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

Conn, Vicki S.; Hafdahl, Adam R.; Brown, Sharon A.; Brown, Lori M.

doi:10.1016/j.pec.2007.10.004

Cited by 232 publications

(207 citation statements)

References 174 publications

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“…11 Strategies to effect behavior change and increase physical activity participation in patients with COPD include supervised exercise training, such as in pulmonary rehabilitation, or educational or motivational sessions. 12 However, for patients with CF, group-based exercise programs are precluded due to the need for patient segregation and isolation from their peers to prevent cross-infection. 13 Other activitypromotion strategies investigated in respiratory populations have used telehealth technologies such as walking programs with pedometer feedback and internet-based monitoring 14 and text-messaging support.…”

Section: Introductionmentioning

confidence: 99%

“…20 Consequently, internet-based programs may help overcome barriers to exercise reported by participants attending hospital-based exercise programs (eg, transport and time) 21 and may aid in improving exercise program adherence. 18 Evidence from patient preference studies and successful physical activity-promotion strategies suggests that effective strategies include the exclusive targeting of physical activity, 12 use of behavioral strategies such as feedback and goal setting, 12,18,22 and capacity for selfmonitoring. 12 Additionally, reports of patient preferences relating to internet-based physical activity programs included easy program accessibility with simple interactive features; the ability to document, track, and monitor personal progress; and the capability to access expert advice via e-mail.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and Acceptability of an Internet-Based Program to Promote Physical Activity in Adults With Cystic Fibrosis

et al. 2014

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BACKGROUND: Lifelong physical activity is an important component of the therapeutic management of patients with cystic fibrosis (CF). Use of the internet to monitor and encourage participation in physical activity has not been assessed in adults with CF. We aimed to establish the feasibility and acceptability of a specifically developed internet-based program to monitor and encourage physical activity participation in adults with CF. METHODS: Subjects were recruited at hospital discharge to trial an internet-based physical activity program (ActivOnline) for 8 weeks, which incorporated fortnightly telephone consultation to support physical activity behavior change. Acceptability of the program was assessed by semistructured interview, as well as subject-rated system usability and perceived benefit using Likert scales. Feasibility was assessed by frequency of access of the online site and number of physical activity sessions recorded. RESULTS: Ten subjects were recruited who rated system usability and perceived benefit favorably (median score usability of 89% [interquartile range of 84 -95%]; median score of perceived benefit (maximum of 5) of 4 [interquartile range of 3-4.8]). During interviews, subjects described a positive reaction to receiving graphical representation of their activity participation; however, 80% would have preferred a more mobile interface such as an app. Subjects accessed ActivOnline on a mean ؎ SD of 13 ؎ 11 occasions over 8 weeks and recorded a mean of 35 (range of 15-57) physical activity sessions. CONCLUSIONS: Use of an internet-based program to encourage participation in physical activity was both feasible and acceptable to adults with CF. Feasibility may be further improved with the ability to access the program through a mobile application.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feasibility and Acceptability of an Internet-Based Program to Promote Physical Activity in Adults With Cystic Fibrosis

et al. 2014

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“…The present findings are also consistent with those of studies on coping, resiliency, and optimism 22 as well as meta-analyses on the effectiveness of setting goals. 23 Resilience and optimism are considered to be positive psychological constructs and may be interrelated traits that facilitate coping with chronic disabling conditions. 22 Research is warranted on whether interventions developed via a positive psychology paradigm have utility in promoting multiple health behavior changes.…”

Section: Theme 4: Taking Controlmentioning

confidence: 99%

A Qualitative Study of Multiple Health Behaviors in Adults with Multiple Sclerosis

Plow¹,

Golding²

2016

International Journal of MS Care

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Background: Evidence regarding inflammatory pathways, elevated cardiovascular risk, and negative effects of secondary conditions on disability progression provide a strong rationale for promoting multiple health behaviors in adults with multiple sclerosis (MS). However, many unanswered questions remain about the best ways to design multiple behavior change interventions for adults with MS. We sought to identify facilitators and barriers to engaging in multiple health behaviors (physical activity, nutrition, and sleep) and to gain further insights into how to develop multiple health behavior change interventions based on preferences of adults with MS. Methods: Focus groups and one-on-one interviews were conducted with 17 participants with MS. Results: Five qualitative themes were identified as either facilitating or hindering engagement in multiple health behaviors: 1) roles, priorities, and preferences; 2) sense of duty; 3) the fatigue and mobility problem; 4) taking control; and 5) resiliency. Participants identified advantages and disadvantages of delivery formats (eg, face-to-face group vs. telephone), frequency of contacts, and intervention strategies based on their individual circumstances and obligations. Participants felt that discussing the benefits of engaging in multiple health behaviors, developing action plans, accommodating preferences, and addressing health problems would be helpful strategies to include in a multiple behavior change intervention. Conclusions: These findings indicate that there may be common facilitators and barriers that can be targeted to promote multiple behavior changes. Future research should explore the best ways to tailor multiple behavior change interventions to preferences, symptoms, psychological traits, and social cognitions. Int J MS Care. 2016;18:248-256. There is now an extensive body of research indicating the need to develop and test multiple health behavior change interventions in people with multiple sclerosis (MS). Research on inflammatory pathways, 1 elevated cardiovascular risks, 2 and negative effects of secondary conditions on disability progression 3 all provide a strong rationale for designing and testing multiple behavior change interventions in adults with MS. Engaging in multiple health behaviors may have cumulative effects on reducing inflammation and secondary conditions. 1,4 Furthermore, expert consensus statements on managing common MS symptoms often make recommendations consistent with engaging in multiple health behaviors. 5,6 However, few studies of people with MS have addressed pertinent questions on how best to promote multiple health behavior changes.Although behavior change interventions have been examined in people with MS, the efficacy and theoretical underpinnings of these interventions to support multiple behavior changes are unclear. Behavior change intervention research in MS has typically focused on self-managing symptoms, promoting wellness, and encouraging physical activity. 7-9 Each of these types of interventions makes implicit assu...

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“…There are other studies that use self-management-or other active learning strategies to stimulate physical activity, but these strategies are in most studies an addition to a physical training programme [90].…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

Kooijmans

Post

Woude

et al. 2012

Disability and Rehabilitation

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Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Purpose: To evaluate the effectiveness of a 16-week selfmanagement intervention on physical activity level and self-management skills (self-efficacy, proactive coping and problem solving skills) in persons with chronic SCI. Method and design: Multicenter randomized controlled trial (RCT). Eighty persons with a SCI for at least 10 years and aged 18 to 65 will randomly be assigned to the intervention (self-management) or the control group (information provision). During the 16-week self-management intervention (one home-visit, five group and five individual sessions) active lifestyle will be stimulated and self-management skills will be taught. Data will be collected at baseline (T0), 16 (T1) and 42 (T2) weeks after baseline. Primary outcome measure is level of daily physical activity (self-report/ objectively measured). Secondary outcome measures are selfmanagements skills, stage of behaviour change and attitude. Conclusion: This is the first RCT on self-management in people with chronic spinal cord injury. This trial will provide knowledge on the effects of a self-management intervention on physical active lifestyle in persons with a long-term SCI.

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

Cited by 232 publications

References 174 publications

Feasibility and Acceptability of an Internet-Based Program to Promote Physical Activity in Adults With Cystic Fibrosis

Feasibility and Acceptability of an Internet-Based Program to Promote Physical Activity in Adults With Cystic Fibrosis

A Qualitative Study of Multiple Health Behaviors in Adults with Multiple Sclerosis

Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural IntervenTion in SCI) study

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