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Walker R, Harada K. Affective Exercise Experience in Childhood and Psychological Determinants of Exercise Among Japanese Older Adults. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024:1-13. [PMID: 39012628 DOI: 10.1080/02701367.2024.2375290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 06/27/2024] [Indexed: 07/17/2024]
Abstract
Japan faces significant challenges associated with its super-aged society. Exercise and physical activity are recommended strategies to promote healthy aging and quality of life in older age. However, what determines exercise behavior among Japanese older adults is relatively unknown. The principle aim of this study was to explore exercise determinants and their relation to exercise behavior among Japanese older adults. Completed self-report questionnaires were received from 1,000 Japanese older adults aged between 65 and 74 years who resided in the Kansai area. A cross-sectional maximum likelihood path analysis was used to test the relationships between variables, where it was hypothesized that affective experiences in childhood had an indirect association with the exercise behavior of Japanese older adults through the seven psychological determinants of exercise. Demographic factors were also included in the model as potential influences of all factors. Knowledge held the largest significant direct association with exercise behavior (β = .539, p = <.001), particularly more intense forms of exercise such as resistance exercise (β = .725, p = <.001) and moderate to strenuous exercise (β = .420, p = <.001), whilst affective exercise experience in childhood (B = 3.749, p = <.001) and gender (B = 5.183, p = .003) held significant indirect associations. This paper emphasizes the importance of exercise-related knowledge among Japanese older adults and future research is warranted to further explore the role of positive affective exercise experiences in childhood and their influence on exercise behavior, especially amongst girls.
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Karimi N, Opie R, Crawford D, O'Connell S, Ball K. Digitally Delivered Interventions to Improve Nutrition Behaviors Among Resource-Poor and Ethnic Minority Groups With Type 2 Diabetes: Systematic Review. J Med Internet Res 2024; 26:e42595. [PMID: 38300694 PMCID: PMC10870209 DOI: 10.2196/42595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 06/22/2023] [Accepted: 07/30/2023] [Indexed: 02/02/2024] Open
Abstract
BACKGROUND Resource-poor individuals, such as those with a low income, are disproportionately affected by diabetes and unhealthy eating patterns that contribute to poor disease self-management and prognosis. Digitally delivered interventions have the potential to address some of the barriers to healthy eating experienced by this group. However, little is known about their effectiveness in disadvantaged populations. OBJECTIVE This systematic review is conducted to assess the effectiveness of digitally delivered interventions in improving nutritional behaviors and nutrition-related health outcomes among disadvantaged people with type 2 diabetes (T2D). METHODS MEDLINE complete, Global Health, Embase, CINAHL complete, Informit Health, IEEE Xplore, and Applied Science and Technology Source databases were searched for studies published between 1990 and 2022 on digitally delivered nutrition interventions for disadvantaged people with T2D. Two reviewers independently assessed the studies for eligibility and determined the study quality using the Cochrane Risk-of-Bias Assessment Tool. The Behavioral Change Technique Taxonomy V1 was used to identify behavior change techniques used in the design of interventions. RESULTS Of the 2434 identified records, 10 (0.4%), comprising 947 participants, met the eligibility criteria and were included in the review. A total of 2 digital platforms, web and messaging services (eg, SMS text messaging interventions or multimedia messaging service), were used to deliver interventions. Substantial improvements in dietary behaviors were reported in 5 (50%) of the 10 studies, representing improvements in healthier food choices or increases in dietary knowledge and skills or self-efficacy. Of the 10 studies, 7 (70%) examined changes in blood glucose levels, of which 4 (57%) out of 7 achieved significant decreases in hemoglobin A1C levels ranging from 0.3% to 1.8%. The most frequently identified behavior change techniques across all studies were instruction on how to perform the behavior, information about health consequences, and social support. CONCLUSIONS This review provided some support for the efficacy of digitally delivered interventions in improving healthy eating behaviors in disadvantaged people with T2D, an essential dietary prerequisite for changes in clinical metabolic parameters. Further research is needed into how disadvantaged people with T2D may benefit more from digital approaches and to identify the specific features of effective digital interventions for supporting healthy behaviors among disadvantaged populations. TRIAL REGISTRATION PROSPERO International Prospective Register of Systematic Reviews CRD42020149844; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=149844.
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Affiliation(s)
- Nazgol Karimi
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
| | - Rachelle Opie
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
| | - David Crawford
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
| | - Stella O'Connell
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
| | - Kylie Ball
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia
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Mills Z, Wright K, D’Lima D. Applying the Behaviour Change Wheel to UK Local Authority Policy Documents: A Content Analysis in the Context of Financial Behaviour. Behav Sci (Basel) 2023; 13:991. [PMID: 38131848 PMCID: PMC10741065 DOI: 10.3390/bs13120991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 11/17/2023] [Accepted: 11/24/2023] [Indexed: 12/23/2023] Open
Abstract
Local authorities in the UK often try to improve their residents' financial well-being by promoting changes in behaviour. The extent to which these behaviour change activities are based on relevant theory or evidence is unknown. This research aims to retrospectively analyse the content of local authorities' policies to identify opportunities for improvement. The Action, Actor, Context, Target, Time (AACTT) framework was used to assess the specification of target behaviours. The Behaviour Change Wheel (BCW) process was used to assess intervention content. Within the policy documents, target behaviours were not consistently specified in terms of the AACTT criteria. Descriptions of interventions lacked detail with 28% unable to be categorised and there was a reliance on Education (46%) to change financial behaviour. The designing and reporting of interventions to change residents' financial behaviour were not always aligned with behavioural science evidence and utilising systematic frameworks could help local authorities achieve policy objectives.
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Affiliation(s)
- Zach Mills
- Centre for Behaviour Change, Department of Clinical, Educational and Health Psychology, University College London, London WC1E 7HB, UK
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Ma R, Wang Y, Wang XQ, Yu K, Zhang CC, Zhou YQ. Analysis of hindering and facilitating factors of help-seeking behavior in schizophrenia based on COM-B model: a descriptive qualitative study. BMC Psychiatry 2023; 23:770. [PMID: 37867190 PMCID: PMC10591348 DOI: 10.1186/s12888-023-05226-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 09/27/2023] [Indexed: 10/24/2023] Open
Abstract
BACKGROUND Timely and systematic professional treatment is crucial in schizophrenia prognosis, but the global rate of mental health service, now, use or help-seeking behavior is low. METHODS In-depth semi-structured interviews were conducted with 13 participants with the diagnosis of schizophrenia between October to December 2021. The participants were purposively sampled from a psychiatric hospital's. Interviews were recorded and transcribed verbatim into NVivo 12.0. RESULTS The findings were summarized under 3 themes and 12 subthemes: (1) capability (lack of knowledge due to insufficient mental health literacy or lack of insight, inability to access disease information due to a lack of mental health literacy, and symptoms-related barriers); (2) opportunity (lack of disease information sources, inability to balance work and study during prolonged hospitalization, accessibility and convenience of medical resources, and the acquisition and utilization of social support); and (3) motivation (awareness of the disease and professional treatment, negative experiences of disease episodes, past medical experience, confidence in tcuring the disease, and the fulfillment of daily life and self-worth). CONCLUSION The medical help-seeking behavior of people with the diagnosis of schizophrenia is the result of the interaction of many barriers and facilitators, and challenges persist today. Interventions can be implemented with the BCW framework and our results to precisely eliminate delays in the diagnosis and treatment of mental problems.
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Affiliation(s)
- Rui Ma
- Department of Nursing, Harbin Medical University, Harbin, 150081, Heilongjiang, China
| | - Yu Wang
- Department of Nursing, Fu Wai Central China Cardiovascular Hospital, Zhengzhou, 451460, Henan, China
| | - Xiao-Qing Wang
- Department of Nursing, Harbin Medical University, Harbin, 150081, Heilongjiang, China
| | - Kai Yu
- Department of Nursing, Harbin Medical University, Harbin, 150081, Heilongjiang, China
| | - Chen-Chen Zhang
- Department of Nursing, Harbin Medical University, Harbin, 150081, Heilongjiang, China
| | - Yu-Qiu Zhou
- Department of Nursing, Harbin Medical University, Harbin, 150081, Heilongjiang, China.
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AlMarzooqi MA, Alsukait RF, Aljuraiban GS, Alothman SA, AlAhmed R, Rakic S, Herbst CH, Al-Hazzaa HM, Alqahtani SA. Comprehensive assessment of physical activity policies and initiatives in Saudi Arabia 2016-2022. Front Public Health 2023; 11:1236287. [PMID: 37614443 PMCID: PMC10443594 DOI: 10.3389/fpubh.2023.1236287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 07/03/2023] [Indexed: 08/25/2023] Open
Abstract
Objective This study aimed to review health-enhancing physical activity (HEPA) policies and initiatives introduced in Saudi Arabia (SA) since 2016 and identify the gaps in their design and implementation. Methods A combination of methods was used, including semi-structured interviews with key informants from relevant entities (such as those from the ministries of health, education, sports, tourism, and other regulatory bodies) and a review of policy/initiative documents provided by them. Stakeholder mapping led by local experts and snowball sampling supported the identification of key informants. Three existing frameworks-the World Health Organization's HEPA Policy Audit Tool, the Global Observatory for Physical Activity (PA) Policy Inventory, and the European Monitoring Framework for PA Indicators-were used to develop data collection instruments. Results The review identified 44 policies/initiatives from different sectors. The Saudi Sports for All Federation is the leader in PA promotion and community sports development. However, there is a lack of multisectoral agenda and governance structures for PA promotion. The overlap between initiatives by different key informants results in duplication of efforts, including initiatives to promote PA among the general public led by competitive professional sports and community-based sports. Conclusion The study findings indicate that several policies/initiatives have been implemented in SA since 2016. However, there is a need to focus on the challenges or barriers that affect the sustainability of policies/initiatives. A system-based approach can help build on sectoral synergies, thereby accelerating progress in engaging the Saudi population with PA.
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Affiliation(s)
- Mezna A. AlMarzooqi
- Leaders Development Institute, Ministry of Sport, Riyadh, Saudi Arabia
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Reem F. Alsukait
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- World Bank Group, Washington, DC, United States
| | - Ghadeer S. Aljuraiban
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
- World Bank Group, Washington, DC, United States
| | - Shaima A. Alothman
- Lifestyle and Health Research Center, Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Reem AlAhmed
- Liver Transplant Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | | | | | - Hazzaa M. Al-Hazzaa
- Lifestyle and Health Research Center, Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Saleh A. Alqahtani
- Liver Transplant Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Division of Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, MD, United States
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Le Bodo Y, Fonteneau R, Diallo D, Harpet C, Hudebine H, Jabot F, Sherlaw W, Kendir C, Bourgueil Y, Breton E. Measuring local strategies to address the determinants of population health : development and application of the CLoterreS instrument. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.09.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Nikunlaakso R, Selander K, Oksanen T, Laitinen J. Interventions to reduce the risk of mental health problems in health and social care workplaces: A scoping review. J Psychiatr Res 2022; 152:57-69. [PMID: 35716510 DOI: 10.1016/j.jpsychires.2022.06.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 05/03/2022] [Accepted: 06/06/2022] [Indexed: 12/11/2022]
Abstract
Work in the health and social care sector is stressful, and work-related stress increases the risk of depression, anxiety, burnout, and sleep disorders. Although interventions to reduce stress and burnout at workplaces have been developed and studied, most studies have lacked the effectiveness to improve the situation. Thus, more knowledge on interventions and analysis of their mechanisms is needed to reduce the risk of more adverse mental health problems (MHP). We conducted a scoping review to identify the relevant literature on individual and organizational interventions to improve mental health in health and social care workplaces. Data were gathered on target groups, intervention types and their effectiveness, and the outcomes of the interventions. We summarized this data thematically. The final review consisted of 76 studies. Mental health interventions primarily focused on health care workers rather than social care professionals. The interventions were mostly directed at individual workers, ignoring organizational-level interventions. They used a great variety of outcomes and questionnaires, and the questionnaires that measured the outcomes were used ambiguously. In most cases, the reported effectiveness of the studied interventions was incoherent, and many of the interventions had both statistically significant and non-significant effects. Evidence that interventions reduce the risk of work-related MHP is scarce. High-quality randomized controlled trials of interventions to promote mental health with more coherently formed outcomes are needed, especially on the organizational level. More interventions to improve social care professionals' mental health are also needed.
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Affiliation(s)
| | | | - Tuula Oksanen
- University of Eastern Finland, Kuopio, 70210, Finland.
| | - Jaana Laitinen
- Finnish Institute of Occupational Health, Oulu, 90220, Finland.
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Butson M, Jeanes R. Identifying Strategies for Facilitating Physical Activity Among Older Adults: A Behaviour Change Wheel 'Retrofit' Driven Analysis of Victorian Local Government Policy. Health Promot J Austr 2022; 34:472-479. [PMID: 35661461 DOI: 10.1002/hpja.627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 05/11/2022] [Accepted: 05/31/2022] [Indexed: 11/11/2022] Open
Abstract
ISSUE ADDRESSED The significance of physical activity (PA) for the health and wellbeing of older adults is well documented. Local government (LG) publish PA policy and interventions to encourage and improve older adult PA participation. However, LG documents have rarely been studied to examine the extent to which LG incorporates evidence-based strategies into the development of older adult PA policy. METHODS The Behaviour Change Wheel (BCW) 'retrofitting' approach was used to identify and explain available evidence-based PA policies and interventions across 10 Victorian LGs. A document analysis was completed using LG policy and involved elements of content analysis and thematic analysis. RESULTS The analysis found 41 documents that included policy and interventions to encourage and improve PA among older adults. Some of the more popular BCW combinations included service provision and enablement and environmental/ social planning, and environmental restructuring. In addition, LGs embrace modifying the built environment and creating partnerships. However, our results suggest that some are not considering modelling or incentives to increase PA. CONCLUSIONS According to the BCWs, Acceptability, Practicability, Effectiveness, Affordability, Side-effects, and Equity (APEASE) criteria, it is not feasible for Victorian LGs to be including all intervention functions and supporting policy functions. However, contemporary older adult PA intervention literature suggests LGs could benefit from including incentives and modelling into current PA policy. SO WHAT?: This research is one of the first to identify and explain how Victorian LGs facilitate PA participation among older adults. This research will guide Victorian LGs when drafting and implementing PA policy in the future.
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The Development of the Psychological Determinants of Exercise Questionnaire for Japanese Older Adults: A Questionnaire Based Upon the Theoretical Domains Framework. J Aging Phys Act 2022; 30:857-871. [PMID: 35078152 DOI: 10.1123/japa.2021-0218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 11/19/2021] [Accepted: 12/06/2021] [Indexed: 11/18/2022]
Abstract
Japan has become a super-aged society. To overcome the negative implications of this, practitioners are increasingly using exercise-based interventions to reduce the requirement for long-term care among Japanese older adults. However, no comprehensive means of assessing the wide range of exercise behavioral determinants exists for this population. Thus, the principle aim of this study was to develop a questionnaire based upon the theoretical domains framework-a framework that has synthesized a wide range of behavior change theories. Completed responses were received from 1,000 Japanese older adults who resided in the Kansai area of Japan. Findings were suggestive of good reliability and validity for seven unique psychological determinants of exercise. This study was the first to provide a measurement tool related to a distinct range of psychological determinants of exercise among Japanese older adults.
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Oldenburg M, Jensen HJ. Are there differences between officers and ratings on merchant vessels concerning effort-reward imbalance: a cross-sectional maritime field study. Int Arch Occup Environ Health 2022; 95:131-140. [PMID: 34714395 PMCID: PMC8755692 DOI: 10.1007/s00420-021-01779-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 03/30/2021] [Indexed: 12/02/2022]
Abstract
PURPOSE Today, measures to economise in the operation of ships can cause either an effort-reward imbalance or health impairments. The goal of this study was to assess the risk of effort-reward imbalance including overcommitment among officers and ratings on merchant vessels during their assignments and to evaluate lifestyle factors of seafarers as well as the health-promoting conditions on board. METHODS A study sample of 308 male seafarers was examined during a total of 20 sea voyages on German container ships (participation rate 91.9%). RESULTS Only 11 seafarers were identified as having an increased health risk of an effort-reward imbalance (ER ratio > 1). Officers tended to have a higher risk of an elevated ratio than ratings (4.4% vs. 3.1%) and also showed a significantly higher risk of an ER ratio above the median (58.8% vs. 41.8%; p = 0.022). Compared to land-based populations, the average overcommitment score of seafarers was high (17.9)-particularly among officers (20.3 vs. 16.5; p = 0.031). This corresponded to an elevated risk of overcommitment among officers compared to ratings (OR 2.14; 95% CI 1.78-2.37). This elevated risk remained significant after adjustment for age (OR 2.11; 95% CI 1.76-2.35) and job-related stressors. CONCLUSION Although an elevated risk of effort-reward imbalance was only observed in few seafarers, this study revealed a high prevalence of overcommitment particularly among officers. In the course of time, overcommitment can lead to mental exhaustion. Therefore, shipboard health-promoting conditions need to be optimised.
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Affiliation(s)
- Marcus Oldenburg
- Institute for Occupational and Maritime Medicine Hamburg (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstrasse 10, 20459, Hamburg, Germany.
| | - Hans-Joachim Jensen
- Institute for Occupational and Maritime Medicine Hamburg (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Seewartenstrasse 10, 20459, Hamburg, Germany
- Flensburg University of Applied Sciences, Flensburg, Germany
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Pirotta S, Joham AJ, Moran LJ, Skouteris H, Lim SS. Implementation of evidence-based PCOS lifestyle management guidelines: Perceived barriers and facilitators by consumers using the Theoretical Domains Framework and COM-B Model. PATIENT EDUCATION AND COUNSELING 2021; 104:2080-2088. [PMID: 33581970 DOI: 10.1016/j.pec.2021.01.036] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 01/21/2021] [Accepted: 01/30/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND The 2018 Evidence-Based Polycystic Ovary Syndrome (PCOS) Clinical Guidelines recommend lifestyle management as first-line treatment for PCOS, yet implementation of PCOS lifestyle programs into practice is not well understood. OBJECTIVE To complete systematic intervention mapping by identifying the facilitators and barriers to lifestyle management in women with PCOS using the theoretical domains framework (TDF) and the Capacity, Opportunity, Motivation and Behaviour model (COM-B). PATIENT INVOLVEMENT Women (N = 20) in Australian with PCOS were interviewed. METHODS Telephone semi-structured interviews. RESULTS Nine themes mapped onto seven TDF domains and the COM-B. Capability: psychological co-morbidities, knowledge and awareness of lifestyle change and ability to identify and resolve barriers. Opportunity: presence of other medical conditions, access to practical resources and availability of social support. MOTIVATION outcomes expectancies of lifestyle behaviour, personal values, enjoyment and readiness to change and the impact of stress on lifestyle choices. DISCUSSION This is the first study to explore barriers and facilitators to lifestyle change from the perspectives of women with PCOS using the TDF and COM-B. Addressing these themes will facilitate patient-centred care and long-term behaviour change. PRACTICAL IMPLICATIONS May increase the efficacy and effectiveness of PCOS lifestyle programs and reduce the risk of PCOS-associated disease in this population.
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Affiliation(s)
- Stephanie Pirotta
- Monash Centre for Health Research and Implementation, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia.
| | - Anju J Joham
- Monash Centre for Health Research and Implementation, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia; Department of Diabetes, Monash Health, Melbourne, Australia
| | - Lisa J Moran
- Monash Centre for Health Research and Implementation, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia
| | - Helen Skouteris
- Monash Centre for Health Research and Implementation, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia; Warwick Business School, Warwick University, Coventry, UK
| | - Siew S Lim
- Monash Centre for Health Research and Implementation, Monash University, Level 1, 43-51 Kanooka Grove, Clayton, VIC 3168, Australia
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Durand H, Mc Sharry J, Meade O, Byrne M, Kenny E, Lavoie KL, Molloy GJ. Content analysis of behaviour change techniques in government physical distancing communications for the reopening of schools during the COVID-19 pandemic in Ireland. HRB Open Res 2021. [DOI: 10.12688/hrbopenres.13357.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Effective government communications and leadership are central to the management of pandemics. Behavioural science can offer important insight into the development of such communications strategies. The extent to which established behaviour-change science is reflected in current government messaging campaigns to promote adherence to physical distancing measures in the context of the coronavirus disease 2019 (COVID-19) pandemic is unclear. The current study aimed to describe the behaviour-change content of a set of government-issued poster communications for the reopening of schools in Ireland during the COVID-19 pandemic in September 2020. Methods: Posters targeting physical distancing behaviours in school settings were retrieved from the Government of Ireland website for analysis. Posters were independently coded for behaviour change techniques (BCTs) using the BCT Taxonomy Version 1, a hierarchically clustered taxonomy of 93 distinct BCTs across 16 groups. The Theories and Techniques tool was used to identify mechanisms of action (MoAs) linked to each of the identified BCTs. Eight posters were independently content-analysed by two members of the research team for BCTs and linked MoAs. Results: Eight unique BCTs from six unique groups were identified in at least one poster. These BCTs were linked with 11 unique MoAs through which behaviour change is theorised to occur. Several theoretically important groups of BCTs, such as Natural Consequences, Social Support, Shaping Knowledge, and Comparison of Behaviour, were underutilised or not included in any of the posters. Conclusion: Future poster communications could benefit from including additional BCTs from key groups, particularly Natural Consequences. This article provides proof-of-concept evidence for future evaluations of government public health communications for behaviour-change content using existing taxonomies and tools.
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Presseau J, Byrne-Davis LMT, Hotham S, Lorencatto F, Potthoff S, Atkinson L, Bull ER, Dima AL, van Dongen A, French D, Hankonen N, Hart J, Ten Hoor GA, Hudson K, Kwasnicka D, van Lieshout S, McSharry J, Olander EK, Powell R, Toomey E, Byrne M. Enhancing the translation of health behaviour change research into practice: a selective conceptual review of the synergy between implementation science and health psychology. Health Psychol Rev 2021; 16:22-49. [PMID: 33446062 DOI: 10.1080/17437199.2020.1866638] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Health psychology is at the forefront of developing and disseminating evidence, theories, and methods that have improved the understanding of health behaviour change. However, current dissemination approaches may be insufficient for promoting broader application and impact of this evidence to benefit the health of patients and the public. Nevertheless, behaviour change theory/methods typically directed towards health behaviours are now used in implementation science to understand and support behaviour change in individuals at different health system levels whose own behaviour impacts delivering evidence-based health behaviour change interventions. Despite contributing to implementation science, health psychology is perhaps doing less to draw from it. A redoubled focus on implementation science in health psychology could provide novel prospects for enhancing the impact of health behaviour change evidence. We report a Health Psychology Review-specific review-of-reviews of trials of health behaviour change interventions published from inception to April 2020. We identified 34 reviews and assessed whether implementation readiness of behaviour change interventions was discussed. We then narratively review how implementation science has integrated theory/methods from health psychology and related discipline. Finally, we demonstrate how greater synergy between implementation science and health psychology could promote greater follow-through on advances made in the science of health behaviour change.
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Affiliation(s)
- Justin Presseau
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.,School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.,School of Psychology, University of Ottawa, Ottawa, Canada
| | | | - Sarah Hotham
- Centre for Health Services Studies, University of Kent, Canterbury, UK
| | | | - Sebastian Potthoff
- Department of Social Work, Education, and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK
| | - Lou Atkinson
- School of Psychology, Aston University, Birmingham, UK
| | - Eleanor R Bull
- Research Centre for Health, Psychology and Communities, Manchester Metropolitan University, Manchester, UK
| | - Alexandra L Dima
- Health Services and Performance Research, University Claude Bernard Lyon 1, Lyon, France
| | | | - David French
- School of Health Sciences & Manchester Centre for Health Psychology, University of Manchester, Manchester, UK
| | - Nelli Hankonen
- Social Psychology, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland
| | - Jo Hart
- Division of Medical Education, University of Manchester, Manchester, UK
| | - Gill A Ten Hoor
- Dept of Work & Social Psychology, Maastricht University, Maastricht, The Netherlands.,Dept of Health Promotion and Behavioral Sciences, The University of Texas School of Public Health, Houston, TX, USA
| | - Kristian Hudson
- Centre for Aging and Rehabilitation, Bradford Institute for Health Research, Bradford, UK
| | - Dominika Kwasnicka
- Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.,NHMRC CRE in Digital Technology to Transform Chronic Disease Outcomes, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
| | - Sanne van Lieshout
- Team Advies & Onderzoek, Municipal Health Service (GGD) Kennemerland, Haarlem, the Netherlands
| | - Jennifer McSharry
- Health Behaviour Change Research Group, National University of Ireland, Galway, Ireland
| | - Ellinor K Olander
- Centre for Maternal and Child Health Research, School of Health Sciences, City, University of London, London, United Kingdom
| | - Rachael Powell
- School of Health Sciences & Manchester Centre for Health Psychology, University of Manchester, Manchester, UK
| | - Elaine Toomey
- Health Behaviour Change Research Group, National University of Ireland, Galway, Ireland.,School of Allied Health, University of Limerick, Limerick, Ireland
| | - Molly Byrne
- Health Behaviour Change Research Group, National University of Ireland, Galway, Ireland
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Durand H, Bacon SL, Byrne M, Kenny E, Lavoie KL, McGuire BE, Mc Sharry J, Meade O, Mooney R, Noone C, O'Connor LL, O'Flaherty K, Molloy GJ. Identifying and addressing psychosocial determinants of adherence to physical distancing guidance during the COVID-19 pandemic - project protocol. HRB Open Res 2020; 3:58. [PMID: 33490860 PMCID: PMC7791346 DOI: 10.12688/hrbopenres.13090.2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/11/2020] [Indexed: 01/20/2023] Open
Abstract
Optimising public health physical distancing measures has been a critical part of the global response to the spread of COVID-19. Evidence collected during the current pandemic shows that the transmission rate of the virus is significantly reduced following implementation of intensive physical distancing measures. Adherence to these recommendations has been poorer than adherence to other key transmission reduction behaviours such as handwashing. There are a complex range of reasons that are likely to predict why people do not or only partially adhere to physical distancing recommendations. In the current project we aim to address the following research questions: (1) What are the psychosocial determinants of physical distancing for the general public and for key socio-demographic sub-groups (e.g., young adults, older adults, etc.)?; (2) Do current Government of Ireland COVID-19 physical distancing communications address the determinants of physical distancing?; and (3) How can communications be optimised and tailored to sub-groups to ensure maximum adherence to guidelines? These will be addressed by conducting three work packages (WPs). In WP1, we will work closely with the iCARE international study, which includes a large online survey of public responses to measures established to reduce and slow the spread of COVID-19, including physical distancing. We will analyse Irish data, comparing it to data from other countries, to identify the key psychosocial determinants of physical distancing behaviour. This will be followed by a qualitative study to explore in depth the barriers and facilitators of physical distancing behaviour among the Irish public (WP2). In WP3, we will conduct a content analysis and evidence mapping of current government messaging around physical distancing, to ensure the findings from this research feed into the development of ongoing communication and future messaging about physical distancing.
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Affiliation(s)
- Hannah Durand
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Simon L. Bacon
- Montreal Behavioural Medicine Centre, Hôpital Sacré-Cœur de Montréal, Montreal, Quebec, QC H4J 1C5, Canada
- Department of Health, Kinesiology & Applied Physiology, Concordia University, Montreal, Quebec, QC H4B 2A7, Canada
| | - Molly Byrne
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Eanna Kenny
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Kim L. Lavoie
- Montreal Behavioural Medicine Centre, Hôpital Sacré-Cœur de Montréal, Montreal, Quebec, QC H4J 1C5, Canada
- Department of Psychology, University of Quebec at Montreal, Montreal, Quebec, QC H2L 2C4, Canada
| | - Brian E. McGuire
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Jenny Mc Sharry
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Oonagh Meade
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Robert Mooney
- Communications, Department of Health, Government of Ireland, Dublin, D02 XW14, Ireland
| | - Chris Noone
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Laura L. O'Connor
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
| | - Kate O'Flaherty
- Health and Wellbeing, Department of Health, Government of Ireland, Dublin, D02 XW14, Ireland
| | - Gerard J. Molloy
- School of Psychology, National University of Ireland, Galway, Galway, H91 EV56, Ireland
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Walker RAJ, Colclough M, Limbert C, Smith PM. Perceived barriers to, and benefits of physical activity among British military veterans that are wounded, injured, and/or sick: a Behaviour Change Wheel perspective. Disabil Rehabil 2020; 44:901-909. [PMID: 32568568 DOI: 10.1080/09638288.2020.1781940] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Purpose: Many British military veterans that are wounded, injured, and/or sick (WIS) face significant physical, psychological and social challenges following discharge from the military. There is increasing evidence to support the application and benefit of physical activity for veterans that are WIS. Understanding engagement in physical activity is therefore imperative so that physical activity interventions and initiatives can be designed effectively, and their benefits optimised. Therefore, the aim of this study is to identify the perceived barriers to, and benefits of physical activity among veterans that are WIS.Materials and methods: Nine semi-structured interviews were conducted to explore perceived barriers to, and benefits of physical activity amongst veterans that are WIS. A thematic analysis was conducted, and themes mapped to the Behaviour Change Wheel's capability, opportunity, motivation-behaviour (COM-B) model.Results: Perceptions related to physical capability, psychological capability, physical opportunity and reflective motivation were predominant barriers to engagement in physical activity. As well providing opportunities to socialise, the perceived benefits of engagement in physical activity seemed to mirror the perceived barriers, suggesting a reciprocal relationship.Conclusions: Using the Behaviour Change Wheel, incentivisation, education, persuasion, enablement and environmental restructuring were identified as potentially beneficial intervention functions when seeking to increase levels of physical activity among veterans that are WIS living within the United Kingdom.IMPLICATIONS FOR REHABILITATIONUK-based veterans that are wounded, injured, and/or sick (WIS) often face significant challenges with respect to physical, mental, and social well-being.Perceived barriers, in the form of limited opportunities and a self-perceived lack of capability impact on levels of motivation and are viewed as obstacles to becoming physically active by veterans that are WIS.Providing education and complementary incentives may help reduce the extent of perceived barriers in veterans that are WIS.Approaches that allow veterans that are WIS to socialise while developing self-efficacy will likely increase physical activity engagement.
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Affiliation(s)
- Robert A J Walker
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - Martin Colclough
- Help for Heroes: United Kingdom Armed Forces and Military Veterans Charity, Tedworth House, England, UK
| | - Caroline Limbert
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - Paul M Smith
- School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
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16
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Guidance for behavioural interventions aiming to support family support providers of people with spinal cord injury: A scoping review. Soc Sci Med 2020; 246:112456. [DOI: 10.1016/j.socscimed.2019.112456] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Revised: 06/17/2019] [Accepted: 07/28/2019] [Indexed: 01/07/2023]
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17
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Lusa S, Punakallio A, Mänttäri S, Korkiakangas E, Oksa J, Oksanen T, Laitinen J. Interventions to promote work ability by increasing sedentary workers' physical activity at workplaces - A scoping review. APPLIED ERGONOMICS 2020; 82:102962. [PMID: 31568961 DOI: 10.1016/j.apergo.2019.102962] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 07/27/2019] [Accepted: 09/23/2019] [Indexed: 06/10/2023]
Abstract
Although worksite interventions increase physical activity, little is known about their effects on work ability. The objective of this scoping review was to examine the extent, range and nature of interventions to promote work ability by increasing the physical activity or decreasing the sedentary time of sedentary workers in order to identify implications for health promotion at workplaces. We searched Medline, Cochrane Central, and Scopus and identified 29 intervention studies. Using an iterative method, we provided an overview of the study elements and extracted details on study sample, design, intervention content, outcomes, and beneficial effects. Most of the studies (N = 25) were RCTs. Thirteen studies reported beneficial effects on work ability. Tailored and group-based interventions and interventions including environmental actions were often beneficial (9/13). We identified features of feasible and effective interventions for promoting work ability by increasing the physical activity or decreasing the sedentary time of sedentary workers. However, more studies are needed on the sustainability of these effects, and versatile interventions tailored to workers and work demands.
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Affiliation(s)
- Sirpa Lusa
- Finnish Institute of Occupational Health (FIOH), Tampere, Finland.
| | - Anne Punakallio
- Finnish Institute of Occupational Health (FIOH), Helsinki, Finland.
| | - Satu Mänttäri
- Finnish Institute of Occupational Health (FIOH), Oulu, Finland.
| | | | - Juha Oksa
- Finnish Institute of Occupational Health (FIOH), Oulu, Finland.
| | - Tuula Oksanen
- Finnish Institute of Occupational Health (FIOH), Turku, Finland.
| | - Jaana Laitinen
- Finnish Institute of Occupational Health (FIOH), Oulu, Finland.
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Norris E, O'Connor DB. Science as behaviour: Using a behaviour change approach to increase uptake of open science. Psychol Health 2019; 34:1397-1406. [PMID: 31661325 DOI: 10.1080/08870446.2019.1679373] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Emma Norris
- UCL Centre for Behaviour Change, University College London, London, UK
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19
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Tambalis KD, Panagiotakos DB, Psarra G, Sidossis LS. Concomitant Associations between Lifestyle Characteristics and Physical Activity Status in Children and Adolescents. J Res Health Sci 2019; 19:e00439. [PMID: 31133628 PMCID: PMC6941623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Accepted: 03/02/2019] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND To examine the concomitant associations between physical activities (PA) and lifestyle factors in a representative sample of children and adolescents. STUDY DESIGN Cross-sectional, observational study. METHODS Population data were derived from a school-based health survey carried out in 2015 on 177,091 (51% boys) Greek children aged 8 to 17 yr old. PA, sedentary activities and sleeping habits were assessed through self-completed questionnaires. Dietary habits were evaluated using the Mediterranean Diet Quality Index for children and adolescents. Anthropometric and physical fitness measurements were obtained by trained investigators. Logistic regression models were estimated and adjusted for relevant covariates. RESULTS More boys as compared to girls (65.1% vs. 50.7%, P<0.001) and children than adolescents (59.8% vs. 52.8%, P<0.001) met the recommendations for PA. Frequent fast food consumption and skipping breakfast were associated with inadequate PA levels. In the whole population, sufficient dietary habits, sufficient (>8-9 h/d) sleeping and accepted screen time increased the participant's odds of adequate PA levels by 38% (95% CI: 1.32, 1.44), 5% (95% CI: 1.01, 1.09) and 21% (95% CI: 1.16, 1.26), respectively, while, overweight/obese and central obesity decreased the odds of adequate PA levels by 7% and 5%, respectively, after adjusting for several covariates. Participants with combination of healthy aerobic fitness/dietary habits/screen time had 60% increased odds for adequate PA levels than those with unhealthy choices. CONCLUSION Healthy aerobic fitness, dietary habits and screen time were strongly associated with PA status among children. The results support the development of interventions to help children adopt a healthy lifestyle.
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Affiliation(s)
- Konstantinos D Tambalis
- 1 Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - Demosthenes B Panagiotakos
- 1 Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - Glyceria Psarra
- 1 Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
| | - Labros S Sidossis
- 1 Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, Athens, Greece
,2 Department of Kinesiology and Health, Rutgers University, New Brunswick, NJ 08901, USA
,Correspondence: Labros S Sidossis (PhD) Tel: +1848 932 9512 Fax: +1848 932 9512 E-mail:
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20
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It Is Time to Make Policy for Healthier Food Environments in Australian Universities. Nutrients 2018; 10:nu10121909. [PMID: 30518049 PMCID: PMC6316519 DOI: 10.3390/nu10121909] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Accepted: 11/30/2018] [Indexed: 11/16/2022] Open
Abstract
The obesogenic food environment is likely driving excessive weight gain in young adults. Our study aimed to investigate the nutritional quality of current food and drink offerings in an Australian university. This cross-sectional study included baseline environmental audits of 30 food outlets and 62 vending machines across campus. A recent food and drink benchmark for health facilities by state government was used to classify the food and beverage offerings. It recommended food outlets and vending machines to offer at least 75% 'Everyday' (healthy) and less than 25% 'Occasional' (less healthy) foods and drinks. Sugary drinks and options with large portion sizes and unhealthy ingredients should be removed from sale. Only two beverage vending machines and none of the food outlets met the full recommendations. The overall proportions of Everyday and Occasional foods in food outlets were 35% and 22%, respectively with 43% falling into the category that should not be sold. Sugary drinks occupied a third of beverage varieties in outlets and 38% of beverage slots in vending machines. The current university food environment was poorly compliant with the existing benchmark. Specific food policy in the university setting may be needed to make healthier choices more accessible to young adults.
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Klepac Pogrmilovic B, O’Sullivan G, Milton K, Biddle SJH, Bauman A, Bull F, Kahlmeier S, Pratt M, Pedisic Z. A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies. Int J Behav Nutr Phys Act 2018; 15:123. [PMID: 30486826 PMCID: PMC6263060 DOI: 10.1186/s12966-018-0742-9] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Accepted: 10/25/2018] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND National policy approaches to physical activity (PA) promotion and sedentary behaviour (SB) reduction are needed to address rising rates of non-communicable diseases. Understanding the policy process and impact through robust research and evaluation is crucial for facilitating successful reforms in national health policy. This scoping review, therefore, aimed to map the evidence on indicators, development, and content of national PA and/or SB policies globally. METHODS A systematic search of academic and grey literature was conducted through six bibliographic databases, Google, and websites of three large organisations for PA promotion. RESULTS Out of 24,872 screened documents, 203 publications from 163 studies were selected. The selected studies investigated PA/SB policies in 168 countries worldwide, and we provided summary results for each of the countries. Overall, 69, 29, and 2% of the analyses of national PA/SB policies were conducted for high-, middle-, and low-income countries, respectively. Twenty-two percent of the studies mentioned SB policies as part of their analysis, with only one study focusing solely on assessing SB policies. Operational definitions of policy were found in only 13% of publications. Only 15% of the studies used a conceptual or theoretical framework. A large variety of methods were used for data collection and analysis of PA/SB policy. CONCLUSIONS We found that PA policy research is much more developed than it was considered several years ago. Research around SB policies is still in its infancy, but it seems to have experienced some positive progress in the last few years. Three key issues were identified that should be addressed in further research: [i] there is a lack of PA/SB policy research in low- and middle-income countries, which is an important limitation of the current body of evidence; [ii] the definition of policy varied significantly across studies, and most studies did not rely on any theoretical framework, which may impede cross-study comparisons; and [iii] studies have used a variety of methods to analyse policy, which may also cause problems with comparability. Future PA/SB policy research should aim towards a clearer conceptualisation of policy, greater reliance on existing theoretical frameworks, and the use and further development of standardised methods for PA/SB policy analysis.
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Affiliation(s)
- Bojana Klepac Pogrmilovic
- Institute for Health and Sport, Victoria University, Ballarat Road, Footscray, Melbourne, VIC 3001 Australia
| | - Grant O’Sullivan
- Institute for Health and Sport, Victoria University, Ballarat Road, Footscray, Melbourne, VIC 3001 Australia
| | - Karen Milton
- Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, Norfolk, NR4 7TJ UK
| | - Stuart J. H. Biddle
- Institute for Resilient Regions, University of Southern Queensland, 37 Sinnathamby Boulevard, Springfield Central, QLD 4300 Australia
| | - Adrian Bauman
- Sydney School of Public Health, University of Sydney, Camperdown, Sydney, NSW Australia
| | - Fiona Bull
- Surveillance and Population Based Prevention, Prevention of Noncommunicable Disease, World Health Organization, Geneva 27, Switzerland
- Faculty of Human Science, The University of Western Australia, Perth, Australia
| | - Sonja Kahlmeier
- Epidemiology, Biostatistics, and Prevention Institute, University of Zürich, Hirschengraben 84, 8001 Zürich, Switzerland
| | - Michael Pratt
- San Diego School of Medicine, University of California, 9500 Gilman Drive, San Diego, USA
| | - Zeljko Pedisic
- Institute for Health and Sport, Victoria University, Ballarat Road, Footscray, Melbourne, VIC 3001 Australia
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