Long-term effectiveness and mediators of a need-supportive physical activity coaching among Flemish sedentary employees

Hoecke, Ann-Sophie Van; Delecluse, Christophe; Opdenacker, Joke; Lipkens, Luc; Martien, Sofie; Boen, Filip

doi:10.1093/heapro/das025

Cited by 20 publications

(37 citation statements)

References 44 publications

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“…In this respect, our intervention resulted in significant improvement in identified regulation for PA (i.e., valuing the benefits of PA), which is consistent with previous studies that targeted HIV uninfected participants (Silva et al, 2011; Silva et al, 2010; Van Hoecke et al, 2013). There was not a statistically significant improvement in intrinsic regulation for PA (i.e.…”

Section: Discussionsupporting

confidence: 87%

Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Shah¹,

Majeed²,

Yoruk³

et al. 2016

Health Psychology

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Objective HIV-infected older adults (HOA) are at risk of functional decline. Interventions promoting physical activity that can attenuate functional decline and are easily translated into the HOA community are of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physical activity counseling intervention based on self-determination theory (SDT) improves physical function, autonomous motivation, depression and the quality of life (QOL) in HOA. Methods A total of 67 community-dwelling HOA with mild-to-moderate functional limitations were randomized to one of two groups: a physical activity counseling group or the usual care control group. We used SDT to guide the development of the experimental intervention. Outcome measures that were collected at baseline and final study visits included a battery of physical function tests, levels of physical activity, autonomous motivation, depression, and QOL. Results The study participants were similar in their demographic and clinical characteristics in both the treatment and control groups. Overall physical performance, gait speed, measures of endurance and strength, and levels of physical activity improved in the treatment group compared to the control group (p<0.05). Measures of autonomous regulation such as identified regulation, and measures of depression and QOL improved significantly in the treatment group compared to the control group (p<0.05). Across the groups, improvement in intrinsic regulation and QOL correlated with an improvement in physical function (p<0.05). Conclusion Our findings suggest that a physical activity counseling program grounded in SDT can improve physical function, autonomous motivation, depression, and QOL in HOA with functional limitations.

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Section: Discussionsupporting

confidence: 87%

Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Shah¹,

Majeed²,

Yoruk³

et al. 2016

Health Psychology

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“…Implementing intentions based on these questions has been shown to be effective in previous studies [27, 38]. …”

Section: Methodsmentioning

confidence: 99%

“…In a randomized controlled trial among insufficiently active university employees, Van Hoecke et al found significant positive long-term effects of a 4-month need-supportive PA coaching intervention on moderate, vigorous and total PA [27]. The present study elaborates on that intervention by implementing additional self-monitoring tools including pedometers and PA diaries.…”

Section: Introductionmentioning

confidence: 95%

“…To the best of our knowledge, only one previous study has evaluated an SDT-based PA counseling intervention that was delivered at the workplace [27]. In a randomized controlled trial among insufficiently active university employees, Van Hoecke et al found significant positive long-term effects of a 4-month need-supportive PA coaching intervention on moderate, vigorous and total PA [27].…”

Section: Introductionmentioning

confidence: 99%

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Short- and long-term effectiveness of a three-month individualized need-supportive physical activity counseling intervention at the workplace

et al. 2017

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BackgroundThe objective of the present study was to evaluate the short- and long-term intervention and mediation effects of a 3-month individualized need-supportive physical activity (PA) counseling intervention on employees’ PA and sedentary behavior.MethodsInsufficiently active employees (n = 300; mean age 42 ± 9 years; 78% female) were recruited from a large pharmaceutical company in Flanders, Belgium. A quasi-experimental design was used in which the intervention group (N = 246) was recruited separately from the reference group (N = 54). Intervention group participants received a 3-month behavioral support intervention, which consisted of two one-hour face-to-face counseling sessions and three follow-up counseling contacts by e-mail or telephone at weeks three, six and nine. PA counseling, delivered by qualified PA counselors, aimed to satisfy participants’ basic psychological needs for autonomy, competence, and relatedness. Reference group participants did not receive individualized PA counseling. Outcome measures included objectively assessed and self-reported PA and sedentary time and psychological need satisfaction. Assessments were held at baseline, immediately after the intervention (short-term) and 6 months post-intervention (long-term). Mixed model analyses and bootstrapping analyses were used to determine intervention and mediation effects, respectively.ResultsThe intervention group increased weekday daily steps both in the short- and long-term, while the reference group showed reductions in daily step count (ES = .65 and ES = .48 in the short- and long-term, respectively). In the short-term, weekday moderate-to-vigorous PA increased more pronouncedly in the intervention group compared to the reference group (ES = .34). Moreover, the intervention group demonstrated reductions in self-reported sitting time during weekends both in the short- and long-term, whereas the reference group reported increased sitting time (ES = .44 and ES = .32 in the short- and long-term, respectively). Changes in perceived autonomy and competence need satisfaction mediated the long-term intervention effects on daily step count.ConclusionsA 3-month individualized need-supportive PA counseling intervention among employees resulted in significant and sustained improvements in weekday daily step count and in decreased self-reported sitting during weekends. Our findings contribute to the growing evidence of the long-term effectiveness of need-supportive PA counseling.Trial registrationClinicalTrials.gov NCT01759927. Registered December 30, 2012.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3965-1) contains supplementary material, which is available to authorized users.

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“…Over the recent past years, quite a few counselling PA interventions that combine the theoretical framework of SDT with the practical strategies from MI have been developed and evaluated in randomized controlled trials (Duda et al, 2014;Fortier, Duda, Guerin, & Teixeira, 2012;Fortier et al, 2007Fortier et al, , 2011Jolly et al, 2009;Silva et al, 2011Silva et al, , 2008Van Hoecke, Delecluse, Bogaerts, & Boen, 2014;Van Hoecke et al, 2013). In general these studies show that SDT/MI-based PA interventions can be effective in increasing PA.…”

Section: Self-determination Theory and Motivational Interviewingmentioning

confidence: 99%

Motivational interviewing and self-determination theory in a web-based computer tailored physical activity intervention: A randomized controlled trial

Friederichs

Oenema

Bolman

et al. 2016

Psychology & Health

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Objective: This study explores whether a web-based physical activity (PA) intervention grounded in self-determination theory (SDT) and motivational interviewing (MI) is more effective and better appreciated than a traditional web-based PA intervention. Design: A randomized controlled trial was conducted, comparing (1) I Move; a web-based PA intervention based on SDT and MI, (2) Active Plus; a traditional web-based PA intervention and (3) a waiting list control condition. Main outcome measures: Weekly minutes of moderate to vigorous PA and weekly days with ≥30 min PA were measured through self-report at baseline and at 3 and 6 months from baseline. Results: I Move achieved a small, but significant increase in weekly minutes of moderate to vigorous PA, while Active Plus did not have a significant impact on this outcome. Both interventions were effective in increasing weekly days with ≥30 min PA, whereas Active Plus yielded a greater effect on this outcome. Conclusion: Overall, the web-based PA intervention grounded in SDT and MI did not outperform the traditional web-based PA intervention. Further research should reveal whether this type of intervention is profitable for long-term maintenance of PA levels.

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Long-term effectiveness and mediators of a need-supportive physical activity coaching among Flemish sedentary employees

Cited by 20 publications

References 44 publications

Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Short- and long-term effectiveness of a three-month individualized need-supportive physical activity counseling intervention at the workplace

Motivational interviewing and self-determination theory in a web-based computer tailored physical activity intervention: A randomized controlled trial

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