Effectiveness of Structured Physical Activity Interventions Through the Evaluation of Physical Activity Levels, Adoption, Retention, Maintenance, and Adherence Rates: A Systematic Review and Meta-Analysis.
behavior change techniques
dropout
efficacy
feasibility
Journal
Journal of physical activity & health
ISSN: 1543-5474
Titre abrégé: J Phys Act Health
Pays: United States
ID NLM: 101189457
Informations de publication
Date de publication:
01 01 2021
01 01 2021
Historique:
received:
09
07
2019
revised:
20
06
2020
accepted:
14
10
2020
pubmed:
1
1
2021
medline:
11
5
2021
entrez:
31
12
2020
Statut:
ppublish
Résumé
Structured physical activity (PA) interventions (ie, intentionally planned) can be implemented in a variety of facilities, and therefore can reach a large proportion of the population. The aim of the authors was to summarize the effectiveness of structured interventions upon PA outcomes, in addition to proportions of individuals adopting and maintaining PA, and adherence and retention rates. Systematic review with narrative synthesis and exploratory meta-analyses. Twelve studies were included. Effectiveness on PA levels during adoption (pre- to first time point) showed a trivial standardized effect (0.15 [-0.06 to 0.36]); during maintenance (any time point after the first and >6 mo since initiation) the standardized effect was also trivial with a wide interval estimate (0.19 [-0.68 to 1.07]). Few studies reported adoption (k = 3) or maintenance rates (k = 2). Retention at follow-up did not differ between structured PA or controls (75.1% [65.0%-83.0%] vs 75.4% [67.0%-82.3%]), nor did intervention adherence (63.0% [55.6%-69.6%] vs 77.8% [19.4%-98.1%]). Structured PA interventions lack evidence for effectiveness in improving PA levels. Furthermore, though retention is often reported and is similar between interventions and controls, adoption, maintenance, and adherence rates were rarely reported rendering difficulty in interpreting results of effectiveness of structured PA interventions.
Sections du résumé
BACKGROUND
Structured physical activity (PA) interventions (ie, intentionally planned) can be implemented in a variety of facilities, and therefore can reach a large proportion of the population. The aim of the authors was to summarize the effectiveness of structured interventions upon PA outcomes, in addition to proportions of individuals adopting and maintaining PA, and adherence and retention rates.
METHODS
Systematic review with narrative synthesis and exploratory meta-analyses. Twelve studies were included.
RESULTS
Effectiveness on PA levels during adoption (pre- to first time point) showed a trivial standardized effect (0.15 [-0.06 to 0.36]); during maintenance (any time point after the first and >6 mo since initiation) the standardized effect was also trivial with a wide interval estimate (0.19 [-0.68 to 1.07]). Few studies reported adoption (k = 3) or maintenance rates (k = 2). Retention at follow-up did not differ between structured PA or controls (75.1% [65.0%-83.0%] vs 75.4% [67.0%-82.3%]), nor did intervention adherence (63.0% [55.6%-69.6%] vs 77.8% [19.4%-98.1%]).
CONCLUSION
Structured PA interventions lack evidence for effectiveness in improving PA levels. Furthermore, though retention is often reported and is similar between interventions and controls, adoption, maintenance, and adherence rates were rarely reported rendering difficulty in interpreting results of effectiveness of structured PA interventions.
Identifiants
pubmed: 33383569
doi: 10.1123/jpah.2019-0349
pii: jpah.2019-0349
doi:
pii:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM