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Muellmann S, Gansefort D, Zeeb H, Brand T. Addressing community readiness to promote physical activity in older adults in Germany. Health Promot Int 2023; 38:daad158. [PMID: 38011398 DOI: 10.1093/heapro/daad158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023] Open
Abstract
Community-based approaches are promising to promote physical activity in old age. The community readiness (CR) model offers a structured approach to assess community capacities to address a certain health topic before and after implementing an intervention. The objective of this study is to assess whether community-based capacity building for physical activity among the elderly has a lasting effect on CR. Four communities (two sub-urban and two urban) in Northwestern Germany were randomly assigned to either intervention or control group. CR was assessed at three time points (2015, 2018 and 2020) by interviewing local key informants (n = 129). Community capacity building was carried out in the two intervention communities after baseline assessment and included the development and implementation of a local physical activity action plan for elderly. Overall CR scores were calculated and random effects regression analysis was performed to analyze group-by-time interaction. At baseline, the overall CR score was 4.62 (standard deviation (SD) = 0.51) indicating that communities were in the preplanning stage of CR. CR scores in the intervention communities did not significantly increase at follow-up assessments compared to control communities [2018: 4.82, coefficient -0.03, 95% confidence interval (CI) (-0.80; 0.73); 2020: 4.54, coefficient 0.19, 95% CI: (-0.59; 0.97)]. The process evaluation indicated several factors facilitating a successful cooperation with community stakeholders. These included building on existing networks, using a structured approach for developing and implementing a local physical activity action plan for older adults, providing financial support for implementing activities and linking activities to existing community events.
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Affiliation(s)
- Saskia Muellmann
- Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany
| | - Dirk Gansefort
- Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany
- Association for Health Promotion and Academy for Social Medicine Lower Saxony Bremen, Fenskenweg 2, 30165 Hannover, Germany
| | - Hajo Zeeb
- Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany
- Health Sciences Bremen, University of Bremen, Grazer Str. 4, 28359 Bremen, Germany
| | - Tilman Brand
- Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany
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Wichmann F, Braun M, Ganz T, Lubasch J, Heidenreich T, Laging M, Pischke CR. Assessment of campus community readiness for tailoring implementation of evidence-based online programs to prevent risky substance use among university students in Germany. Transl Behav Med 2021; 10:114-122. [PMID: 31330011 DOI: 10.1093/tbm/ibz060] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Research suggests that online interventions preventing risky substance use can improve student health. There is an increasing interest in transferring evidence-based online programs into university health promotion practice. However, little is known about how to best tailor the implementation process to capacities and context of individual universities. The purpose of this study was to assess the level of readiness (capacity) of German universities concerning the implementation of evidence-based online programs for risky substance use prevention employing an adapted Community Readiness Assessment (CRA) and to develop tailored action plans for implementation. The CRA involved 43 semi-structured interviews with key persons at 10 German universities. The interviews addressed five dimensions (knowledge of efforts, leadership, community climate, knowledge of the issue, and resources) at nine possible readiness stages (no awareness-ownership) and additional contextual factors. Overall, readiness for implementing online interventions across universities was rather low. Universities readiness levels ranged between the denial stage with a score of 2.1 and the preplanning stage with a score of 4.4. University-specific readiness was very heterogeneous. On the basis of the results of the CRA, universities received feedback and options for training on how to take the necessary steps to increase readiness and to prepare program implementation. The adapted version of the CRA was well suited to inform future implementation of evidence-based online programs for the prevention of risky substance use at participating universities.
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Affiliation(s)
- Frauke Wichmann
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.,Department Qualification and Curriculum Research, Institute of Public Health and Nursing Research-IPP, University of Bremen, Bremen, Germany
| | - Michael Braun
- Faculty of Social Work, Health Care and Nursing Sciences, University of Applied Sciences Esslingen, Esslingen, Germany
| | - Thomas Ganz
- Faculty of Social Work, Health Care and Nursing Sciences, University of Applied Sciences Esslingen, Esslingen, Germany
| | - Johanna Lubasch
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.,Faculty of Medicine and Health Sciences, Department of Health Services Research, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | - Thomas Heidenreich
- Faculty of Social Work, Health Care and Nursing Sciences, University of Applied Sciences Esslingen, Esslingen, Germany
| | - Marion Laging
- Faculty of Social Work, Health Care and Nursing Sciences, University of Applied Sciences Esslingen, Esslingen, Germany
| | - Claudia R Pischke
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany.,Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
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Muellmann S, Brand T, Jürgens D, Gansefort D, Zeeb H. How many key informants are enough? Analysing the validity of the community readiness assessment. BMC Res Notes 2021; 14:85. [PMID: 33750436 PMCID: PMC7941941 DOI: 10.1186/s13104-021-05497-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 02/23/2021] [Indexed: 11/10/2022] Open
Abstract
Objective Communities are important settings for health promotion and prevention. The community readiness assessment offers a structured approach to assess resources and opportunities to tackle a health problem within a community. The assessment relies on semi-structured interviews with key informants from the communities. A number of 4–6 key informant interviews are recommended in the literature. However, it is unclear whether this is sufficient to obtain a valid representation of the respective community. This study analysed whether increasing the number of key informants from 4–6 to 12–15 alters the results of the community readiness assessment. Results A total of 55 community readiness interviews were carried out in 4 communities. Overall, the community readiness scores showed little variation after having interviewed 10 key informants in a community. However, even after completing 10 interviews in a community, key informants were still able to identify up to 6 new information items regarding community efforts for physical activity promotion among the elderly, contact and communication channel for informing or approaching the target group, or barriers to participation. Supplementary Information The online version contains supplementary material available at 10.1186/s13104-021-05497-9.
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Affiliation(s)
- Saskia Muellmann
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany
| | - Tilman Brand
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany
| | - Dorothee Jürgens
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany
| | - Dirk Gansefort
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany.,Association for Health Promotion and Academy of Social Medicine Lower Saxony, Fenskenweg 2, 30165, Hannover, Germany
| | - Hajo Zeeb
- Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology - BIPS, Achterstr 30, 28359, Bremen, Germany. .,Health Sciences Bremen, University of Bremen, Bremen, Germany.
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Wichmann F, Pischke CR, Jürgens D, Darmann-Finck I, Koppelin F, Lippke S, Pauls A, Peters M, Voelcker-Rehage C, Muellmann S. Requirements for (web-based) physical activity interventions targeting adults above the age of 65 years - qualitative results regarding acceptance and needs of participants and non-participants. BMC Public Health 2020; 20:907. [PMID: 32527251 PMCID: PMC7291669 DOI: 10.1186/s12889-020-08927-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Accepted: 05/17/2020] [Indexed: 12/11/2022] Open
Abstract
Background It remains unclear how physical activity (PA) interventions need to be designed to reach older adults and to be widely accepted in this target group. The aim of this study was to assess the acceptance of a web-based PA program, including individual intervention components as well as relevant contextual factors, and to specify requirements for future interventions. Methods Two hundred sixty-six participants of a PA intervention completed a questionnaire covering individual program components (content, structure, and context). Further, 25 episodic guided interviews focusing on reasons for (non-) participation were conducted with 8 participants and 17 non-participants. Following qualitative content analysis, different requirements were identified and organized based on the social-ecological model, resulting in a profile of requirements. Results Based on the participants’ and non-participants’ statements, six different levels of requirements affecting acceptance of and successful participation in a web-based PA intervention were identified. The individual fit was influenced by an interaction of different factors at the intrapersonal, sociocultural, content, spatial, digital and organizational levels. Several age- and gender-specific requirements were noted in the interviewed older adults. Men and women, as well as younger (< 70 years) and older (≥70 years) adults differed in terms of perceived enjoyment and benefits of socializing while exercising together, the time expenditure perceived to be acceptable, previous digital skills, as well as in perceptions that ambience and accessibility of exercise facilities in the neighborhood were important. Conclusions To motivate older adults to engage in PA and address different needs in terms of life circumstances and quality of life as well as differences in technical affinity, different requirement profiles should be included in the process of intervention development and implementation. Participatory development loops and modular offer formats are recommended for this.
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Affiliation(s)
- Frauke Wichmann
- Institute for Public Health und Nursing Sciences - IPP, University of Bremen, Bremen, Germany. .,Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
| | - Claudia R Pischke
- Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany
| | - Dorothee Jürgens
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Ingrid Darmann-Finck
- Institute for Public Health und Nursing Sciences - IPP, University of Bremen, Bremen, Germany
| | - Frauke Koppelin
- Jade University of Applied Sciences Wilhelmshaven/Oldenburg/Elsfleth, Section Technology and Health for Humans, Oldenburg, Germany
| | - Sonia Lippke
- Department of Psychology & Methods, Jacobs University Bremen, Bremen, Germany
| | - Alexander Pauls
- Jade University of Applied Sciences Wilhelmshaven/Oldenburg/Elsfleth, Section Technology and Health for Humans, Oldenburg, Germany
| | - Manuela Peters
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,Research Focus Health Sciences Bremen, University of Bremen, Bremen, Germany
| | - Claudia Voelcker-Rehage
- Institute of Human Movement Science and Health, Faculty of Behavioural and Social Sciences, Chemnitz University of Technology, Chemnitz, Germany.,Neuromotor Behavior and Exercise, Institute of Sport and Exercise Sciences, University of Muenster, Muenster, Germany
| | - Saskia Muellmann
- Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
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Gansefort D, Peters M, Brand T. [Is My Community Ready? The Community Readiness Model and its Exemplary Application in Community-Based Health Promotion]. DAS GESUNDHEITSWESEN 2020; 82:868-876. [PMID: 32344445 DOI: 10.1055/a-1119-6181] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The German Prevention Act adopted in 2015 strengthens setting-based prevention approaches. The aim of this work was the presentation of the Community Readiness Model as an instrument for determining needs and improving health-promoting structures in the community setting, using the example of the promotion of physical activity in older adults. The needs assessment in the context of the model implementation was carried out by Community Readiness assessment, in which guided interviews on health promotion topics were conducted with key persons in communities. The community's stage of readiness was determined based on the interview results, and appropriate public health measures were derived from the respective stage. In our example, the model was adapted to the topic of promoting physical activity among older community-dwelling adults. The assessment was carried out in 2015 in 23 communities in Northwestern Germany. Illustrations such as spider web diagrams and geographical distributions are used to present the assessment results. The Community Readiness approach is a model that enables in-depth assessment as well as targeted development of local structures and capacities. Our experience shows that the method can be implemented well in Community Readiness assessment. The main advantages of this approach are its systematic nature and the analysis of local strengths and weaknesses as a prerequisite for community-specific interventions.
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Affiliation(s)
- Dirk Gansefort
- Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
| | - Manuela Peters
- Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
| | - Tilman Brand
- Prävention und Evaluation, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Bremen
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Wichmann F, Brand T, Gansefort D, Darmann-Finck I. Ready to participate? Using qualitative data to typify older adults' reasons for (non-) participation in a physical activity promotion intervention. BMC Public Health 2019; 19:1327. [PMID: 31640659 PMCID: PMC6805576 DOI: 10.1186/s12889-019-7688-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 09/25/2019] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND A sufficient amount of regular moderate physical activity (PA), at least 2.5 h of moderate to vigorous PA per week as recommended by the WHO, is one of the most important lifestyle factors for maintaining good health in old age. However, less than one in four older adults (65 years or older) in Germany meets this recommendation for PA. Although previous research has found several factors related to participation in PA programmes, little is known about how these factors simultaneously affect participation decisions of older adults and how PA programmes can accommodate these dynamics. Taking an everyday life perspective, this study aimed to identify multidimensional types of PA behaviour among older adults. METHODS In this qualitative study, 25 episodic interviews were conducted with participants and non-participants (ratio 1:3) of a structured PA intervention for older adults (65 years or older). Direct and indirect recruitment methods (e.g. pick up, gatekeeper) were used in different municipalities in Northwest Germany. The interviews were analysed according to the Grounded Theory methodology and a typology of PA participation behaviour was derived from the responses of the interviewees. RESULTS Four types of PA participation behaviour were identified based on different activity goals and time management preferences: 'Health designer', 'Flexible function-oriented type', 'Comparison and competition type' and 'Fun and wellness-oriented type'. The results indicate that the structured PA intervention was better able to reach the health designer and the competitive type but was less successful in accommodating the function- or wellness-oriented type. CONCLUSIONS In order to improve older adults' participation in PA, preventive offers should take various activity goals and the desire for flexible time management in everyday life into account. The typology of PA participation behaviour contributes to a better understanding of the target group and can thus help to improve the development, communication and implementation of tailored PA interventions.
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Affiliation(s)
- Frauke Wichmann
- Department 4: Qualification and Curriculum Research, Institute of Public Health and Nursing Research - IPP, University of Bremen, Grazer Straße 4, 28359, Bremen, Germany. .,Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
| | - Tilman Brand
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Dirk Gansefort
- Department of Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,Landesvereinigung für Gesundheit und Akademie für Sozialmedizin Niedersachsen e.V, Hannover, Germany
| | - Ingrid Darmann-Finck
- Department 4: Qualification and Curriculum Research, Institute of Public Health and Nursing Research - IPP, University of Bremen, Grazer Straße 4, 28359, Bremen, Germany.,Health Sciences Bremen, University of Bremen, Bremen, Germany
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Lehne G, Voelcker-Rehage C, Meyer J, Bammann K, Gansefort D, Brüchert T, Bolte G. Equity Impact Assessment of Interventions to Promote Physical Activity among Older Adults: A Logic Model Framework. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E420. [PMID: 30717136 PMCID: PMC6388141 DOI: 10.3390/ijerph16030420] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 01/23/2019] [Accepted: 01/30/2019] [Indexed: 11/16/2022]
Abstract
Reducing social inequalities in health and health determinants, including physical activity (PA), is a major challenge for public health. PA-promoting interventions are increasingly implemented. Little is known, however, about the impact of these interventions on social inequalities. For prioritizing interventions most likely to be effective in reducing inequalities, studies of PA interventions need to conduct equity impact assessments. The aim of this article is to describe the development of a logic model framework for equity impact assessments of interventions to promote PA. The framework was developed within the prevention research network AEQUIPA-Physical activity and health equity: primary prevention for healthy ageing, informed by an equity-focused systematic review, expert interviews, exploratory literature searches, and joint discussions within the network. The framework comprises a general equity-focused logic model to be adapted to specific interventions. The intervention-specific equity-focused logic models illustrate the key elements relevant for assessing social inequalities in study participation, compliance with and acceptance of interventions, as well as the efficacy of interventions. Future work within AEQUIPA will reveal which key elements are most critical for the interventions' equity impacts. Equity impact assessments are beneficial for prioritizing interventions most likely to be effective in reducing health inequalities.
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Affiliation(s)
- Gesa Lehne
- Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
- Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
| | - Claudia Voelcker-Rehage
- Institute of Human Movement Science and Health, Faculty of Behavioral and Social Sciences, Chemnitz University of Technology, 09126 Chemnitz, Germany.
| | - Jochen Meyer
- OFFIS-Institute for Information Technology, 26121 Oldenburg, Germany.
| | - Karin Bammann
- Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
- Working Group Epidemiology of Demographic Change, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
| | - Dirk Gansefort
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
| | - Tanja Brüchert
- Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
- Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
| | - Gabriele Bolte
- Department of Social Epidemiology, Institute of Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
- Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
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Gansefort D, Brand T, Princk C, Zeeb H. Community Readiness for the Promotion of Physical Activity in Older Adults-A Cross-Sectional Comparison of Rural and Urban Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15030453. [PMID: 29509675 PMCID: PMC5876998 DOI: 10.3390/ijerph15030453] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 02/24/2018] [Accepted: 03/01/2018] [Indexed: 12/21/2022]
Abstract
Communities can play an important role in delivering public health programs to older adults, but they differ in the provision of local structures and resources. The community readiness (CR) approach applies a stage model of change to the community level and analyzes structures and the degree of willingness to take action on a health issue. This study compared the CR regarding the promotion of physical activity as part of healthy ageing for older adults among urban and rural communities in North-West Germany. A cross-sectional CR assessment with key respondents in 23 municipalities (11 urban and 12 rural communities) was conducted using a semi-structured interview. Interviews were scored across the five CR dimensions and global CR score was calculated (scores between 1 = no awareness and 9 = professionalization). Wilcoxon rank-sum test and hierarchical regression models were used to compare urban and rural communities. In total, 118 interviews were conducted (response rate 69.8%). On average, the communities showed moderate CR scores (4.9 ± 0.3; Range: 4.3–5.4; preplanning or preparation phase). The global CR score was slightly higher in rural than in urban communities (regression coefficient = 0.29, 95% confidence interval (CI): −0.02–0.59). The rural communities showed significantly higher CR scores in the ‘Knowledge of efforts’ dimension (0.70, 95% CI: 0.26–1.14) and in the ‘Knowledge of the issue’ (0.37, 95% CI: 0.04–0.70). Rural communities display a slightly higher CR level than urban communities. In the next step, targeted capacity building activities will be initiated among communities with low CR levels.
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Affiliation(s)
- Dirk Gansefort
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359 Bremen, Germany.
| | - Tilman Brand
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359 Bremen, Germany.
| | - Christina Princk
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359 Bremen, Germany.
| | - Hajo Zeeb
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstr. 30, 28359 Bremen, Germany.
- Research Focus Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
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Muellmann S, Bragina I, Voelcker-Rehage C, Rost E, Lippke S, Meyer J, Schnauber J, Wasmann M, Toborg M, Koppelin F, Brand T, Zeeb H, Pischke CR. Development and evaluation of two web-based interventions for the promotion of physical activity in older adults: study protocol for a community-based controlled intervention trial. BMC Public Health 2017; 17:512. [PMID: 28545506 PMCID: PMC5445412 DOI: 10.1186/s12889-017-4446-x] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 05/16/2017] [Indexed: 01/07/2023] Open
Abstract
Background Regular physical activity (PA) is a key contributor to healthy ageing. However, despite known health benefits, only one third of older adults in Germany reach the PA levels recommended for persons aged 65 years and above by the World Health Organization. The aim of the current study is to evaluate the effectiveness of two web-based interventions for the initiation and maintenance of regular PA (i.e., intervention groups 1 and 2) compared to a delayed intervention control group of older adults aged 65 to 75 years. Methods/Design Study participants will be randomly assigned to one of three study arms in five communities in the Bremen-Oldenburg metropolitan region: a) Participants in the first arm will receive access to a web-based intervention for 10 weeks allowing them to track their weekly PA (subjective self-monitoring, intervention group 1); b) participants in the second arm will receive access to the web-based intervention for 10 weeks and, in addition, track PA using Fitbit Zips (objective self-monitoring, intervention group 2); c) participants in the delayed intervention control group will receive access to the intervention implemented in the first study arm after completion of the 12-week follow-up in the other two groups within each community. In addition, weekly group meetings in the communities will be offered to study participants in the intervention groups providing the opportunity to address questions related to the use of the website and to practice PA in groups (e.g., neighborhood walks, strength and balance exercises). To evaluate short-term effects of the intervention on physical and psychological health, PA, physical fitness, and cognitive and psychological variables will be assessed at baseline and 12-week follow-up. Discussion This study will provide answers regarding acceptance and effectiveness of web-based interventions promoting uptake and maintenance of regular PA in persons aged 65–75 years. Study findings will contribute to a growing body of evidence in Germany concerning the role of community-based interventions for the promotion of PA and healthy ageing in older adults. Trial registration German Clinical Trials Register DRKS00010052 (Date of registration 07–11-2016).
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Affiliation(s)
- Saskia Muellmann
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359, Bremen, Germany
| | - Inna Bragina
- Institute of Human Movement Science and Health, Technical University Chemnitz, Chemnitz, Germany
| | - Claudia Voelcker-Rehage
- Institute of Human Movement Science and Health, Technical University Chemnitz, Chemnitz, Germany
| | - Eric Rost
- Jacobs University Bremen, Bremen, Germany
| | | | - Jochen Meyer
- OFFIS - Institute for Information Technology, Oldenburg, Germany
| | - Jochen Schnauber
- OFFIS - Institute for Information Technology, Oldenburg, Germany
| | - Merlin Wasmann
- OFFIS - Institute for Information Technology, Oldenburg, Germany
| | | | | | - Tilman Brand
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359, Bremen, Germany
| | - Hajo Zeeb
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359, Bremen, Germany.,Health Sciences Bremen, University of Bremen, Bremen, Germany
| | - Claudia R Pischke
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstrasse 30, 28359, Bremen, Germany.
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Forberger S, Bammann K, Bauer J, Boll S, Bolte G, Brand T, Hein A, Koppelin F, Lippke S, Meyer J, Pischke CR, Voelcker-Rehage C, Zeeb H. How to Tackle Key Challenges in the Promotion of Physical Activity among Older Adults (65+): The AEQUIPA Network Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14040379. [PMID: 28375177 PMCID: PMC5409580 DOI: 10.3390/ijerph14040379] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Revised: 03/17/2017] [Accepted: 03/27/2017] [Indexed: 12/21/2022]
Abstract
The paper introduces the theoretical framework and methods/instruments used by the Physical Activity and Health Equity: Primary Prevention for Healthy Ageing (AEQUIPA) prevention research network as an interdisciplinary approach to tackle key challenges in the promotion of physical activity among older people (65+). Drawing on the social-ecological model, the AEQUIPA network developed an interdisciplinary methodological design including quantitative/qualitative studies and systematic reviews, while combining expertise from diverse fields: public health, psychology, urban planning, sports sciences, health technology and geriatrics. AEQUIPA tackles key challenges when promoting physical activity (PA) in older adults: tailoring of interventions, fostering community readiness and participation, strengthening intersectoral collaboration, using new technological devices and evaluating intervention generated inequalities. AEQUIPA aims to strengthen the evidence base for age-specific preventive PA interventions and to yield new insights into the explanatory power of individual and contextual factors. Currently, the empirical work is still underway. First experiences indicate that thenetwork has achieved a strong regional linkage with communities, local stakeholders and individuals. However, involving inactive persons and individuals from minority groups remained challenging. A review of existing PA intervention studies among the elderly revealed the potential to assess equity effects. The results will add to the theoretical and methodological discussion on evidence-based age-specific PA interventions and will contribute to the discussion about European and national health targets.
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Affiliation(s)
- Sarah Forberger
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
| | - Karin Bammann
- Working Group Epidemiology of Demographic Change, Institute for Public Health und Nursing Research (IPP), Faculty for Human and Health Sciences, University of Bremen, 28359 Bremen, Germany.
| | - Jürgen Bauer
- Geriatrisches Zentrum, Universität Heidelberg, Agaplesion Bethanien-Krankenhaus, 69126 Heidelberg, Germany.
| | - Susanne Boll
- Media Informatics and Multimedia Systems, Department of Computing Science, Carl von Ossietzky University of Oldenburg, 26121 Oldenburg, Germany.
| | - Gabriele Bolte
- Department of Social Epidemiology, Institute for Public Health and Nursing Research, University of Bremen, 28359 Bremen, Germany.
- Research Focus Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
| | - Tilman Brand
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
| | - Andreas Hein
- Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, 26111 Oldenburg, Germany.
| | - Frauke Koppelin
- Section Technology and Health for Humans, Jade University of Applied Sciences Oldenburg, 26121 Oldenburg, Germany.
| | - Sonia Lippke
- Department of Psychology and Methods, Jacobs University Bremen, 28759 Bremen, Germany.
| | - Jochen Meyer
- OFFIS-Institute for Information Technology, 26121 Oldenburg, Germany.
| | - Claudia R Pischke
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
| | - Claudia Voelcker-Rehage
- Institute of Human Movement Science and Health, Faculty of Behavioral and Social Sciences, Chemnitz University of Technology, 09107 Chemnitz, Germany.
| | - Hajo Zeeb
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany.
- Research Focus Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
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