Return to Everyday Activity in the Community and Home: a feasibility study for a lifestyle intervention to sit less, move more, and be strong.
Balance and strength
Dual-process theory of behavior change
Habit strength
Physical activity identity
Journal
Pilot and feasibility studies
ISSN: 2055-5784
Titre abrégé: Pilot Feasibility Stud
Pays: England
ID NLM: 101676536
Informations de publication
Date de publication:
2019
2019
Historique:
received:
17
09
2018
accepted:
13
06
2019
entrez:
13
7
2019
pubmed:
13
7
2019
medline:
13
7
2019
Statut:
epublish
Résumé
Many interventions designed to meet physical activity guideline recommendations focus on a single component (e.g., walking), to the detriment of other elements of a healthy lifestyle, such as reducing prolonged sitting and doing balance and strength exercises (i.e., bundled multiple behaviors). Adopting these multiple health behaviors within daily life routines may facilitate uptake and support longer-term behavior change. We tested feasibility for a three-part lifestyle intervention to support older women to sit less, move more, and complete balance and strength exercises. We used a convergent parallel mixed-methods, single-arm study design to test feasibility for a 6-week lifestyle intervention: Return to Everyday Activities in the Community and Home (REACH). We collected information at baseline, 3 and 6 weeks (final), and 6 months (follow-up) using questionnaires, semi-structured interviews, and performance-based measures. We describe three key elements: (1) implementation factors such as recruitment, retention, program delivery, and adherence; (2) participants' acceptability and experience with the program; and (3) health outcomes, including participants' global mobility, activity, and perceptions of their physical activity identity, and habit strength for (i) physical activity, (ii) breaking up sitting time, and (iii) balance and strength exercises. We were able to recruit enough participants in the allotted time to conduct one cycle of the REACH group-based program. There were 10 community-dwelling women, median (p25, p75) age 61 (57.5, 71) years, who completed the study. The program was feasible to deliver, with high attendance (mean 5/6 sessions) and positive overall ratings (8/10). Participants rated session content and length high, and educational materials as highly acceptable and understandable. Although participants were active walkers at baseline, few were breaking up prolonged sitting or participating in any balance and strength exercises. At final and follow-up assessments, participants reported developing habits for all three health behaviors, without diminishing physical activity. These results show acceptability of the program and its materials, and feasibility for bundling multiple health behaviors within the REACH program. It also provides confirmation to advance to testing feasibility of this three-part lifestyle intervention with older, less active, adults. ClinicalTrials.gov Identifier, NCT02786394; May 18, 2016.
Sections du résumé
BACKGROUND
BACKGROUND
Many interventions designed to meet physical activity guideline recommendations focus on a single component (e.g., walking), to the detriment of other elements of a healthy lifestyle, such as reducing prolonged sitting and doing balance and strength exercises (i.e., bundled multiple behaviors). Adopting these multiple health behaviors within daily life routines may facilitate uptake and support longer-term behavior change. We tested feasibility for a three-part lifestyle intervention to support older women to sit less, move more, and complete balance and strength exercises.
METHODS
METHODS
We used a convergent parallel mixed-methods, single-arm study design to test feasibility for a 6-week lifestyle intervention: Return to Everyday Activities in the Community and Home (REACH). We collected information at baseline, 3 and 6 weeks (final), and 6 months (follow-up) using questionnaires, semi-structured interviews, and performance-based measures. We describe three key elements: (1) implementation factors such as recruitment, retention, program delivery, and adherence; (2) participants' acceptability and experience with the program; and (3) health outcomes, including participants' global mobility, activity, and perceptions of their physical activity identity, and habit strength for (i) physical activity, (ii) breaking up sitting time, and (iii) balance and strength exercises.
RESULTS
RESULTS
We were able to recruit enough participants in the allotted time to conduct one cycle of the REACH group-based program. There were 10 community-dwelling women, median (p25, p75) age 61 (57.5, 71) years, who completed the study. The program was feasible to deliver, with high attendance (mean 5/6 sessions) and positive overall ratings (8/10). Participants rated session content and length high, and educational materials as highly acceptable and understandable. Although participants were active walkers at baseline, few were breaking up prolonged sitting or participating in any balance and strength exercises. At final and follow-up assessments, participants reported developing habits for all three health behaviors, without diminishing physical activity.
CONCLUSION
CONCLUSIONS
These results show acceptability of the program and its materials, and feasibility for bundling multiple health behaviors within the REACH program. It also provides confirmation to advance to testing feasibility of this three-part lifestyle intervention with older, less active, adults.
TRIAL REGISTRATION
BACKGROUND
ClinicalTrials.gov Identifier, NCT02786394; May 18, 2016.
Identifiants
pubmed: 31297236
doi: 10.1186/s40814-019-0467-9
pii: 467
pmc: PMC6599351
doi:
Banques de données
ClinicalTrials.gov
['NCT02786394']
Types de publication
Journal Article
Langues
eng
Pagination
84Déclaration de conflit d'intérêts
Competing interestsThe authors declare that they have no competing interests.
Références
Age Ageing. 2005 Nov;34(6):567-71
pubmed: 16267180
Percept Mot Skills. 1994 Jun;78(3 Pt 1):747-51
pubmed: 8084685
CMAJ. 2006 Mar 14;174(6):801-9
pubmed: 16534088
Cochrane Database Syst Rev. 2019 Jan 31;1:CD012424
pubmed: 30703272
J Pers Soc Psychol. 2007 Jun;92(6):1087-101
pubmed: 17547490
Osteoporos Int. 2005 Jun;16(6):681-90
pubmed: 15517189
J Posit Psychol. 2014;9(4):306-312
pubmed: 31404261
J Health Psychol. 2015 May;20(5):525-34
pubmed: 25903240
Psychol Health. 2014;29(12):1361-72
pubmed: 24894668
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
Br J Sports Med. 2019 Mar;53(6):370-376
pubmed: 29695511
Br J Health Psychol. 2015 Nov;20(4):824-41
pubmed: 26112344
Sports Med. 2017 Sep;47(9):1769-1793
pubmed: 28393328
Patient Educ Couns. 2014 Sep;96(3):395-403
pubmed: 24973195
Lancet. 2015 Feb 7;385(9967):549-62
pubmed: 25468153
Gerontology. 2009;55(1):64-72
pubmed: 18566534
BMJ. 2012 Aug 07;345:e4547
pubmed: 22872695
Am J Epidemiol. 2015 Apr 1;181(7):521-31
pubmed: 25700887
BMJ. 2015 Jan 21;350:h100
pubmed: 25608694
Int J Behav Nutr Phys Act. 2017 Jun 10;14(1):75
pubmed: 28599680
J Public Health (Oxf). 2012 Mar;34 Suppl 1:i3-10
pubmed: 22363028
Psychol Health. 2011 Nov;26(11):1479-98
pubmed: 21678185
Appl Physiol Nutr Metab. 2010 Dec;35(6):725-40
pubmed: 21164543
J Pers Assess. 2009 Mar;91(2):166-74
pubmed: 19205937
BMC Public Health. 2013 May 06;13:449
pubmed: 23648225
J Gerontol B Psychol Sci Soc Sci. 2007 Mar;62(2):P119-25
pubmed: 17379672
Med Sci Sports Exerc. 2019 Mar;51(3):454-464
pubmed: 30339658
Appl Physiol Nutr Metab. 2012 Jun;37(3):540-2
pubmed: 22540258
Psychol Health. 2017 Feb;32(2):166-185
pubmed: 27838920
N S W Public Health Bull. 2011 Jun;22(3-4):78-83
pubmed: 21632004
BMC Public Health. 2014 Apr 09;14:333
pubmed: 24712381
Prev Med. 2014 Sep;66:1-5
pubmed: 24878584
Open Access J Sports Med. 2014 Oct 17;5:235-41
pubmed: 25378959
Health Psychol Rev. 2016 Jun;10(2):204-25
pubmed: 26805431
Maturitas. 2017 Mar;97:38-43
pubmed: 28159060
Soc Sci Med. 2017 Sep;189:53-62
pubmed: 28783502
Arch Gerontol Geriatr. 2015 Jan-Feb;60(1):52-8
pubmed: 25307955
Health Educ Res. 2002 Oct;17(5):670-9
pubmed: 12408211
Aging Male. 2016 Sep;19(3):168-174
pubmed: 27068237
Prev Med. 2011 Sep;53(3):182-7
pubmed: 21784096
JAMA. 2018 Nov 20;320(19):2020-2028
pubmed: 30418471
Nutr Rev. 2009 Feb;67(2):114-20
pubmed: 19178654
Int J Behav Nutr Phys Act. 2012 Aug 30;9:102
pubmed: 22935297
J Am Heart Assoc. 2018 Apr 2;7(7):
pubmed: 29610219
Arch Gerontol Geriatr. 2017 Mar - Apr;69:110-127
pubmed: 27912156
Point Care. 2017 Dec;16(4):141-150
pubmed: 29333105
Health Rep. 2011 Mar;22(1):7-14
pubmed: 21510585
Res Nurs Health. 1997 Apr;20(2):169-77
pubmed: 9100747
Pilot Feasibility Stud. 2015 Jan 12;1:4
pubmed: 27175291
Neurourol Urodyn. 2018 Jan;37(1):501-509
pubmed: 28471525
Int J Behav Nutr Phys Act. 2018 Jul 9;15(1):65
pubmed: 29986718