natalie Colabianchi ◽

Brent Hutto ◽

Delores M. Pluto ◽

Steve P. Hooker

Keyword(s):

Physical Activity ◽

Older Adults ◽

Activity Patterns ◽

Physical Activity Promotion ◽

Activity Level ◽

Activity Levels ◽

Public Health Agencies ◽

Activity Promotion ◽

Health Agencies ◽

Random Digit Dial

Background:The objectives of this study were to assess (1) pedestrian activity levels among adults, (2) where and why adults engage in pedestrian activity, and (3) what adults consider when deciding where to engage in pedestrian activity.Methods:Pedestrian activity was assessed in 12,036 California adults, ≥18 years, using a random digit-dial telephone survey.Results:Significant differences were identified by race, sex, age, and physical activity level in the type, location, and purpose of pedestrian activities. Men engage in pedestrian activity at work, and women engage in pedestrian activity while escorting children to school and running errands. Whites primarily engage in leisure-time pedestrian activity, and non-whites are more likely to engage in pedestrian activity for transportation. Older adults were less active than their younger counterparts.Conclusions:These findings should be considered by public health agencies and their partners as they continue to increase and promote opportunities for pedestrian activity. Additional research is needed to assess older adults’ physical activity patterns and preferences, barriers, and facilitators to effectively tailor physical activity promotion efforts to this at-risk group.

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“Replanning” a Statewide Walking Program Through the Iterative Use of the Reach, Effectiveness, Adoption, Implementation, and Maintenance Framework

Journal of Physical Activity and Health ◽

10.1123/jpah.2021-0034 ◽

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.

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Measuring capabilities in health and physical activity promotion: a systematic review.

10.21203/rs.3.rs-42211/v2 ◽

2020 ◽

Author(s):

Maike Till ◽

Karim Abu-Omar ◽

Susanne Ferschl ◽

Anne Kerstin Reimers ◽

Peter Gelius

Keyword(s):

Physical Activity ◽

Quantitative Methods ◽

Scientific Journal ◽

Age Groups ◽

Physical Activity Promotion ◽

Actual Behavior ◽

Structural Factors ◽

Qualitative And Quantitative Methods ◽

Activity Promotion ◽

And Shifts

Abstract Background: The capability approach by Amartya Sen and Martha Nussbaum has gained increasing attention in the field of public health. As it combines individual, social and structural factors and shifts the focus of attention from the actual behavior towards available options for health behaviors that people can actually choose from, it may help advance our understanding of complex health issues. Objectives: The aim of this article is to identify and describe tools available to measure capabilities within the context of health, with a specific focus on capabilities for health-enhancing physical activity.Method: We conducted a systematic literature review using 11 databases covering scientific journal articles published in English or German between the years 2000 and 2020 with a focus on capabilities for health or physical activity. Results: We found a total of 51 articles meeting our inclusion criteria. Four articles measured capabilities using qualitative methods, one combined qualitative and quantitative methods, while the rest used quantitative methods. We identified a total 11 different capability questionnaires, all showing moderate to good validity/reliability. Only one questionnaire and one interview-based tool specifically dealt with capabilities for health enhancing physical activity.Conclusion: Although we were able to identify measurement tools for capabilities in health, this review has shown that there is no generic tool available for the measurement across all population- and age-groups, and tools focusing on physical activity are scarce. However, our results can be used as guide for future projects that aim at measuring capabilities.

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Use of pedometers as a tool to promote daily physical activity levels in patients with COPD: a systematic review and meta-analysis

European Respiratory Review ◽

10.1183/16000617.0039-2019 ◽

2019 ◽

Vol 28 (154) ◽

pp. 190039 ◽

Cited By ~ 8

Author(s):

Matthew Armstrong ◽

Andrew Winnard ◽

Nikolaos Chynkiamis ◽

Spencer Boyle ◽

Chris Burtin ◽

...

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Pulmonary Rehabilitation ◽

Meta Analysis ◽

Physical Activity Promotion ◽

Daily Physical Activity ◽

Cochrane Library ◽

Activity Levels ◽

Activity Promotion ◽

Physical Activity Levels

The aim of this study was to examine the use of pedometers as a tool to promote daily physical activity levels in patients with COPD.A systematic review meta-analysis of pedometer physical activity promotion in patients with COPD was conducted. Medline/PubMed, Cochrane Library, Web of Science and CINAHL were searched from inception to January 2019. The search strategy included the following keywords: physical activity promotion, pulmonary rehabilitation and daily physical activity. The eligibility criteria for selecting studies were randomised controlled trials reporting pedometer physical activity promotion in patients with COPD.Improvements in steps per day were found with pedometer physical activity promotion either standalone (n=12, mean 0.53 (95% CI 0.29–0.77); p=0.00001) or alongside pulmonary rehabilitation (n=7, 0.51 (0.13–0.88); p=0.006). A subgroup analysis reported significant differences in the promotion of physical activity based on baseline physical activity levels and the type of instrument used to assess levels of physical activity.Future trials should consider the way in which pedometers are used to promote physical activity to inform clinical practice in the setting of pulmonary rehabilitation.

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Physical activity modification in youth with congenital heart disease: a comprehensive narrative review

Pediatric Research ◽

10.1038/s41390-020-01194-8 ◽

2020 ◽

Author(s):

Arend W. van Deutekom ◽

Adam J. Lewandowski

Keyword(s):

Physical Activity ◽

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Physical Activity Intervention ◽

Large Range ◽

Physical Activity Promotion ◽

Activity Levels ◽

Activity Promotion

Abstract Congenital heart disease (CHD) affects nearly 1% of births. As survival rates have dramatically improved, the majority of individuals with CHD now live into adulthood. As these patients age, they become prone to a large range of complications, such as chronic heart failure and acquired cardiovascular disease. Promotion of a healthy and active lifestyle from childhood onwards has been suggested as a sustainable and effective strategy to enhance cardiovascular health, improve quality of life and reduce immediate and long-term risk in people with CHD. Well-established physical activity consensus statements for youth with CHD have now been published. In this article, we review how increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, what is known about physical activity in children with CHD, describe the unique factors that contribute to achieving sufficient and insufficient physical activity levels and summarize the evidence of trials on physical activity promotion in youth with CHD. Furthermore, we discuss some of the challenges that need to be addressed by further research regarding the optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD. Impact Congenital heart disease (CHD) affects nearly 1% of births, with the majority of individuals with CHD now living into adulthood due to improved survival. As CHD patients age, they become prone to a large range of cardiovascular complications. This article discusses how and why increasing physical activity in youth with CHD may offer immediate and long-term cardiovascular benefits, the barriers to achieving sufficient physical activity levels and the evidence from trials on physical activity promotion in youth with CHD. The optimal strategy, timing and format of physical activity intervention programmes in children and adolescents with CHD are discussed.

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Beyond TTM and ABC: A Practice Perspective on Physical Activity Promotion for Adolescent Females from Disadvantaged Backgrounds

Societies ◽

10.3390/soc10040080 ◽

2020 ◽

Vol 10 (4) ◽

pp. 80

Author(s):

Ellyse Hopkins ◽

Nicola Bolton ◽

David Brown ◽

Nic Matthews ◽

Melissa Anderson

Keyword(s):

Physical Activity ◽

Behavior Change ◽

Transtheoretical Model ◽

Practice Theory ◽

Physical Activity Promotion ◽

Critical Discussion ◽

Promising Alternative ◽

Change Models ◽

Disadvantaged Women ◽

Activity Promotion

This paper builds on a growing body of literature on the promise of practice theory in understanding and promoting behavior change in society and develops upon Blue (2017) and Spotswood et al.’s (2019) rationale for evolving theories of practice into the domain of contemporary physical activity research. We begin by considering the intersectional nature of the problem. Statistics reveal that physical activity gradients exist based on gender, as well as socio-economic position. Women, girls, and disadvantaged populations report lower levels of activity than more affluent males and females. More problematic still is what StreetGames (2017) call the “double jeopardy”, where these characteristics intersect, intensifying the negative gradient. Our argument then comprises three parts. First, we provide a critical discussion of intervention studies seeking to transform exercise behavior amongst these populations. The issue we identify is that studies typically rely on behavior change models, such as the Transtheoretical Model (TTM) and the ABC framework. However, these models tend to take insufficient account of the practical and social aspects of behavior change in physical activity, and thus their subjects often succumb to value-action gaps (Shove, 2010). Second, in contrast, we propose that practice theory provides a promising alternative theoretical lens for promoting behavior change in disadvantaged and often resistant populations. Third, the paper highlights a range of conceptual considerations for exploring the relationship between young, disadvantaged women and physical activity, as well as the development of tangible solutions to improve participation.

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A comprehensive physical activity promotion programme at elementary school: the effects on physical activity, physical fitness and psychosocial correlates of physical activity

Public Health Nutrition ◽

10.1017/s1368980007223900 ◽

2007 ◽

Vol 10 (5) ◽

pp. 477-484 ◽

Cited By ~ 51

Author(s):

Stefanie JM Verstraete ◽

Greet M Cardon ◽

Dirk LR De Clercq ◽

Ilse MM De Bourdeaudhuij

Keyword(s):

Physical Activity ◽

Elementary Schools ◽

Physical Fitness ◽

Leisure Time ◽

Physical Activity Promotion ◽

Activity Levels ◽

Accelerometer Data ◽

Psychosocial Correlates ◽

Promotion Programme ◽

Activity Promotion

AbstractObjectiveTo evaluate the effects of a comprehensive physical activity (PA) promotion programme in elementary schools on children's total PA levels, leisure-time PA, physical fitness and psychosocial correlates of PA.DesignA pre-test–post-test design over two school years.Setting and subjectsSixteen elementary schools (764 children, mean age: 11.2 ± 0.7 years) were randomly assigned to the intervention condition (n = 8) and the control condition (n = 8). The intervention included a health-related physical education programme, an extracurricular PA promotion programme and classroom-based PA education lessons. In the total sample, leisure-time PA, psychosocial correlates of PA and physical fitness were measured using a PA questionnaire and the Eurofit test battery. In a sub-sample, total PA levels were measured using an accelerometer.ResultsAccording to accelerometer data, children's moderate PA and moderate-to-vigorous PA (MVPA) levels decreased less in the intervention schools than in the control schools (P < 0.01). The average time spent on MVPA decreased by 9 min per day in the intervention schools compared with 33 min per day in the control schools. Children in the intervention schools reported significantly more moderate PA in leisure time than the controls (P < 0.05). No overall improvement of physical fitness and no effects on the psychosocial correlates of PA were found.ConclusionsThe comprehensive PA promotion programme was successful in preventing a decline in children's total activity levels. Furthermore, the intervention increased children's PA engagement in leisure time. Therefore, implementation needs to be encouraged.

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Perceived Enjoyment Moderates the Efficacy of an Individually Tailored Physical Activity Intervention

Journal of Sport and Exercise Psychology ◽

10.1123/jsep.28.3.300 ◽

2006 ◽

Vol 28 (3) ◽

pp. 300-309 ◽

Cited By ~ 32

Author(s):

David M. Williams ◽

George D. Papandonatos ◽

Melissa A. Napolitano ◽

Beth A. Lewis ◽

Jessica A. Whiteley ◽

...

Keyword(s):

Physical Activity ◽

Physical Activity Intervention ◽

Physical Activity Promotion ◽

Controlled Clinical Trial ◽

Physical Activity Interventions ◽

Activity Promotion ◽

Contact Control ◽

Active Adults ◽

Physical Activity Recall ◽

Physical Activity Promotion Program

Given the decreased rate of morbidity and mortality associated with physical activity, understanding the factors that enhance the efficacy of physical activity interventions is a priority. The present study examined the moderating effect of baseline enjoyment of physical activity on the efficacy of a physical activity intervention. Participants were 238 healthy low-active adults enrolled in Project STRIDE, a randomized, controlled, clinical trial comparing individually tailored print and telephone interventions to a contact control. Results indicated a significant interaction between intervention assignment (telephone or print intervention vs. contact control) and baseline enjoyment on physical activity at 6 months, as measured by the 7-Day Physical Activity Recall (z = 2.44, p < .05). These results indicate that our motivationally tailored physical activity promotion program may be more effective among individuals reporting greater enjoyment of physical activity at baseline, and suggest that attention be paid to designing programs that can be effective for participants who report lower levels of physical activity enjoyment.

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Toward a Better Understanding of the Link Between Parent and Child Physical Activity Levels: The Moderating Role of Parental Encouragement

Journal of Physical Activity and Health ◽

10.1123/jpah.2014-0126 ◽

2015 ◽

Vol 12 (9) ◽

pp. 1238-1244 ◽

Cited By ~ 18

Author(s):

Eleanor B. Tate ◽

Anuja Shah ◽

Malia Jones ◽

Mary Ann Pentz ◽

Yue Liao ◽

...

Keyword(s):

Physical Activity ◽

Vigorous Physical Activity ◽

Physical Activity Promotion ◽

Activity Levels ◽

Linear Regression Models ◽

Parental Encouragement ◽

Activity Promotion ◽

Objectively Measured ◽

Moderating Role

Background:Research on adolescent physical activity is mixed regarding the role of parent activity. This study tested parent encouragement, direct modeling, and perceived influence as moderators of objectively-measured (accelerometer) parent and child moderate-to-vigorous physical activity (MVPA) associations.Methods:Parent-child dyads (n = 423; mean child age = 11.33 yrs.) wore accelerometers for 7 days; parents completed surveys. Hierarchical linear regression models tested moderation using a product of constituent terms interaction.Results:Parent-reported encouragement moderated the association between parent and child MVPA (β = –.15, P = .01, ΔR2 = .02, P < .01). Among parents with lower MVPA, child MVPA was higher for children receiving high encouragement (mean = 3.06, SE = .17) vs. low (mean = 3.03, SE = .15, P = .02) and moderate encouragement (mean = 3.40, SE = .09) vs. low (P = .04).Conclusions:Physical activity promotion programs may use parent encouragement as a tool to boost child activity, but must consider other child and parent characteristics that could attenuate effects.

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Measuring capabilities in health and physical activity promotion: a systematic review.

10.21203/rs.3.rs-42211/v3 ◽

2021 ◽

Author(s):

Maike Till ◽

Karim Abu-Omar ◽

Susanne Ferschl ◽

Anne Kerstin Reimers ◽

Peter Gelius

Keyword(s):

Physical Activity ◽

Quantitative Methods ◽

Scientific Journal ◽

Age Groups ◽

Physical Activity Promotion ◽

Actual Behavior ◽

Structural Factors ◽

Qualitative And Quantitative Methods ◽

Activity Promotion ◽

Health Enhancing Physical Activity

Abstract Background: The capability approach by Amartya Sen and Martha Nussbaum has gained increasing attention in the field of public health. As it combines individual, social and structural factors and shifts the focus of attention from the actual behavior towards available options for health behaviors that people can actually choose from, it may help advance our understanding of complex health issues. Objectives: The aim of this article is to identify and describe tools available to measure capabilities within the context of health, with a specific focus on capabilities for health-enhancing physical activity.Method: We conducted a systematic literature review using 11 databases covering scientific journal articles published in English or German between the years 2000 and 2020 with a focus on capabilities for health or physical activity. Results: We found a total of 51 articles meeting our inclusion criteria. Four articles measured capabilities using qualitative methods, one combined qualitative and quantitative methods, while the rest used quantitative methods. We identified a total 11 different capabilitzy questionnaires, all showing moderate to good validity/reliability. Only one questionnaire and one interview-based tool specifically dealt with capabilities for health enhancing physical activity. Conclusion: Although we were able to identify measurement tools for capabilities in health, this review has shown that there is no generic tool available for the measurement across all population- and age-groups, and tools focusing on physical activity are scarce. However, our results can be used as guide for future projects that aim at measuring capabilities.

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