Evaluating the Let's Move It intervention programme theory for adolescents' physical activity: Theorized psychosocial mechanisms of behavioural changes.

behaviour change technique enactment intervention evaluation physical activity programme theory randomized controlled trial reasoned action approach self‐determination theory

Journal

British journal of health psychology
ISSN: 2044-8287
Titre abrégé: Br J Health Psychol
Pays: England
ID NLM: 9605409

Informations de publication

Date de publication:
24 Sep 2024
Historique:
received: 25 06 2023
accepted: 01 08 2024
medline: 25 9 2024
pubmed: 25 9 2024
entrez: 24 9 2024
Statut: aheadofprint

Résumé

Behaviour change theories have extensively been used in health behaviour change interventions and their programme theories. However, they are rarely evaluated in randomized field studies. The Let's Move It intervention targeted various psychosocial constructs to increase adolescents' physical activity. A theory-based process evaluation aiming to illuminate the trial findings as well as to test the programme theory used is conducted. Specifically, we investigate whether the intervention influenced the theorized determinants of change immediately post-intervention and after 1 year, and whether these determinants were associated with changes in physical activity. A cluster-randomized controlled trial (n = 1166). We measured theorized determinants with self-report, and physical activity (PA) with accelerometry and self-report. The effects are evaluated with repeated measures ANOVA and regression models. No changes were detected in most theorized determinants but intervention arm reported higher enactment of behaviour change techniques used during intervention immediately post-intervention and lower descriptive norms for PA throughout. Autonomous motivation was associated with PA immediately post-intervention. The lack of intervention effects may be due to many factors, for example insensitive measures, ceiling effects. However, reporting these null effects advances understanding of behaviour change processes. We introduce methodologic possibilities for future intervention programme theory evaluation efforts.

Identifiants

pubmed: 39317658
doi: 10.1111/bjhp.12744
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Opetus- ja kulttuuriministeriö
ID : OKM/81/626/2014
Organisme : Academy of Finland
ID : 285283
Organisme : Academy of Finland
ID : 304114

Informations de copyright

© 2024 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

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Auteurs

Minttu Palsola (M)

Faculty of Social Sciences, Tampere University, Tampere, Finland.
Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.

Vera Araújo-Soares (V)

Division of Prevention, Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
University of Twente, Enschede, The Netherlands.

Wendy Hardeman (W)

School of Health Sciences, University of East Anglia, Norwich, UK.

Ari Haukkala (A)

Helsinki Collegium for Advanced Studies, University of Helsinki, Helsinki, Finland.

Matti Toivo Juhani Heino (MTJ)

Faculty of Social Sciences, Tampere University, Tampere, Finland.
Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.

Falko Sniehotta (F)

Division of Prevention, Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
University of Twente, Enschede, The Netherlands.
NIHR Policy Research Unit, Newcastle University, Newcastle upon Tyne, UK.

Reijo Sund (R)

University of Eastern Finland, Kuopio, Finland.

Tommi Vasankari (T)

UKK Institute for Health Promotion Research, Tampere, Finland.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Nelli Hankonen (N)

Faculty of Social Sciences, Tampere University, Tampere, Finland.
Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.

Classifications MeSH