How effective is community physical activity promotion in areas of deprivation for inactive adults with cardiovascular disease risk and/or mental health concerns? Study protocol for a pragmatic observational evaluation of the 'Active Herts' physical activity programme

Neil Howlett, Andy Jones, Lucy Bain, Angel Chater, Neil Howlett, Andy Jones, Lucy Bain, Angel Chater

Abstract

Introduction: There is a high prevalence of inactive adults in the UK, and many suffer from conditions such as cardiovascular disease (CVD) or poor mental health. These coexist more frequently in areas of higher socioeconomic deprivation. There is a need to test the effectiveness, acceptability and sustainability of physical activity programmes. Active Herts uses novel evidence-based behaviour change techniques to target physical inactivity.

Methods and analysis: Active Herts is a community physical activity programme for inactive adults aged 16+ with one or more risk factors for CVD and/or a mild to moderate mental health condition. This evaluation will follow a mixed-methods longitudinal (baseline, and 3-month, 6-month and 12-month follow-ups) design. Pragmatic considerations mean delivery of the programme differs by locality. In two areas programme users will receive a behaviour change technique booklet, regular consultations, a booster phone call, motivational text messages and signposting to 12 weeks of exercise classes. In another two areas programme users will also receive 12 weeks of free tailored exercise classes, with optional exercise 'buddies' available. An outcome evaluation will assess changes in physical activity as the primary outcome, and sporting participation, sitting, well-being, psychological capability and reflective motivation as secondary outcomes. A process evaluation will explore the views of stakeholders, delivery staff and programme leads. Economic evaluation will examine the programme costs against the benefits gained in terms of reduced risk of morbidity.

Ethics and dissemination: This study was been approved by the Faculty of Medicine and Health Sciences Research Ethics Committee at the University of East Anglia. Informed written consent will be obtained from programme users in the evaluation. Results will be published in peer-reviewed journals, presented at conferences, and shared through the study website and local community outlets.

Trial registration number: ClinicalTrials.gov ID number: NCT03153098.

Keywords: behaviour change; behaviour change techniques; com-b; inactive adults; physical activity programme.

Conflict of interest statement

Competing interests: None declared.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Figures

Figure 1
Figure 1
Active Herts programme design.

References

    1. Global Recommendations on Physical Activity for Health: World Health Organization, 2010. (accessed 9 Mar 2017).
    1. Barengo NC, Antikainen R, Borodulin K, et al. . Leisure-time physical activity reduces total and cardiovascular mortality and cardiovascular disease incidence in older adults. J Am Geriatr Soc 2017;65:504–10. 10.1111/jgs.14694
    1. Bauman AE. Updating the evidence that physical activity is good for health: an epidemiological review 2000-2003. J Sci Med Sport 2004;7:6–19. 10.1016/S1440-2440(04)80273-1
    1. Schuch FB, Vancampfort D, Richards J, et al. . Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J Psychiatr Res 2016;77:42–51. 10.1016/j.jpsychires.2016.02.023
    1. Sporting future – first annual report. 2017. (accessed 9 Mar 2017).
    1. NHS health and social care information centre. Statistics on obesity, physical activity and diet. 2014. (accessed 9 Mar 2017).
    1. Health and social care information centre. The health survey for England. 2013. (accessed 9 Mar 2017).
    1. Giles-Corti B, Donovan RJ. Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. Prev Med 2002;35:601–11. 10.1006/pmed.2002.1115
    1. Wardle J, Griffith J. Socioeconomic status and weight control practices in British adults. J Epidemiol Community Health 2001;55:185–90. 10.1136/jech.55.3.185
    1. Cassidy S, Chau JY, Catt M, et al. . Cross-sectional study of diet, physical activity, television viewing and sleep duration in 233,110 adults from the UK Biobank; the behavioural phenotype of cardiovascular disease and type 2 diabetes. BMJ Open 2016;6:e010038 10.1136/bmjopen-2015-010038
    1. Howlett N, Trivedi D, Troop N, et al. . What are the most effective behaviour change techniques to promote physical activity and/or reduce sedentary behaviour in inactive adults? A systematic review and meta-analysis.
    1. Howlett N, Trivedi D, Troop NA, et al. . What are the most effective behaviour change techniques to promote physical activity and/or reduce sedentary behaviour in inactive adults? A systematic review protocol. BMJ Open 2015;5:e008573 10.1136/bmjopen-2015-008573
    1. Michie S, Richardson M, Johnston M, et al. . The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med 2013;46:81–95. 10.1007/s12160-013-9486-6
    1. Chater AC. The power of language andemotion in specialist obesity services. Eur Health Psychol 2016;18:184–8.
    1. Rubak S, Sandbaek A, Lauritzen T, et al. . Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract 2005;55:305–12.
    1. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 2011;6:42 10.1186/1748-5908-6-42
    1. Cane J, Richardson M, Johnston M, et al. . From lists of behaviour change techniques (BCTs) to structured hierarchies: comparison of two methods of developing a hierarchy of BCTs. Br J Health Psychol 2015;20:130–50. 10.1111/bjhp.12102
    1. Howlett N, Schulz J, Trivedi D, et al. . A prospective study exploring the construct and predictive validity of the COM-B model for physical activity. 2017. Journal of Health Psychology.
    1. Des Jarlais DC, Lyles C, Crepaz N. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health 2004;94:361–6. 10.2105/AJPH.94.3.361
    1. Hoffmann TC, Glasziou PP, Boutron I, et al. . Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ 2014;348:g1687 10.1136/bmj.g1687
    1. Public health profiles. Health profile. 2014.
    1. Moyers T, Martin T, Manuel J, et al. . Revised global scales:Motivational interviewing treatment integrity 3.1.1. Albuquerque, NM: University of New Mexico, 2010.
    1. Booth ML, Ainsworth BE, Pratt M, et al. . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003;195:3508–1381.
    1. International physical activity questionnaire website. Guidelines for data processing and analysis of the international physical activity questionnaire (IPAQ). 2005. (accessed 9 Mar 2017).
    1. Tennant R, Hiller L, Fishwick R, et al. . The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health Qual Life Outcomes 2007;5:63 10.1186/1477-7525-5-63
    1. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med 2001;33:337–43. 10.3109/07853890109002087
    1. Sniehotta FF, Scholz U, Schwarzer R, et al. . Long-term effects of two psychological interventions on physical exercise and self-regulation following coronary rehabilitation. Int J Behav Med 2005;12:244–55. 10.1207/s15327558ijbm1204_5
    1. Sniehotta FF, Schwarzer R, Scholz U, et al. . Action planning and coping planning for long-term lifestyle change: theory and assessment. Eur J Soc Psychol 2005;35:565–76. 10.1002/ejsp.258
    1. Schwarzer R, Renner B. Health-specific self-efficacy scales. 2009. (accessed 9 Mar 2017).
    1. Francis JJ, Eccles MP, Johnston M, et al. . Constructing questionnaires based on the theory of planned behaviour. A manual for health services researchers 2004. (accessed 9 Mar 2017).
    1. Bauman A, Nutbeam D. Evaluation in a nutshell: a practical guide to the evaluation of health promotion programs: Mcgraw hill, 2013.

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi