Background: The relationship between physical activity and cardiovascular disease (CVD) protection is well documented. Numerous factors (e.g. patient motivation, lack of facilities, physician time constraints) can contribute to poor PA adherence. Web-based computer-tailored interventions offer an innovative way to provide tailored feedback and to empower adults to engage in regular moderate- to vigorous-intensity PA. To describe the rationale, design and content of a web-based computer-tailored PA intervention for Canadian adults enrolled in a randomized controlled trial (RCT).
Methods/design: 244 men and women aged between 35 and 70 years, without CVD or physical disability, not participating in regular moderate- to vigorous-intensity PA, and familiar with and having access to a computer at home, were recruited from the Quebec City Prospective Urban and Rural Epidemiological (PURE) study centre. Participants were randomized into two study arms: 1) an experimental group receiving the intervention and 2) a waiting list control group. The fully automated web-based computer-tailored PA intervention consists of seven 10- to 15-min sessions over an 8-week period. The theoretical underpinning of the intervention is based on the I-Change Model. The aim of the intervention was to reach a total of 150 min per week of moderate- to vigorous-intensity aerobic PA.
Discussion: This study will provide useful information before engaging in a large RCT to assess the long-term participation and maintenance of PA, the potential impact of regular PA on CVD risk factors and the cost-effectiveness of a web-based computer-tailored intervention.
Trial Registration: ISRCTN36353353 registered on 24/07/2014.
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http://dx.doi.org/10.1186/s12889-015-2364-3 | DOI Listing |
Front Digit Health
May 2024
Centre of Active Living and Learning, College of Human and Social Futures, University of Newcastle, Newcastle, NSW, Australia.
Introduction: The relationship between intervention engagement and behaviour change may vary depending on the specific engagement metric being examined. To counter this composite engagement measures may provide a deeper understanding of the relationship between engagement and behaviour change, though few studies have applied such multidimensional engagement metrics. The aim of this secondary analysis of RCT data was to examine how a composite engagement score mediates the effect of a web-based computer-tailored physical activity intervention.
View Article and Find Full Text PDFJ Health Psychol
April 2024
Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Australia.
This study aimed to assess the moderating effect of social support on the effectiveness of a web-based, computer-tailored physical activity intervention for older adults. In the trial, 243 inactive adults aged 65+ years were randomised into: (1) tailoring + Fitbit ( = 78), (2) tailoring-only ( = 96) or (3) control ( = 69). For the current study, participants were categorised as having higher ( = 146) or lower ( = 97) social support based on the Duke Social Support Index (DSSI_10).
View Article and Find Full Text PDFBMC Nurs
April 2024
Department of Health Promotion, Care and Public Health Research Institute CAPHRI, Maastricht University, Maastricht, The Netherlands.
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December 2023
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View Article and Find Full Text PDFJMIR Pediatr Parent
November 2023
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