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Kolovelonis A, Syrmpas I, Marcuzzi A, Khudair M, Ng K, Tempest GD, Peric R, Bartoš F, Maier M, Brandes M, Carlin A, Ciaccioni S, Cortis C, Corvino C, Di Credico A, Drid P, Gallè F, Izzicupo P, Jahre H, Kongsvold A, Kouidi E, Mork PJ, Palumbo F, Rumbold PLS, Sandu P, Stavnsbo M, Vilela S, Woods C, Wunsch K, Capranica L, MacDonncha C, Ling FCM. DE-PASS best evidence statement (BESt): determinants of adolescents' device-based physical activity and sedentary behaviour in settings: a systematic review and meta-analysis. BMC Public Health 2024; 24:1706. [PMID: 38926707 PMCID: PMC11202347 DOI: 10.1186/s12889-024-19136-y] [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: 10/25/2023] [Accepted: 06/13/2024] [Indexed: 06/28/2024] Open
Abstract
BACKGROUND Although physical activity (PA) is associated with significant health benefits, only a small percentage of adolescents meet recommended PA levels. This systematic review with meta-analysis explored the modifiable determinants of adolescents' device-based PA and/or sedentary behaviour (SB), evaluated in previous interventions and examined the associations between PA/SB and these determinants in settings. METHODS A search was conducted on five electronic databases, including papers published from January 2010 to July 2023. Randomized Controlled Trials (RCTs) or Controlled Trials (CTs) measuring adolescents' device-based PA/SB and their modifiable determinants at least at two time points: pre- and post-intervention were considered eligible. PA/SB and determinants were the main outcomes. Modifiable determinants were classified after data extraction adopting the social-ecological perspective. Robust Bayesian meta-analyses (RoBMA) were performed per each study setting. Outcomes identified in only one study were presented narratively. The risk of bias for each study and the certainty of the evidence for each meta-analysis were evaluated. The publication bias was also checked. PROSPERO ID CRD42021282874. RESULTS Fourteen RCTs (eight in school, three in school and family, and one in the family setting) and one CT (in the school setting) were included. Fifty-four modifiable determinants were identified and were combined into 33 broader determinants (21 individual-psychological, four individual-behavioural, seven interpersonal, and one institutional). RoBMAs revealed none or negligible pooled intervention effects on PA/SB or determinants in all settings. The certainty of the evidence of the impact of interventions on outcomes ranged from very low to low. Narratively, intervention effects in favour of the experimental group were detected in school setting for the determinants: knowledge of the environment for practicing PA, d = 1.84, 95%CI (1.48, 2.20), behaviour change techniques, d = 0.90, 95%CI (0.09, 1.70), choice provided, d = 0.70, 95%CI (0.36, 1.03), but no corresponding effects on PA or SB were found. CONCLUSIONS Weak to minimal evidence regarding the associations between the identified modifiable determinants and adolescents' device-based PA/SB in settings were found, probably due to intervention ineffectiveness. Well-designed and well-implemented multicomponent interventions should further explore the variety of modifiable determinants of adolescents' PA/SB, including policy and environmental variables.
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Affiliation(s)
- Athanasios Kolovelonis
- Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece.
| | - Ioannis Syrmpas
- Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece
| | - Anna Marcuzzi
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Mohammed Khudair
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | - Kwok Ng
- Faculty of Education, University of Turku, Turku, Finland
- Department of Physical Education and Sport Sciences, Physical Activity for Health Centre, University of Limerick, Limerick, Ireland
- Institute of Innovation and Sports Science, Lithuanian Sports University, Kaunas, Lithuania
| | - Gavin Daniel Tempest
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | - Ratko Peric
- Exercise Physiology Laboratory, OrthoSport Banja Luka, Banja Luka, Bosnia-Herzegovina
| | - František Bartoš
- Department of Psychological Methods, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Mirko Brandes
- Department of Prevention and Evaluation, Leibniz, Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Angela Carlin
- Centre for Exercise Medicine, Physical Activity and Health, Sport and Exercise Sciences Research Institute, Ulster University, Belfast, UK
| | - Simone Ciaccioni
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Cristina Cortis
- Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Cassino, Italy
| | - Chiara Corvino
- Faculty of Economics, Department of Psychology, Universita Cattolica del Sacro Cuore, Milan, Italy
| | - Andrea Di Credico
- Department of Medicine and Aging Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Francesca Gallè
- Department of Medical, Movement and Wellbeing Sciences, University of Naples "Parthenope", Naples, Italy
| | - Pascal Izzicupo
- Department of Medicine and Aging Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy
| | - Henriette Jahre
- Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway
| | - Atle Kongsvold
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Evangelia Kouidi
- Laboratory of Sports Medicne, Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Paul Jarle Mork
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Federico Palumbo
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | | | - Petru Sandu
- Health Promotion and Evaluation, National Institute of Public Health in Romania, Bucharest, Romania
| | - Mette Stavnsbo
- Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Sofia Vilela
- EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal
| | - Catherine Woods
- Physical Activity for Health Cluster, Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Kathrin Wunsch
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Laura Capranica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Ciaran MacDonncha
- Physical Activity for Health Cluster, Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Fiona Chun Man Ling
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
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Cowley ES, Foweather L, Watson PM, Belton S, Thompson A, Thijssen D, Wagenmakers AJM. What Happened in 'The HERizon Project'?-Process Evaluation of a Multi-Arm Remote Physical Activity Intervention for Adolescent Girls. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:966. [PMID: 35055786 PMCID: PMC8775378 DOI: 10.3390/ijerph19020966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 12/31/2021] [Accepted: 01/13/2022] [Indexed: 02/05/2023]
Abstract
This mixed-methods process evaluation examines the reach, recruitment, fidelity, adherence, acceptability, mechanisms of impact, and context of remote 12-week physical activity (PA) interventions for adolescent girls named The HERizon Project. The study was comprised of four arms-a PA programme group, a behaviour change support group, a combined group, and a comparison group. Data sources included intervention deliverer and participant logbooks (100 and 71% respective response rates, respectively), exit surveys (72% response rate), and semi-structured focus groups/interviews conducted with a random subsample of participants from each of the intervention arms (n = 34). All intervention deliverers received standardised training and successfully completed pre-intervention competency tasks. Based on self-report logs, 99% of mentors adhered to the call guide, and 100% of calls and live workouts were offered. Participant adherence and intervention receipt were also high for all intervention arms. Participants were generally satisfied with the intervention components; however, improvements were recommended for the online social media community within the PA programme and combined intervention arms. Autonomy, sense of accomplishment, accountability, and routine were identified as factors facilitating participant willingness to adhere to the intervention across all intervention arms. Future remote interventions should consider structured group facilitation to encourage a genuine sense of community among participants.
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Affiliation(s)
- Emma S. Cowley
- Research Institute of Sport and Exercise Science, Liverpool John Moores University, Liverpool L3 3AF, UK; (E.S.C.); (L.F.); (P.M.W.)
| | - Lawrence Foweather
- Research Institute of Sport and Exercise Science, Liverpool John Moores University, Liverpool L3 3AF, UK; (E.S.C.); (L.F.); (P.M.W.)
| | - Paula M. Watson
- Research Institute of Sport and Exercise Science, Liverpool John Moores University, Liverpool L3 3AF, UK; (E.S.C.); (L.F.); (P.M.W.)
| | - Sarahjane Belton
- School of Health and Human Performance, Dublin City University, D09 NA55 Dublin, Ireland;
| | - Andrew Thompson
- Wolfson Centre for Personalised Medicine, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool L69 3BX, UK;
| | - Dick Thijssen
- Radboud Institute of Health Sciences, Department of Physiology, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands;
| | - Anton J. M. Wagenmakers
- Research Institute of Sport and Exercise Science, Liverpool John Moores University, Liverpool L3 3AF, UK; (E.S.C.); (L.F.); (P.M.W.)
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