Physical activity promotion and translational research

Estabrooks, Paul A.

doi:10.1007/s13142-016-0456-y

Cited by 11 publications

(18 citation statements)

References 16 publications

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“…Emerging research points to the potential for guided imagery interventions to effect smoking behavior change. 5 Using the cognitive-motivational framework of guided imagery, 6 imagery is predicted to facilitate users’ smoking cessation by building self-efficacy for quitting, increasing confidence in coping with cravings, and helping to create an image of being smoke-free to prevent relapse. Previous research has supported the use of the cognitive-motivational framework behind guided imagery.…”

Section: Background and Purposementioning

confidence: 99%

Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

et al. 2020

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Background/Aims: Guided imagery is an evidence-based, multi-sensory, cognitive process that can be used to increase motivation and achieve a desired behavior. Quitlines are effective, standard care approaches for tobacco cessation; however, utilization of quitlines is low. Using guided imagery-based interventions for smoking cessation may appeal to smokers who do not utilize traditional quitline services. This paper reports the development of program materials for a randomized controlled feasibility trial of a guided imagery-based smoking cessation intervention. The objective of the formative work was to ensure that program materials are inclusive of groups that are less likely to use quitlines, including men and racial/ethnic minority tobacco users. Methods: A three-phase process was used to complete formative assessment: (1) integration of evidence-based cessation practices into program development; (2) iterative small group interviews (N = 46) to modify the program; and (3) pilot-testing the coaching protocol and study process among a small sample of smokers (N = 5). Results: The Community Advisory Board and project consultants offered input on program content and study recruitment based on their knowledge of minority communities with whom they conduct outreach. Small group interview participants included members of underserved quitline populations (52.37% non-white; 55.56% men). Only 28.26% of participants had prior experience with guided imagery, but others described the use of similar mindfulness and meditation practices. Participant feedback was incorporated into program materials and protocols. Discussion: Iteratively collected feedback and pilot testing influenced program content and delivery and informed study processes for a randomized controlled feasibility trial of a telephone-delivered, guided imagery-based intervention.

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Section: Background and Purposementioning

confidence: 99%

Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

et al. 2020

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“…Some illustrate use of an experimental design and quantitative comparison; others involve primarily qualitative assessment, using methods similar to those typical of process evaluation. Although not specific to occupational health, the clinical and community health literature offers additional examples of published D&I-related articles, including both experimental D&I studies (Dunn et al 2012; Nahm et al 2015; Tapp et al 2014) as well as studies that examine D&I constructs as part of their process evaluation (Hernandez et al 2017; Kennedy et al 2017; Northridge et al 2017). …”

Section: Examples Of Worker Health Dandi Researchmentioning

confidence: 99%

Dissemination and Implementation Research for Occupational Safety and Health

Dugan

Punnett

2017

Occup Health Sci

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The translation of evidence-based health innovations into real-world practice is both incomplete and exceedingly slow. This represents a poor return on research investment dollars for the general public. U.S. funders of health sciences research (e.g., NIH, CDC, NIOSH) are increasingly calling for dissemination plans, and to a lesser extent for dissemination and implementation (D&I) research, which are studies that examine the effectiveness of D&I efforts and strategies and the predictors of D&I success. For example, rather than merely broadcasting information about a preventable hazard, D&I research in occupational safety and health (OSH) might examine how employers or practitioners are most likely to receive and act upon that information. We propose here that D&I research should be seen as a dedicated and necessary area of study within OSH, as a way to generate new knowledge that can bridge the research-to-practice gap. We present D&I concepts, frameworks, and examples that can increase the capacity of OSH professionals to conduct D&I research and accelerate the translation of research findings into meaningful everyday practice to improve worker safety and health.

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“…In particular, accelerometer-based physical activity programs that provide feedback on steps taken, calories burned, and other physiologic data such as heart rate have become commonplace. Studies suggest that patients with chronic conditions want to participate in physical activity and would consider using an mHealth app if initiated through a clinic or medical office visit [ 15 ]. However, few studies integrate accelerometers with apps that routinely engage chronically ill patients and providers in a communication loop about progress toward goals and that are designed to promote adherence to physical activity [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

A Lower Leg Physical Activity Intervention for Individuals With Chronic Venous Leg Ulcers: Randomized Controlled Trial

Kelechi¹,

Prentice²,

Mueller³

et al. 2020

JMIR Mhealth Uhealth

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Background Individuals with venous leg ulcers (VLUs) suffer disproportionately with multiple chronic conditions, are often physically deconditioned, and demonstrate high levels of physical inactivity. Objective The primary objective of this randomized controlled trial was to establish the feasibility of a mobile health (mHealth) physical activity exercise app for individuals with VLUs to improve lower leg function. Methods In a 6-week study, adults with VLUs were recruited from 2 wound centers in South Carolina, United States, and enrolled if they were aged 18 years or older with impaired functional mobility and an ankle-brachial index between 0.8 and 1.3. Participants were randomized 1:1 to receive evidence-based, phased, nonexertive physical conditioning activities for lower leg function (FOOTFIT) or FOOTFIT+ with an added patient-provider communication feature. The mHealth Conditioning Activities for Lower Leg Function app also provided automated educational and motivational messages and user reports. Foot movement on the VLU-affected leg was tracked by a Bluetooth-enabled triaxial accelerometer. The study was guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to assess the feasibility of reach, adherence, acceptability, implementation, and maintenance. Results A total of 24 patients were recruited, enrolled, and randomized in the study. Most patients reported difficulty following the protocol for exercising and using the accelerometer and mobile phone and did not use the provider contact feature. However, all patients were adherent to the 6-week exercise program more than 85% of the time for duration, whereas 33% (8/24) of patients adhered more than 85% for the frequency of performing the exercises. Across the three exercise levels, adherence did not differ between the two groups. Confidence limits around the difference in proportions ranged from −0.4 to 0.7. Providers in FOOTFIT+ were inconsistent in checking participant progress reports because of lack of time from competing work commitments. The technology became outdated quickly, making maintenance problematic. Participants said they would continue to exercise their foot and legs and liked being able to follow along with the demonstrations of each level of exercise provided through the app. Conclusions The findings of this study suggest that despite initial interest in using the app, several components of the program as originally designed had limited acceptability and feasibility. Future refinements should include the use of more modern technology including smaller wearable accelerometers, mobile phones or tablets with larger screens, an app designed with larger graphics, automated reporting for providers, and more engaging user features. Trial Registration ClinicalTrials.gov NTC02632695; https://clinicaltrials.gov/ct2/show/NCT02632695

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Physical activity promotion and translational research

Cited by 11 publications

References 16 publications

Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

Developing a Guided Imagery Telephone-Based Tobacco Cessation Program for a Randomized Controlled Trial

Dissemination and Implementation Research for Occupational Safety and Health

A Lower Leg Physical Activity Intervention for Individuals With Chronic Venous Leg Ulcers: Randomized Controlled Trial

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