Evidenzbasierung in Primärprävention und Gesundheitsförderung: Methoden und Vorgehensweisen in 5 Forschungsverbünden

Brandes, Mirko; Muellmann, Saskia; Allweiss, Theresa; Bauer, Ulrich; Bethmann, Andreas; Forberger, Sarah; Frense, Jennifer; Gelius, Peter; Pfeifer, Klaus; Okan, Orkan; Renner, Britta; Schupp, Harald T.; Wright, Michael T.; Zeeb, Hajo

doi:10.1007/s00103-021-03322-z

Cited by 4 publications

(3 citation statements)

References 51 publications

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“…To the best of our knowledge, this is the first study in Germany aimed at replicating the effects of a complex intervention for PA promotion previously shown to be effective in another European country. The study findings will contribute to the growing body of evidence in Germany concerning the role of complex community-based interventions for the promotion of PA in the general population [ 19 - 27 ]. We anticipate to obtain results similar to those reported in the original study, where adults exposed to a complex PA intervention for 1 year displayed a greater increase in daily step count (ie, average of daily steps walked increased by 896 in intervention vs no increase in the comparison city) and were more likely to reach the WHO recommendation for PA than controls (ie, 8% increase in the number of individuals reaching the recommended 10,000 steps) [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Rütten and Pfeifer [ 9 ] formulated a need for similar local and regional population-based approaches for PA promotion in Germany, pointing out that complex interventions for PA promotion, including mass media campaigns, motivational decision aids, community-based multicomponent interventions, and environmental approaches, can effectively increase PA in the general population. Thus far, 5 large German research networks (Physical Activity and Health Equity: Primary Prevention for Healthy Ageing [AEQUIPA], CAPITAL4HEALTH, Health Literacy in Childhood and Adolescence [HLCA], PartKommPlus, and SMARTACT) have been working toward improving evidence-based health promotion and primary prevention in Germany, some of them with a special focus on population-based approaches for the promotion of PA [ 19 ]. For example, the Physical Activity and Health Equity: Primary Prevention for Healthy Ageing (AEQUIPA) research network [ 20 ] conducted theory-based and participatory empirical research on different aspects of PA and healthy aging between the years 2014 and 2022 [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of the Population-Based “10,000 Steps Duesseldorf” Intervention for Promoting Physical Activity in Community-Dwelling Adults: Protocol for a Nonrandomized Controlled Trial

Fialho¹,

Günther²,

Schmitz³

et al. 2022

JMIR Res Protoc

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Background The World Health Organization recommends 150 minutes of moderate to vigorous physical activity (PA), which translates to approximately 7000 to 10,000 steps per day for adults. In Germany, less than half of the population in this age range meets this recommendation, highlighting the need for population-based intervention approaches for promoting daily PA. Objective The complex community-based PA intervention “10,000 Steps Ghent,” which was originally developed in Belgium and was shown to be effective for PA promotion, has been adapted for implementation and evaluation in 2 German cities. The original Belgian study is currently being replicated, and we aim to examine the effectiveness of the adapted intervention among adults living in intervention city districts in Duesseldorf when compared with those living in control city districts in Wuppertal, over the course of 1 year. Methods A controlled intervention trial examining the effects of an intervention addressing multiple levels (eg, individual level: website; organizational level: PA promotion in companies; community level: media campaigns and environmental changes) is being conducted. PA and various secondary outcomes will be assessed in 2 random samples of adults aged 25 to 75 years (n=399 in each city) at baseline and after 1 year. Results Funding for this study was obtained in March 2020. Recruitment for this study and baseline data collection were conducted from May 2021 to March 2022 (as of March 2022, 626 participants were enrolled in the study). The intervention will be implemented in Duesseldorf for 1 year from April 2022 onward, and follow-up assessments will be conducted, starting in May 2023 (until September 2023). Data analysis will be performed in fall 2023, and the results will be published in spring 2024. Conclusions To our knowledge, this is the first research project (currently underway in Germany) that is aimed at replicating the effects of a complex intervention for PA promotion that was previously shown to be effective in another European country. Trial Registration German Clinical Trials Register DRKS00024873; https://tinyurl.com/4c9e8azh International Registered Report Identifier (IRRID) DERR1-10.2196/39175

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of the Population-Based “10,000 Steps Duesseldorf” Intervention for Promoting Physical Activity in Community-Dwelling Adults: Protocol for a Nonrandomized Controlled Trial

Fialho¹,

Günther²,

Schmitz³

et al. 2022

JMIR Res Protoc

View full text Add to dashboard Cite

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“…The study provides evidence for the potential of mobile technology to improve access to care for children with ASD in LMICs. mHealth interventions can be a low-threshold opportunity for health promotion and are a promising possibility to achieve prevention goals [ 74 ]. The free allocation of time and flexibility of availability were evaluated on a positive note.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Individualized Sensory-Based mHealth Interventions to Improve Distress Coping in Healthcare Professionals: A Multi-Arm Parallel-Group Randomized Controlled Trial

Baumann

Heuel

Bischoff

et al. 2023

Sensors

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Detrimental effects of chronic stress on healthcare professionals have been well-established, but the implementation and evaluation of effective interventions aimed at improving distress coping remains inadequate. Individualized mHealth interventions incorporating sensor feedback have been proposed as a promising approach. This study aimed to investigate the impact of individualized, sensor-based mHealth interventions focusing on stress and physical activity on distress coping in healthcare professionals. The study utilized a multi-arm, parallel group randomized controlled trial design, comparing five intervention groups (three variations of web-based training and two variations of an app training) that represented varying levels of individualization to a control group. Both self-reported questionnaire data (collected using Limesurvey) as well as electrocardiography and accelerometry-based sensory data (collected using Mesana Sensor) were assessed at baseline and post-intervention (after eight weeks). Of the 995 eligible participants, 170 (26%) completed the post-intervention measurement (Group 1: N = 21; Group 2: N = 23; Group 3: N = 7; Group 4: N = 34; Group 5: N = 16; Control Group: N = 69). MANOVA results indicated small to moderate time-by-group interaction effects for physical activity-related outcomes, including moderate to vigorous physical activity (F(1,5) = 5.8, p = ≤0.001, η2p = 0.057) and inactivity disruption (F(1,5) = 11.2, p = <0.001, η2p = 0.100), in the app-based intervention groups, but not for step counts and inactivity. No changes were observed in stress-related heart rate variability parameters over time. Despite a high dropout rate and a complex study design, the individualized interventions showed initial positive effects on physical activity. However, no significant changes in stress-related outcomes were observed, suggesting that the intervention duration was insufficient to induce physiological adaptations that would result in improved distress coping.

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Evaluation, Evidenz und Intervention im Öffentlichen Gesundheitsdienst

Kietzmann

2023

Public Health Forum

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Zusammenfassung ÖGD-Interventionen sind einerseits an administrative Vorlagen gebunden, andererseits basieren sie auf lokalem Wissen von Experten, die mit der Zielgruppe des spezifischen Settings im intensiven Kontakt stehen. Die Evidenz der Interventionen wird durch Wirkungsnachweise im Sinne einer praxisbezogenen Evidenz generiert. Diese lokale Evidenz ist nicht generalisierbar. Unter Beachtung lokaler Unterschiede können die Ergebnisse jedoch in einen anderen lokalen Kontext übertragen werden.

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Evidenzbasierung in Primärprävention und Gesundheitsförderung: Methoden und Vorgehensweisen in 5 Forschungsverbünden

Cited by 4 publications

References 51 publications

Effects of the Population-Based “10,000 Steps Duesseldorf” Intervention for Promoting Physical Activity in Community-Dwelling Adults: Protocol for a Nonrandomized Controlled Trial

Effects of the Population-Based “10,000 Steps Duesseldorf” Intervention for Promoting Physical Activity in Community-Dwelling Adults: Protocol for a Nonrandomized Controlled Trial

Efficacy of Individualized Sensory-Based mHealth Interventions to Improve Distress Coping in Healthcare Professionals: A Multi-Arm Parallel-Group Randomized Controlled Trial

Evaluation, Evidenz und Intervention im Öffentlichen Gesundheitsdienst

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