A systematic review and meta-analysis of primary prevention programmes to improve cardio-metabolic risk in non-urban communities

Rodrigues, Andre L.; Ball, Jocasta; Ski, Chantal F.; Stewart, Simon; Carrington, M.

doi:10.1016/j.ypmed.2016.02.011

Cited by 25 publications

(26 citation statements)

References 60 publications

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“…A recent review of mHealth interventions showed that multicomponent interventions yielded stronger intervention effects than stand-alone app interventions [29]. The use of multiple intervention strategies has been previously recommended to achieve long-term health behavior changes [87,88]. Integrating the Active Coach app into a multicomponent intervention in which digital and human support are combined might be necessary to increase the engagement in this particular target group.…”

Section: Discussionmentioning

confidence: 99%

Effect and Process Evaluation of a Smartphone App to Promote an Active Lifestyle in Lower Educated Working Young Adults: Cluster Randomized Controlled Trial

Simons

Bourdeaudhuij

Clarys

et al. 2018

JMIR Mhealth Uhealth

143

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BackgroundMobile technologies have great potential to promote an active lifestyle in lower educated working young adults, an underresearched target group at a high risk of low activity levels.ObjectiveThe objective of our study was to examine the effect and process evaluation of the newly developed evidence- and theory-based smartphone app “Active Coach” on the objectively measured total daily physical activity; self-reported, context-specific physical activity; and self-reported psychosocial variables among lower educated working young adults.MethodsWe recruited 130 lower educated working young adults in this 2-group cluster randomized controlled trial and assessed outcomes at baseline, posttest (baseline+9 weeks), and follow-up (posttest+3 months). Intervention participants (n=60) used the Active Coach app (for 9 weeks) combined with a Fitbit activity tracker. Personal goals, practical tips, and educational facts were provided to encourage physical activity. The control group received print-based generic physical activity information. Both groups wore accelerometers for objective measurement of physical activity, and individual interviews were conducted to assess the psychosocial variables and context-specific physical activity. Furthermore, intervention participants were asked process evaluation questions and generalized linear mixed models and descriptive statistics were applied.ResultsNo significant intervention effects were found for objectively measured physical activity, self-reported physical activity, and self-reported psychosocial variables (all P>.05). Intervention participants evaluated the Active Coach app and the combined use with the Fitbit wearable as self-explanatory (36/51, 70.6%), user friendly (40/51, 78.4%), and interesting (34/51, 66.7%). Throughout the intervention, we observed a decrease in the frequency of viewing graphical displays in the app (P<.001); reading the tips, facts, and goals (P<.05); and wearing the Fitbit wearable (P<.001). Few intervention participants found the tips and facts motivating (10/41, 24.4%), used them to be physically active (8/41, 19.6%), and thought they were tailored to their lifestyle (7/41, 17.1%).ConclusionsThe lack of significant intervention effects might be due to low continuous user engagement. Advice or feedback that was not perceived as adequately tailored and the difficulty to compete with many popular commercial apps on young people’s smartphones may be responsible for a decrease in the engagement. A stand-alone app does not seem sufficient to promote an active lifestyle among lower educated working young adults; therefore, multicomponent interventions (using both technological and human support), as well as context-specific sensing to provide tailored advice, might be needed in this population.Trial RegistrationClinicalTrials.gov NCT02948803; https://clinicaltrials.gov/ct2/show/results/NCT02948803 (Archived by WebCite at http://www.webcitation.org/71OPFwaoA)

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Section: Discussionmentioning

confidence: 99%

Effect and Process Evaluation of a Smartphone App to Promote an Active Lifestyle in Lower Educated Working Young Adults: Cluster Randomized Controlled Trial

Simons

Bourdeaudhuij

Clarys

et al. 2018

JMIR Mhealth Uhealth

143

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“…Workplace health promotion programs (WHPPs) have become an increasingly popular means of promoting positive health behaviors in employees that are mutually beneficial to employers and employees [ 1 , 2 , 3 ]. Such programs can improve the overall health of the individual [ 4 , 5 , 6 , 7 ], increase physical activity [ 8 , 9 ], lead to small improvements in healthy weight status [ 6 , 10 ], have positive effects on dietary behaviors [ 3 , 11 ] and improve employee productivity [ 12 , 13 , 14 ]. Whilst there is overall support for the effectiveness of WHPPs, the reported extent to which such programs achieve lasting changes in behavior varies [ 10 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Employee Perceptions of Workplace Health Promotion Programs: Comparison of a Tailored, Semi-Tailored, and Standardized Approach

Street

Lacey

2018

IJERPH

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In the design of workplace health promotion programs (WHPPs), employee perceptions represent an integral variable which is predicted to translate into rate of user engagement (i.e., participation) and program loyalty. This study evaluated employee perceptions of three workplace health programs promoting nutritional consumption and physical activity. Programs included: (1) an individually tailored consultation with an exercise physiologist and dietitian; (2) a semi-tailored 12-week SMS health message program; and (3) a standardized group workshop delivered by an expert. Participating employees from a transport company completed program evaluation surveys rating the overall program, affect, and utility of: consultations (n = 19); SMS program (n = 234); and workshops (n = 86). Overall, participants’ affect and utility evaluations were positive for all programs, with the greatest satisfaction being reported in the tailored individual consultation and standardized group workshop conditions. Furthermore, mode of delivery and the physical presence of an expert health practitioner was more influential than the degree to which the information was tailored to the individual. Thus, the synergy in ratings between individually tailored consultations and standardized group workshops indicates that low-cost delivery health programs may be as appealing to employees as tailored, and comparatively high-cost, program options.

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“…cardiovascular prevention in community-dwelling older adults, and it has a relatively large sample size and long follow-up duration. 21,22 Other trials investigate single risk factor interventions, or multifactorial interventions in younger people. 21,23 A limitation of this study is the relatively high drop-out rate (587/1,501 or 39%), and number of participants with missing values for the main analyses (753/ 2,254 or 33%).…”

Section: Limitationsmentioning

confidence: 99%

Effects of Primary Cardiovascular Prevention on Vascular Risk in Older Adults

Bussel

Hoevenaar‐Blom

Busschers

et al. 2018

American Journal of Preventive Medicine

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Multicomponent cardiovascular prevention did not improve the overall risk profile in older adults in a primary prevention setting, relative to usual care. However, exploratory analyses showed an effect on blood pressure and smoking cessation. Possibly, contrast between study groups was too small because of the Hawthorne (being part of a study) effect and increasing quality of (preventive) health care for older adults, to yield an effect on the risk profile.

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A systematic review and meta-analysis of primary prevention programmes to improve cardio-metabolic risk in non-urban communities

Cited by 25 publications

References 60 publications

Effect and Process Evaluation of a Smartphone App to Promote an Active Lifestyle in Lower Educated Working Young Adults: Cluster Randomized Controlled Trial

Effect and Process Evaluation of a Smartphone App to Promote an Active Lifestyle in Lower Educated Working Young Adults: Cluster Randomized Controlled Trial

Employee Perceptions of Workplace Health Promotion Programs: Comparison of a Tailored, Semi-Tailored, and Standardized Approach

Effects of Primary Cardiovascular Prevention on Vascular Risk in Older Adults

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