Making Specific Plan Improves Physical Activity and Healthy Eating for Community-Dwelling Patients With Chronic Conditions: A Systematic Review and Meta-Analysis

Lin, Hui; Yu, Ping; Yang, Min; Wu, Dan; Wang, Zhen; An, Jiye; Duan, Huilong; Deng, Ning

doi:10.3389/fpubh.2022.721223

Cited by 2 publications

(1 citation statement)

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“…To ensure we did not miss out any TDF domains that might have a significant influence on changing behaviour, we further rated the importance of each TDF domain as high, moderate or low importance depending on the number of criteria met [ 27 ], and discussed each domain and its potential influence on behaviour based on existing literature and data from our study. Of the remaining TDF domains of moderate and low importance ( Table 2 ), we highlighted the intentions domain to be of potential influence due to the proven efficacy of implementation intention interventions in improving PA [ 39 – 41 ], presence of conflicting belief statements and the strength of belief statements from our data. According to the Theory of Planned Behaviour, intention refers to an individual’s willingness to act and predicts behaviour [ 42 ].…”

Section: Discussionmentioning

confidence: 98%

What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework

Kwah,

Doshi,

De Silva

et al. 2024

PLoS ONE

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Background Although the benefits of regular physical activity (PA) after stroke are well established, many stroke survivors do not achieve recommended PA levels. To date, studies exploring determinants to PA have not used a behaviour change theory and focused on stroke survivors with physical disabilities. As a precursor to an intervention development study, we aimed to use the Theoretical Domains Framework (TDF) to identify factors influencing PA in stroke survivors with physical disabilities in Singapore. Methods Between November 2021 and January 2022, we conducted interviews with 19 community-dwelling stroke survivors with a weak arm and/or leg. An interview guide based on the TDF was developed. We analysed the data deductively by coding interview transcripts into the theoretical domains of the TDF, and then inductively by generating themes and belief statements. To identify relevant TDF domains, we prioritised the domains based on the frequencies of the belief statements, presence of conflicting belief statements and evidence of strong belief statements. Results Eight of the 14 TDF domains were relevant, and included environmental context and resources, knowledge, social influences, emotion, reinforcement, behavioural regulation, skills and beliefs about capabilities. The lack of access, suitable equipment and skilled help often limited PA participation at public fitness spaces such as parks, gyms and swimming pools (environmental context and resources). While a few stroke survivors expressed that they had the skills to engage in regular PA, most expressed not knowing how much and how hard to work, which exercises to do, which equipment to use and how to adapt exercises and equipment (knowledge and skills). This often left them feeling afraid to try new activities or venture out to new places for fear of the unknown or adverse events (e.g., falls) (emotion). For some, doing the activities in a group encourage them to get out and engage in PA (social influences). Conclusions In stroke survivors with physical disabilities, environmental context and resources had a significant influence on PA participation, and this often had a spill over effect into other domains. Our results inform a complex behaviour change intervention to improve PA after stroke, and has implications for intervention design for people with physical disabilities.

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Section: Discussionmentioning

confidence: 98%

What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework

Kwah,

Doshi,

De Silva

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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Meta-Analysis of Implementation Intentions Interventions in Promoting Physical Activity among University Students

et al. 2023

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Implementation intentions (II) have demonstrated their efficacy in promoting physical activity (PA) among various populations, including adults, the general population, and those with chronic conditions. However, there is a dearth of meta-analyses examining this efficacy among university students. This meta-analysis aims to determine the effectiveness of II interventions in improving PA among university students. Six online databases (PubMed, Embase, Web of Science, Cochrane Central, PsycINFO, and PsycArticle) were comprehensively searched. Recursive searching and grey literature collection strategies were employed to identify relevant studies. The meta-analysis employed a random-effects model to combine effect sizes for different PA outcomes. The Cochrane Risk of Bias tool was used to assess the quality of the included studies, and sensitivity analysis was performed to assess the robustness of the results. Twelve studies involving 1916 participants met the inclusion criteria. The findings indicated that II interventions significantly increased PA among university students compared to control groups (standardized mean difference [SMD] = 0.31, 95% confidence interval [CI]: 0.12, 0.50, p < 0.001). Subgroup analyses revealed larger effect sizes in the following groups: publication year after 2013, inactive university students, the reinforcement group, the action planning group, and the intervention period of fewer than six weeks. The above findings offer compelling evidence that II interventions can effectively promote PA among university students. The integration of IIs with e-health platforms and the implementation of individualized and multifaceted intervention models exhibit promising sustainability for promoting PA on campus.

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Making Specific Plan Improves Physical Activity and Healthy Eating for Community-Dwelling Patients With Chronic Conditions: A Systematic Review and Meta-Analysis

Cited by 2 publications

References 100 publications

What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework

What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework

Meta-Analysis of Implementation Intentions Interventions in Promoting Physical Activity among University Students

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