The impact of action plans on habit and intention strength for physical activity in a web-based intervention: is it the thought that counts?

Rebar, Amanda L.; Williams, Rebecca; Short, Camile E.; Plotnikoff, Ronald; Duncan, Mitch J.; Mummery, Kerry; Alley, Stephanie; Schoeppe, Stephanie; To, Quyen; Vandelanotte, Corneel

doi:10.1080/08870446.2023.2241777

Cited by 4 publications

(2 citation statements)

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“…At the end of each session (except for the first and last) participants were asked to set short-term physical activity goals and to create an action plan for how they would meet those goals ( 30 ). For example, participants were asked very specific questions about how they planned to meet their physical activity goals: What physical activity they will do, where they will do it, when they will do it, how often they will do it, how long will each activity session be, and with whom they will do it ( 31 ). When participants had completed all the questions, the TaylorActive website provided an action plan that could be printed on a single page.…”

Section: Methodsmentioning

confidence: 99%

Does intervention engagement mediate physical activity change in a web-based computer-tailored physical activity intervention?—Secondary outcomes from a randomised controlled trial

Vandelanotte,

Short,

Plotnikoff

et al. 2024

Front. Digit. Health

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IntroductionThe relationship between intervention engagement and behaviour change may vary depending on the specific engagement metric being examined. To counter this composite engagement measures may provide a deeper understanding of the relationship between engagement and behaviour change, though few studies have applied such multidimensional engagement metrics. The aim of this secondary analysis of RCT data was to examine how a composite engagement score mediates the effect of a web-based computer-tailored physical activity intervention.Methods501 inactive Australian adults were randomised to a no-treatment control or intervention group. Intervention participants received 8 sessions of web-based personalised physical activity advice over a 12-week intervention period and the ability to complete action plans. Change in physical activity was assessed using Actigraph accelerometers at baseline, 3-months and 9-months. Engagement with the intervention (i.e., a composite score including frequency, intensity, duration and type) was continuously assessed during the intervention period using website tracking software and database metrics. Generalised structural equation models were used to examine how a composite engagement score mediated intervention effects at 3 months and 9 months.ResultsAt 3 months, mediation analysis revealed that the intervention group had significantly higher engagement scores than the control group [a-path exp(b) = 6.462, 95% CI = 5.121–7.804, p < 0.001]. Further, increased engagement with the intervention platform was associated with an increased time spent in moderate-to-vigorous physical activity [ab-coefficient exp(b) = 1.008, 95% CI = 1.004–1.014, P < 0.001]; however, the magnitude of this effect was small. There were no significant mediation effects at the 9-month time point.DiscussionThe findings suggest that a composite intervention engagement score has a small positive influence on physical activity changes and that other factors (e.g., behaviour change techniques) are likely to be more important drivers of behaviour change.

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Section: Methodsmentioning

confidence: 99%

Does intervention engagement mediate physical activity change in a web-based computer-tailored physical activity intervention?—Secondary outcomes from a randomised controlled trial

Vandelanotte,

Short,

Plotnikoff

et al. 2024

Front. Digit. Health

Self Cite

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“…The work of Barron, Halina, and Klein (2023) and Ginsburg and Jablonka (2021) elucidates how the interplay among various aspects of an individual's character is deliberately stimulated. Problem-solving processes, intrinsic to this approach, necessitate the central involvement of executive functions in engaging cognitive, emotional, and relational processes, as highlighted by Rebar et al (2023) and Vásquez-Rosati, Montefusco-Siegmund, López, and Cosmelli (2019).…”

Section: Introductionmentioning

confidence: 99%

Addressing complexity in motor learning: Practical strategies for teachers and coaches

Cereda

2024

Am J Cre Edu

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This research embarks on an exploration delving into the intricacies of motor skill acquisition and its versatile application across various contexts. Its core objective resides in fostering a robust discourse within this domain. Emphasizing the qualitative dimension of mastering motor skills underscores an urgent need for evidence-backed teaching methodologies that boast universal applicability. In the realms of physical education and sports, a profound comprehension of fundamental theoretical frameworks stands as a pivotal requirement to facilitate effective pedagogy. The continuous evolution of innovative teaching approaches within motor and sports education accentuates the necessity for a meticulous examination of the foundational theoretical underpinnings supporting these advancements. The principal aim of this investigation primarily revolves around distilling the fundamental principles embedded within the ecological-dynamic approach to learning. Furthermore, it endeavors to illuminate actionable directives tailored for instructional purposes. These directives aspire to cultivate adaptive learning environments conducive to the acquisition of motor and sports skills, prioritizing flexibility over rigidity and nurturing an environment that encourages perpetual learning experiences. To achieve this ambitious goal, an exhaustive scrutiny of recent literature has been undertaken, placing significant emphasis on notable contributions propelling the ongoing discourse forward. This comprehensive review endeavors to enrich the dialogue surrounding evidence-based teaching methodologies within the realm of motor skill acquisition and sports education.

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Action plans increase advance care planning documentation and engagement among English and Spanish‐speaking older adults

Ferguson,

Gilissen,

Scheerens

et al. 2024

J American Geriatrics Society

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BackgroundAdvance care planning (ACP) has been reconceptualized as a health behavior. Action plans (APs), or patient‐directed mini contracts, improve behavior change. However, no prior studies have assessed whether APs can increase ACP documentation and engagement.MethodsWe included English and Spanish‐speaking primary care patients from San Francisco, ≥55 years of age, with ≥2 serious or chronic illnesses. Participants were in the intervention arm of the PREPAREforYOURcare.org trial and asked at baseline to choose 1 of 5 actions (e.g., choose a surrogate). At 6 months, we assessed whether participants completed their AP and if completion was associated with demographics, electronic health record (EHR) ACP documentation, and five‐point ACP Engagement Survey scores. We used t‐tests, chi‐squared, multivariate analysis adjusted for baseline ACP and clustering by physician, and qualitative thematic analysis to explore reasons for non‐completion.ResultsThe mean age of 586 participants was 65 ± 10 years; 44.0% women, 45.9% Spanish‐speaking, 31.4% had limited health literacy, and 43% completed an AP at 6 months; surrogate‐related (47.4%), tell others about medical wishes (33.7%), ask clinicians questions (13.7%), and decide what matters most in life (5.2%). Participants with limited versus adequate health literacy were less likely to complete an AP (25.4% vs 35.9%, p = 0.01). Completing an AP was associated with greater ACP EMR documentation 49.8% vs 35.6%, p < 0.001 (adjusted odds ratio: 2.06; 95% CI [1.43–2.97]) and engagement (adjusted five‐point scores [3.69; 95% CI 3.57–3.81 vs 3.10; 95% CI: 2.98–3.21], p < 0.001). Themes for non‐completion included not being ready and logistical issues (e.g., surrogate deceased).ConclusionsAmong English and Spanish‐speaking older adults, creating an ACP AP resulted in greater documentation and engagement. APs may help facilitate ACP behavior change as part of effective ACP interventions. Additional support may be needed for patients with limited health literacy and those facing logistical barriers.

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The impact of action plans on habit and intention strength for physical activity in a web-based intervention: is it the thought that counts?

Cited by 4 publications

References 62 publications

Does intervention engagement mediate physical activity change in a web-based computer-tailored physical activity intervention?—Secondary outcomes from a randomised controlled trial

Does intervention engagement mediate physical activity change in a web-based computer-tailored physical activity intervention?—Secondary outcomes from a randomised controlled trial

Addressing complexity in motor learning: Practical strategies for teachers and coaches

Action plans increase advance care planning documentation and engagement among English and Spanish‐speaking older adults

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