Designing a Text Messaging Intervention to Improve Physical Activity Behavior Among Low-Income Latino Patients With Diabetes: A Discrete-Choice Experiment, Los Angeles, 2014–2015

BACKGROUND Supporting healthy lifestyle change is a key aim of cardiovascular and pulmonary rehabilitation programs. Text messaging programs have demonstrated effectiveness in cardiovascular disease risk reduction, weight loss, increasing physical activity and smoking cessation. Optimisation of text message programs may deliver greater population benefits as mobile phone usage becomes ubiquitous. Visual messaging (i.e. image-based messages) has the potential to communicate health messages via digital technology with enhanced engagement. OBJECTIVE To determine and understand patient preferences for lifestyle-focused visual text messages that support cardiovascular and pulmonary rehabilitation METHODS A discrete choice experiment was conducted in a four-stage iterative process to elicit patient preferences for features of visual messages. Attribute and level development yielded three attributes: purpose, image type and web address and 16 choice sets were subsequently constructed according to a full factorial design. Patients participating in cardiovascular and pulmonary rehabilitation were surveyed (online) for their preferences regarding the visual message choice sets. Respondents were asked to choose between 16 pairs of visual messages regarding key lifestyle behaviours, namely, physical activity and nutrition. Data were analysed by using a conditional logit model. RESULTS There was a total of 1728 observations from 54 unique respondents. Two factors that were associated with the patient preference were gain-framed purpose compared to no purpose (OR 1.93, 95% CI 1.40 – 2.65) and real images compared to cartoon images (OR 1.26, 95% CI 1.04 – 1.54). A loss-framed purpose was less preferred than no purpose (OR 0.55, 95% CI 0.42 - 0.74). Overall, patients preferred positive images that were colourful and engaging with text that supported the image with a preference for images of real people rather than cartoons. CONCLUSIONS A discrete choice experiment is a scientific method to elicit patient preferences for a visual messaging intervention designed to support change to lifestyle behaviours. Text messaging programs which utilise visual aids may find greater patient satisfaction by employing a gain-frame, using real images and avoiding a loss-frame. Further research is needed to explore feasibility of implementation and health and behavioural outcomes associated with such visual messaging programs.

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Ready to be Physically Active? The Effects of a Course Preparing Low-Income Multiethnic Women to be more Physically Active

Health Education & Behavior ◽

10.1177/1090198103255529 ◽

2004 ◽

Vol 31 (1) ◽

pp. 47-64 ◽

Cited By ~ 32

Author(s):

Rakale Collins ◽

Rebecca E. Lee ◽

Cheryl L. Albright ◽

Abby C. King

Keyword(s):

Physical Activity ◽

Low Income ◽

Social Cognitive ◽

Physical Activity Intervention ◽

Paired Comparison ◽

Physical Activity Behavior ◽

Physically Active ◽

Preparatory Course ◽

Activity Behavior ◽

Multiethnic Women

The purpose of this study is to evaluate the effect of a preintervention physical activity preparatory course on physical activity, and social, cognitive, and transtheoretical constructs. The sample included 82 low-income, multiethnic women (75% Latina) who completed an 8-week course designed to prepare them to become more active prior to randomization into a 10-month physical activity intervention. Participants completed precourse and postcourse measures. Paired-comparison t tests showed increases in knowledge, perceived social support for exercise, minutes of walking per week, and total cognitive and behavioral processes following the preparatory course. Perceived barriers and self-efficacy for exercise did not change from precourse to postcourse. Preintervention preparatory courses may be an effective way to increase social and cognitive constructs associated with physical activity behavior, potentially yielding a greater effect from subsequent interventions.

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Physical activity behavior change: Issues in adoption and maintenance.

Health Psychology ◽

10.1037/0278-6133.19.suppl1.32 ◽

2000 ◽

Vol 19 (1, Suppl) ◽

pp. 32-41 ◽

Cited By ~ 293

Author(s):

Bess H. Marcus ◽

LeighAnn H. Forsyth ◽

Elaine J. Stone ◽

Patricia M. Dubbert ◽

Thomas L. McKenzie ◽

...

Keyword(s):

Physical Activity ◽

Behavior Change ◽

Physical Activity Behavior ◽

Activity Behavior ◽

Physical Activity Behavior Change

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Perceived stress and trait self-control interact with the intention–behavior gap in physical activity behavior.

Sport Exercise and Performance Psychology ◽

10.1037/spy0000189 ◽

2020 ◽

Vol 9 (2) ◽

pp. 244-260 ◽

Cited By ~ 2

Author(s):

Ines Pfeffer ◽

Chris Englert ◽

Anett Mueller-Alcazar

Keyword(s):

Physical Activity ◽

Perceived Stress ◽

Physical Activity Behavior ◽

Self Control ◽

Activity Behavior

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The Effect of Simulated Ostracism on Physical Activity Behavior in Children

PEDIATRICS ◽

10.1542/peds.2011-0496d ◽

2012 ◽

Vol 129 (3) ◽

pp. X26-X26

Keyword(s):

Physical Activity ◽

Physical Activity Behavior ◽

Activity Behavior

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Faculty Opinions recommendation of Physical activity behavior predicts endogenous pain modulation in older adults.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.727313241.793546507 ◽

2018 ◽

Author(s):

Josimari Melo DeSantana ◽

Lucas Vasconcelos Lima

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Activity Behavior ◽

Pain Modulation ◽

Endogenous Pain Modulation ◽

Activity Behavior

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Physical Activity Behavior from a Transdisciplinary Biopsychosocial Perspective: a Scoping Review

Sports Medicine - Open ◽

10.1186/s40798-020-00279-2 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Jannika M. John ◽

Vanessa Haug ◽

Ansgar Thiel

Keyword(s):

Physical Activity ◽

Scoping Review ◽

Social Factors ◽

Biopsychosocial Model ◽

Scientific Work ◽

Physical Activity Behavior ◽

Biopsychosocial Approach ◽

Scoping Reviews ◽

Activity Behavior ◽

Biopsychosocial Perspective

Abstract Background Physical activity behavior is a complex and multidimensional phenomenon. For its analysis, transdisciplinary biopsychosocial approaches yield great potential. In health research, the biopsychosocial model has experienced a renaissance. Researchers have tried to grasp the complex interplay of biological, psychological, and social factors. With this scoping review, we aimed to examine how the ‘biopsychosocial’ has been conceptualized in scientific work related to physical activity behavior. Methods The scoping review was informed by the PRISMA guidelines for scoping reviews (PRISMA-ScR). A systematic literature search was conducted in Web of Science, SportDiscus, PsycArticles, PsycInfo, and PubMed. Only articles published in peer-reviewed journals that contained all three components of a biopsychosocial approach (e.g., bio/physio/genetic, psycho/mental, and socio/cultural/environmental) were included. We only included articles in our narrative synthesis that integrated physical activity behavior into a biopsychosocial model, or investigated or described physical activity behavior on the basis of such a model. Results Thirteen studies met the inclusion criteria; eight articles pursued a biopsychosocial approach in the tradition of Engel, five employed a socio-ecological approach. The models in the analyzed articles referred to either correlates of physical activity behavior, or the influence of physical activity on health or aging. Only a minority of the articles, however, referred to interactions between biological, psychological, and social factors. Conclusions The included articles were quite heterogeneous in their approach to physical activity from a biopsychosocial perspective. The included articles illustrate that the adoption of a biopsychosocial perspective may assist to capture and understand the complex phenomenon of physical activity behavior and might inform future transdisciplinary physical activity research.

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