Getting started--a review of physical activity adoption studies.

Dunn, Andrea L.

doi:10.1136/bjsm.30.3.193

Cited by 19 publications

(21 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The range of topic areas included as having potential relevance to use of folic acid supplements was: (i) breastfeeding initiation (n 6) (8)(9)(10)(11)(12)(13) ; (ii) communication in maternity care (n 1) (14) ; (iii) promoting increased fruit and vegetable consumption (n 1) (15) ; (iv) promoting physical activity (n 5) (16)(17)(18)(19)(20) ; (v) screening (n 4) (21)(22)(23)(24) ; (vi) minimising the risk of unintended teenage pregnancy (n 7) (25)(26)(27)(28)(29)(30)(31) ; (vii) UV protection (n 1) (32) ; and (viii) preconception care (n 1) (33) . The results which are most directly relevant to encouraging periconceptional use of folic acid supplements are given below.…”

Section: Resultsmentioning

confidence: 99%

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Stockley

Lund

2008

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To provide a basis for making recommendations on the potential to improve use of folic acid supplements in the UK, particularly among low-income and young women. Design: Systematic reviews of relevant research from 1989 to May 2006 in Europe, the USA, Canada, Australia and New Zealand. Results: Twenty-six systematic reviews and/or meta-analyses were identified from the wider public health literature, and eighteen studies on the effectiveness of preconception interventions were included. Ninety studies were identified which were directly relevant to folic acid supplement intake. There were factors that are particularly associated with lower rates of use of folic acid supplements. One of the most important of these is the link with unintended pregnancy, followed by age, socio-economic and ethnic group. Integrated campaigns can increase the use of folic acid supplements to some extent. Research trials indicated that: (i) printed resources and the mass media used in isolation are not effective in the longer term; and (ii) health-care-based initiatives can be effective and are more likely to be successful if they include making supplements easily available. Conclusions: Campaigns and interventions have the potential to exacerbate socioeconomic inequalities in folic acid use. One way of addressing this is to include elements that specifically target vulnerable women. To achieve and maintain an effect, they need to be based on good health promotion practice and to be sustained over a long period. However, even high-quality campaigns that increase use result in under half of women in the target group taking supplements. Keywords Folate Folic acid Supplements Neural tube defects Public health policies/interventionsThe overall aim of the work described in the present paper was to use a systematic approach to carry out literature reviews of research that has been done on influencing low-income groups, particularly girls/young women, to change their behaviour in relation to health. The intention was to provide a basis for making evidencebased recommendations on the potential to improve use of folic acid supplements in the UK.This was achieved by carrying out three complementary reviews. The first two of these provided a basis for the main (third) review. They were intended to assess whether there are findings from the wider public health literature (rather than work focusing specifically on folic acid) that might inform the development of effective interventions to increase use of folic acid supplements. Review 1 identified published systematic reviews or meta-analyses of initiatives that required 'positive precautionary action' by women. Review 2 identified research relevant to the effectiveness of different approaches to preconception interventions on behaviour. Review 3 formed the main part of the work, and focused specifically on quantitative or qualitative research aimed at encouraging women, particularly girls/young women and those from low-income groups, to take folic acid in the periconceptional p...

show abstract

Section: Resultsmentioning

confidence: 99%

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Stockley

Lund

2008

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…Narrative reviews often rely heavily on previous reviews [19], perhaps because it is difficult to conduct a narrative summary across many studies. Narrative reviews generally do not offer conclusions about the efficacy of interventions because evidence that appears contradictory is difficult to synthesize without quantitative integration [25,26]. This quantitative synthesis meets the current pressing need to integrate this large body of research to inform future research and facilitate behavior change theory development.…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Conn

Hafdahl²,

Brown

et al. 2008

Patient Education and Counseling

232

177

View full text Add to dashboard Cite

Objective-This meta-analysis integrates primary research testing the effect of patient education to increase physical activity (PA) on behavior outcomes among adults with diverse chronic illnesses.Methods-Extensive literature searching strategies located published and unpublished intervention studies that measured PA behavior outcomes. Primary study results were coded. Fixed-and randomeffects meta-analytic procedures included moderator analyses.Results-Data were synthesized across 22,527 subjects from 213 samples in 163 reports. The overall mean weighted effect size for two-group comparisons was 0.45 (higher mean for treatment than control). This effect size is consistent with a difference of 48 minutes of PA per week or 945 steps per day. Preliminary moderator analyses suggest interventions were most effective when they targeted only PA behavior, used behavioral strategies (vs. cognitive strategies), and encouraged PA self-monitoring. Differences among chronic illnesses were documented. Individual strategies unrelated to PA outcomes included supervised exercise sessions, exercise prescription, fitness testing, goal setting, contracting, problem solving, barriers management, and stimulus/cues. PA outcomes were unrelated to gender, age, ethnicity, or socioeconomic distribution among samples.Conclusion-These findings suggest that some patient education interventions to increase PA are effective, despite considerable heterogeneity in the magnitude of intervention effect.Practice Implications-Moderator analyses are preliminary and provide suggestive evidence for further testing of interventions to inform practice.

show abstract

“…One way to do this is through the use of theory-based interventions supported by behavioral research that incorporates valid measures (Dunn, 1996). In 1996, two reviews were published that did not find any theory-based approaches for increasing PA (Dishman & Buckworth, 1996;Hillsdon & Thorogood, 1996).…”

mentioning

confidence: 99%

“…In 1996, two reviews were published that did not find any theory-based approaches for increasing PA (Dishman & Buckworth, 1996;Hillsdon & Thorogood, 1996). Dunn (1996) stressed the need for theory-based approaches in a review of PA adoption and maintenance studies. More recently, Kahn et al (2002) reviewed theory-based interventions and found most to be below the level of "good execution" (see Zaza et al, 2000 for review procedure).…”

mentioning

confidence: 99%

Self-regulation and physical activity in WKU employees

Perkins¹

2014

PsycEXTRA Dataset

View full text Add to dashboard Cite

Getting started--a review of physical activity adoption studies.

Cited by 19 publications

References 49 publications

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults

Self-regulation and physical activity in WKU employees

Contact Info

Product

Resources

About