International Journal of Behavioral Nutrition and Physical Activity最新文献

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Associations of accelerometer-measured physical activity, sedentary behaviour, and sleep with next-day cognitive performance in older adults: a micro-longitudinal study. 加速度计测量的身体活动、久坐行为和睡眠与老年人第二天认知表现的关联:一项微观纵向研究。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-12-10 DOI: 10.1186/s12966-024-01683-7
Mikaela Bloomberg, Laura Brocklebank, Aiden Doherty, Mark Hamer, Andrew Steptoe
{"title":"Associations of accelerometer-measured physical activity, sedentary behaviour, and sleep with next-day cognitive performance in older adults: a micro-longitudinal study.","authors":"Mikaela Bloomberg, Laura Brocklebank, Aiden Doherty, Mark Hamer, Andrew Steptoe","doi":"10.1186/s12966-024-01683-7","DOIUrl":"10.1186/s12966-024-01683-7","url":null,"abstract":"<p><strong>Background: </strong>Previous studies suggest short-term cognitive benefits of physical activity occurring minutes to hours after exercise. Whether these benefits persist the following day and the role of sleep is unclear. We examined associations of accelerometer-assessed physical activity, sedentary behaviour, and sleep with next-day cognitive performance in older adults.</p><p><strong>Methods: </strong>British adults aged 50-83 years (N = 76) without evidence of cognitive impairment or dementia wore accelerometers for eight days, and took daily cognitive tests of attention, memory, psychomotor speed, executive function, and processing speed. Physical behaviour (time spent in moderate-to-vigorous physical activity [MVPA], light physical activity [LPA], and sedentary behaviour [SB]) and sleep characteristics (overnight sleep duration, time spent in rapid eye movement [REM] sleep and slow wave sleep [SWS]) were extracted from accelerometers, with sleep stages derived using a novel polysomnography-validated machine learning algorithm. We used linear mixed models to examine associations of physical activity and sleep with next-day cognitive performance, after accounting for habitual physical activity and sleep patterns during the study period and other temporal and contextual factors.</p><p><strong>Results: </strong>An additional 30 min of MVPA on the previous day was associated with episodic memory scores 0.15 standard deviations (SD; 95% confidence interval = 0.01 to 0.29; p = 0.03) higher and working memory scores 0.16 SD (0.03 to 0.28; p = 0.01) higher. Each 30-min increase in SB was associated with working memory scores 0.05 SD (0.00 to 0.09) lower (p = 0.03); adjustment for sleep characteristics on the previous night did not substantively change these results. Independent of MVPA on the previous day, sleep duration ≥ 6 h (compared with < 6 h) on the previous night was associated with episodic memory scores 0.60 SD (0.16 to 1.03) higher (p = 0.008) and psychomotor speed 0.34 SD (0.04 to 0.65) faster (p = 0.03). Each 30-min increase in REM sleep on the previous night was associated with 0.13 SD (0.00 to 0.25) higher attention scores (p = 0.04); a 30-min increase in SWS was associated with 0.17 SD (0.05 to 0.29) higher episodic memory scores (p = 0.008).</p><p><strong>Conclusions: </strong>Memory benefits of MVPA may persist for 24 h; longer sleep duration, particularly more time spent in SWS, could independently contribute to these benefits.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"133"},"PeriodicalIF":5.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Cost-effectiveness analysis of a multiple health behaviour change intervention in people aged between 45 and 75 years: a cluster randomized controlled trial in primary care (EIRA study). 更正:45 - 75岁人群中多种健康行为改变干预的成本-效果分析:一项初级保健随机对照试验(EIRA研究)。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-12-09 DOI: 10.1186/s12966-024-01674-8
Ignacio Aznar-Lou, Edurne Zabaleta-Del-Olmo, Marc Casajuana-Closas, Alba Sánchez-Viñas, Elizabeth Parody-Rúa, Bonaventura Bolíbar, Montserrat Iracheta-Todó, Oana Bulilete, Tomàs López-Jiménez, Haizea Pombo-Ramos, María Victoria Martín Miguel, Rosa Magallón-Botaya, Jose Ángel Maderuelo-Fernández, Emma Motrico, Juan Bellón, Ruth Martí-Lluch, Maria Rubio-Valera, Antoni Serrano-Blanco
{"title":"Correction: Cost-effectiveness analysis of a multiple health behaviour change intervention in people aged between 45 and 75 years: a cluster randomized controlled trial in primary care (EIRA study).","authors":"Ignacio Aznar-Lou, Edurne Zabaleta-Del-Olmo, Marc Casajuana-Closas, Alba Sánchez-Viñas, Elizabeth Parody-Rúa, Bonaventura Bolíbar, Montserrat Iracheta-Todó, Oana Bulilete, Tomàs López-Jiménez, Haizea Pombo-Ramos, María Victoria Martín Miguel, Rosa Magallón-Botaya, Jose Ángel Maderuelo-Fernández, Emma Motrico, Juan Bellón, Ruth Martí-Lluch, Maria Rubio-Valera, Antoni Serrano-Blanco","doi":"10.1186/s12966-024-01674-8","DOIUrl":"10.1186/s12966-024-01674-8","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"138"},"PeriodicalIF":5.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can nudge interventions targeting healthy food purchases in real-world grocery stores reduce diet-related health disparities? A pooled analysis of four controlled trials. 以在现实世界的杂货店购买健康食品为目标的助推干预措施能否减少与饮食相关的健康差异?四项对照试验的汇总分析。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-12-03 DOI: 10.1186/s12966-024-01687-3
Josine M Stuber, Joline Wj Beulens, Guadalupe X Ayala, Sarah R Crozier, S Coosje Dijkstra, Shih-Fan Lin, Christina Vogel, Joreintje D Mackenbach
{"title":"Can nudge interventions targeting healthy food purchases in real-world grocery stores reduce diet-related health disparities? A pooled analysis of four controlled trials.","authors":"Josine M Stuber, Joline Wj Beulens, Guadalupe X Ayala, Sarah R Crozier, S Coosje Dijkstra, Shih-Fan Lin, Christina Vogel, Joreintje D Mackenbach","doi":"10.1186/s12966-024-01687-3","DOIUrl":"10.1186/s12966-024-01687-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Healthy food nudges may be more, or especially, effective among groups experiencing socioeconomic disadvantage. We investigated the modifying role of socioeconomic and demographic characteristics in the effectiveness of nudge interventions targeting healthy foods in real-world grocery store settings on food purchasing patterns.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We pooled individual participant data from multiple trials. Eligible trials were identified via a PubMed search and selected based on having a controlled real-world design, testing a nudging intervention promoting healthy purchases, while collecting participants' sociodemographic and purchasing data. Out of four eligible trials, three had longitudinal measurements, one consisted of a single time point, two were randomised and two were not. Applied nudges consisted of a combination of placement nudges (focussing on availability or positioning) and property nudges (presentation and/or information). Harmonised data included dichotomised socioeconomic and demographic variables and the percentage of purchased fruits and vegetables of total purchases. Multilevel meta-regression based on linear mixed-effects models were used to explore modifying effects using two approaches: longitudinal and cross-sectional analyses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The analytical sample in the longitudinal analysis comprised of 638 participants, who were predominantly female (76.3%), had a lower education attainment (67.7%), and a mean age of 46.6 years (SD 13.5). These characteristics were similar in the cross-sectional analysis (n = 855). Compared to control group participants, there was no main effect of healthy food nudges on the percentage of fruit and vegetable purchases by intervention group participants in the longitudinal analysis (β = 0.00; 95%CI -0.03, 0.09). This main effect was not modified by educational attainment (β&lt;sub&gt;group*higher education&lt;/sub&gt; = -0.06; -0.40, 0.02), sex (β&lt;sub&gt;group*females&lt;/sub&gt; = 0.13; -0.00, 0.61) nor age (β&lt;sub&gt;group*older adults&lt;/sub&gt; = -0.05; -0.39, 0.02). Results from the cross-sectional analysis were comparable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This pooled analyses of four controlled trials did not find evidence supporting the hypothesis that grocery store nudge interventions of healthy foods work more effectively among groups experiencing socioeconomic disadvantage. Future studies are needed to address the identified limitations through rigorous trial design using comprehensive interventional strategies, standardised outcome measures, while also evaluating context-specific approaches. Such insights will help to better understand the equity of nudging interventions in grocery store settings and the potential for reducing diet-related health disparities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registrations: &lt;/strong&gt;The trial of Ayala et al. (2022) was retrospectively registered at ClinicalTrials.gov (NCT01475526; at 14 November 2011, https://clinicaltria","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"137"},"PeriodicalIF":5.6,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of perceived neighbourhood and home environments with sedentary behaviour among adolescents in 14 countries: the IPEN adolescent cross sectional observational study. 14个国家青少年中感知到的社区和家庭环境与久坐行为的关联:IPEN青少年横断面观察研究。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-29 DOI: 10.1186/s12966-024-01678-4
Ranjit Mohan Anjana, Harish Ranjani, Ester Cerin, Muhammad Akram, Jo Salmon, Terry L Conway, Kelli L Cain, Rajendra Pradeepa, Anthony Barnett, Cindy H P Sit, Delfien Van Dyck, Adriano Akira Hino, Andreia Pizarro, Adewale L Oyeyemi, Wan Abdul Manan Wan Muda, Mika R Moran, Jens Troelsen, Josef Mitáš, M Zakiul Islam, Ana Queralt, Viswanathan Mohan, Erica Hinckson, James F Sallis
{"title":"Associations of perceived neighbourhood and home environments with sedentary behaviour among adolescents in 14 countries: the IPEN adolescent cross sectional observational study.","authors":"Ranjit Mohan Anjana, Harish Ranjani, Ester Cerin, Muhammad Akram, Jo Salmon, Terry L Conway, Kelli L Cain, Rajendra Pradeepa, Anthony Barnett, Cindy H P Sit, Delfien Van Dyck, Adriano Akira Hino, Andreia Pizarro, Adewale L Oyeyemi, Wan Abdul Manan Wan Muda, Mika R Moran, Jens Troelsen, Josef Mitáš, M Zakiul Islam, Ana Queralt, Viswanathan Mohan, Erica Hinckson, James F Sallis","doi":"10.1186/s12966-024-01678-4","DOIUrl":"10.1186/s12966-024-01678-4","url":null,"abstract":"<p><strong>Background: </strong>Understanding environmental correlates of sedentary behaviour (SB) among young people is important as such data can identify approaches to limit sedentary time. This paper estimates associations of parent-reported neighbourhood and adolescent-reported home environments with SB among adolescents aged 11-19 years from 14 countries.</p><p><strong>Methods: </strong>In the International Physical activity and the Environment Network (IPEN) Adolescent Study (an observational, cross-sectional multi-country study), adolescents wore a triaxial accelerometer for seven days that assessed sedentary time (ST). Adolescents completed survey measures of sedentary behaviour (SB) related to recreational screen time and sitting time in motor vehicles. Parents and adolescents completed surveys assessing neighbourhood and home environments. Accelerometer based ST was available in 3,982 adolescents while survey data were available for 6,302 dyads. We estimated the total and direct effects of each environmental attribute on ST and SB. Sex of the adolescent and city/country were examined as moderators.</p><p><strong>Results: </strong>The average ST in adolescents from 14 countries ranged from 7.8 to 10.5 h/day. Personal social media was the only significant correlate of total ST across both sexes. With respect to self-reported SB, adolescents accumulated an average of 3.8 h of non-school screen time per day and nearly 40 min of transport-related sitting time. Screen time was associated with all home environment variables, including social media account, as well as land use mix-diversity, traffic safety, and crime safety. Transport-related sitting time was related to land use mix-diversity, recreation facilities, walking facilities, and pedestrian infrastructure, but no home environment variables. City/country and sex were significant moderators of several associations.</p><p><strong>Conclusions: </strong>Both home and neighbourhood environment features were related to ST and SB. Having social media accounts emerged as a major contributor towards sedentarism in adolescents.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"136"},"PeriodicalIF":5.6,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10). 10题家庭食品相互作用评估问卷(FIA-Q10)的开发。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-28 DOI: 10.1186/s12966-024-01671-x
Leah E Cahill, Sharon I Kirkpatrick, Catherine L Mah, Jennifer Lp Protudjer, Cynthia Kendell, Mary E Jung, Helen Wong, Ellen T Crumley, Meghan Day, Karen T Y Tang, Yan Huang, Jyoti Sihag, Laura Brady, Karthik K Tennankore, Navdeep Tangri, Rebecca C Mollard, Dylan MacKay
{"title":"Development of the 10-question household foodwork interactional assessment questionnaire (FIA-Q10).","authors":"Leah E Cahill, Sharon I Kirkpatrick, Catherine L Mah, Jennifer Lp Protudjer, Cynthia Kendell, Mary E Jung, Helen Wong, Ellen T Crumley, Meghan Day, Karen T Y Tang, Yan Huang, Jyoti Sihag, Laura Brady, Karthik K Tennankore, Navdeep Tangri, Rebecca C Mollard, Dylan MacKay","doi":"10.1186/s12966-024-01671-x","DOIUrl":"10.1186/s12966-024-01671-x","url":null,"abstract":"<p><strong>Background: </strong>Public health nutrition recommendations and clinical dietary interventions emphasize eating healthy food at home, implicitly requiring household foodwork. Household foodwork is defined as the physical and mental tasks a household does for eating meals and snacks. Because no tools exist to measure it, how much time people spend doing household foodwork and the foodwork barriers they experience remain unknown. The objective of the present research was to develop the first stand-alone household foodwork assessment tool.</p><p><strong>Methods: </strong>Through informal interviews with partners with lived experience, clinicians, and researchers, a literature review, a stakeholder meeting of advisors, and a two-round electronic Delphi process including face/content validation by expert panelists (n = 21), we developed the 10-question household foodwork interactional assessment questionnaire (FIA-Q10). An optional accompanying module was developed to collect self-identified demographic data to provide context for understanding how social-structural positionality factors may interact to influence foodwork.</p><p><strong>Results: </strong>The FIA-Q10 assesses the domains of household composition, frequency of eating at home, special diets within a household, foodwork stress intensity, foodwork barriers, desired supports related to foodwork, and time use for foodwork. The FIA-Q10 measures time use for four subdomains of foodwork among individuals and their households: (1) planning, (2) getting, (3) preparing/cooking, and (4) cleaning up food. In the second Delphi round, the FIA-Q10 scored 95% for language appropriateness, 67% for visual appropriateness, 95% for relevance, 95% for representativeness, and 95% for distribution. Suggested improvements were implemented. All Delphi panelists (100%) reported they would consider using the FIA-Q10.</p><p><strong>Conclusions: </strong>The FIA-Q10's development is the first step towards a standardized assessment of foodwork, enabling examination of challenges in foodwork that may impact nutrition and nutrition equity. Future research will focus on FIA-Q10 validation in multiple populations.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"135"},"PeriodicalIF":5.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies. 体育活动与心理健康:调解和调节研究的系统回顾和最佳证据综合。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-28 DOI: 10.1186/s12966-024-01676-6
Rhiannon L White, Stewart Vella, Stuart Biddle, Jordan Sutcliffe, Justin M Guagliano, Riaz Uddin, Alice Burgin, Maria Apostolopoulos, Tatiana Nguyen, Carmen Young, Nicole Taylor, Samantha Lilley, Megan Teychenne
{"title":"Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies.","authors":"Rhiannon L White, Stewart Vella, Stuart Biddle, Jordan Sutcliffe, Justin M Guagliano, Riaz Uddin, Alice Burgin, Maria Apostolopoulos, Tatiana Nguyen, Carmen Young, Nicole Taylor, Samantha Lilley, Megan Teychenne","doi":"10.1186/s12966-024-01676-6","DOIUrl":"10.1186/s12966-024-01676-6","url":null,"abstract":"<p><strong>Background: </strong>While evidence consistently demonstrates that physical activity is beneficial to mental health, it remains relatively unknown how physical activity benefits mental health, and which factors influence the effect of physical activity on mental health. This understanding could vastly increase our capacity to design, recommend, and prescribe physical activity in more optimal ways. The purpose of this study was to systematically review and synthesise evidence of all mediators and moderators of the relationship between physical activity and mental health.</p><p><strong>Methods: </strong>Systematic searches of four databases (i.e., Scopus, PsycINFO, PubMed, and SPORTDiscus) identified 11,633 initial studies. Empirical studies that quantitatively assessed physical activity, or conducted a physical activity intervention, measured a mental health outcome, and tested one or more mediator or moderator of the relationship between physical activity and mental health were included. A total of 247 met the inclusion criteria; 173 studies examined mediation and 82 examined moderation.</p><p><strong>Results: </strong>Results of the best-evidence synthesis revealed strong evidence for 12 mediators including affect, mental health and wellbeing, self-esteem, self-efficacy, physical self-worth, body image satisfaction, resilience, social support, social connection, physical health, pain, and fatigue. Moderate evidence was identified for a further 15 mediators and eight moderators.</p><p><strong>Conclusions: </strong>Findings should inform the design of future physical activity interventions to ensure optimal effects on mental health related outcomes. Additionally, if health professionals were to take these mediators and moderators into consideration when prescribing or recommending physical activity, physical activity would likely have a greater impact on population mental health.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"134"},"PeriodicalIF":5.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing implementation science in community settings: the implementation strategies applied in communities (ISAC) compilation. 在社区环境中推进实施科学:社区实施战略(ISAC)汇编。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-26 DOI: 10.1186/s12966-024-01685-5
Laura E Balis, Bailey Houghtaling, Whitney Clausen, Hannah Lane, Marilyn E Wende, Emiliane Pereira, Gabriella M McLoughlin, Samantha M Harden
{"title":"Advancing implementation science in community settings: the implementation strategies applied in communities (ISAC) compilation.","authors":"Laura E Balis, Bailey Houghtaling, Whitney Clausen, Hannah Lane, Marilyn E Wende, Emiliane Pereira, Gabriella M McLoughlin, Samantha M Harden","doi":"10.1186/s12966-024-01685-5","DOIUrl":"10.1186/s12966-024-01685-5","url":null,"abstract":"<p><strong>Background: </strong>Implementation strategies have predominantly been operationalized and studied in clinical settings. Implementation strategies are also needed to improve evidence-based intervention (EBI) integration in community settings, but there is a lack of systematic characterization of their use, which limits generalizability of findings. The goals of this study were to determine which implementation strategies are most used to deliver primary prevention EBIs in community settings, develop a compilation and pragmatic strategy selection process with accompanying guidance tools, and understand practitioners' preferences for dissemination.</p><p><strong>Methods: </strong>Purposive and snowball sampling was used to recruit community setting researchers and practitioners delivering primary prevention EBIs (nutrition, physical activity, tobacco prevention) in community settings: education, social services, city planning and transportation, workplaces, recreation/sport, faith-based, and other public health organizations. Semi-structured interviews were conducted using a guide based on the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework. Participants were asked to describe barriers experienced and strategies used to overcome them within each RE-AIM dimension. Practitioners were also asked about preferred dissemination strategies, prompted by Diffusion of Innovations theory concepts of sources (who provides information) and channels (how information is provided). A rapid deductive approach was used to analyze findings with a coding matrix aligned with the interview guide.</p><p><strong>Results: </strong>Researchers (n = 10) and practitioners (n = 8) across all targeted settings and intervention outcomes completed interviews. Interviewees shared unique implementation strategies (N = 40) which were used to overcome barriers related to multiple RE-AIM dimensions, most commonly implementation (n = 29) and adoption (n = 27). Most frequently mentioned implementation strategies were conduct pragmatic evaluation (n = 31), provide training (n = 26), change adaptable program components (n = 26), and leverage funding sources (n = 21). Webinars (n = 6) and listservs/newsletters (n = 5) were the most mentioned dissemination channels; national public health organizations (n = 13) were the most mentioned sources.</p><p><strong>Conclusions: </strong>Results reflect commonly used implementation strategies in community settings (e.g., training, technical assistance) and add novel strategies not reflected in current taxonomies. Dissemination preferences suggest the need to involve broad-reaching public health organizations. The resultant compilation (Implementation Strategies Applied in Communities) and strategy selection process provide resources to assist researchers and practitioners in applying strategies and improving EBI delivery in community settings.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"132"},"PeriodicalIF":5.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two-year scale-up dissemination study of a multi-strategic community-wide intervention promoting physical activity: a single-arm pre-post hybrid effectiveness-implementation trial. 为期两年的促进体育锻炼的全社区多战略干预措施推广研究:单臂前-后混合效果-实施试验。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-25 DOI: 10.1186/s12966-024-01684-6
Aoi Tsuzuki, Masamitsu Kamada, Shiho Amagasa, Jun Kitayuguchi, Takuma Miyashita, Takafumi Abe, Tatsunosuke Gomi, Kenta Okuyama, Masataka Taguri, Shigeru Inoue
{"title":"Two-year scale-up dissemination study of a multi-strategic community-wide intervention promoting physical activity: a single-arm pre-post hybrid effectiveness-implementation trial.","authors":"Aoi Tsuzuki, Masamitsu Kamada, Shiho Amagasa, Jun Kitayuguchi, Takuma Miyashita, Takafumi Abe, Tatsunosuke Gomi, Kenta Okuyama, Masataka Taguri, Shigeru Inoue","doi":"10.1186/s12966-024-01684-6","DOIUrl":"10.1186/s12966-024-01684-6","url":null,"abstract":"<p><strong>Background: </strong>Intervention trials that have demonstrated significant effects may not always replicate those effects when scaled up. This study aimed to test whether scaling-up a successful cluster randomized trial (the COMMUNICATE study, 9 intervention communities), which promoted population-level physical activity (PA), could promote PA in a broader citywide setting (29 communities) after two years, as a mid-term evaluation of the six-year scaled-up trial.</p><p><strong>Methods: </strong>This is a single-arm, pre-post comparison of a multi-strategic community-wide intervention covering the entire Unnan City, Japan. The intervention for middle-aged and older people consisted of three components: information delivery, education, and support delivery. The intervention method followed the COMMUNICATE study but adapted and introduced new initiatives tailored to local resources. A baseline survey (n = 3,718) among randomly selected residents aged 40-79 years in 2016 and a follow-up survey with the same respondents two years later were conducted. The primary outcome was the change in the percentage of people who practiced the recommended levels of PA, analyzed with a generalized linear mixed model to account for clusters at individual and community levels. Additionally, we examined the dose-response relation of the effect based on the intervention doses in each community. The RE-AIM framework assessed intervention dissemination and implementation.</p><p><strong>Results: </strong>The two-year intervention was implemented in all communities, reaching and involving various groups. The rate of people engaged in PA significantly increased in two years (adjusted change: + 8.0 percentage points [95% confidence interval: 6.1, 10.0]). Based on the type of PA, only muscle-strengthening activity showed a significant increase (+ 11.5% points [9.6, 13.5]), whereas walking (-1.8% points [-3.6, 0.1]) and flexibility activities (+ 0.3% points [-1.5, 2.0]) did not. The increase in PA in higher-dose areas was not significantly different but slightly larger than that in lower-dose areas (+ 8.4% points vs. + 7.6% points, adjusted difference in change: 0.8% points [-3.8, 5.5]).</p><p><strong>Conclusion: </strong>The scaled-up citywide intervention promoted PA, especially muscle-strengthening activity. Collaboration with diverse organizations in different settings is crucial for multi-faceted interventions and requires balancing uncertainty in its implementation quality and quantity owing to collaborative decision-making.</p><p><strong>Trial registration: </strong>UMIN-CTR, UMIN000024682. Registered 02 November 2016, https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000028377.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"131"},"PeriodicalIF":5.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
24-hour movement behaviors and changes in quality of life over time among community-dwelling older adults: a compositional data analysis. 社区老年人的 24 小时运动行为和生活质量随时间的变化:组合数据分析。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-12 DOI: 10.1186/s12966-024-01681-9
Lotta Palmberg, Kristin Suorsa, Antti Löppönen, Laura Karavirta, Taina Rantanen, Timo Rantalainen
{"title":"24-hour movement behaviors and changes in quality of life over time among community-dwelling older adults: a compositional data analysis.","authors":"Lotta Palmberg, Kristin Suorsa, Antti Löppönen, Laura Karavirta, Taina Rantanen, Timo Rantalainen","doi":"10.1186/s12966-024-01681-9","DOIUrl":"10.1186/s12966-024-01681-9","url":null,"abstract":"<p><strong>Background: </strong>Favorable movement behavior patterns, comprising more physical activity, less sedentary behavior, and sufficient sleep, may promote the maintenance of good quality of life (QoL) with advancing age. The aim of the present study was to investigate whether movement behaviors predict future changes in QoL among community-dwelling older adults over a four-year follow-up.</p><p><strong>Methods: </strong>Participants were 75-, 80- and 85-year-old community-dwelling older adults (n = 203) followed up for 4 years. Participants wore thigh- and trunk-mounted accelerometers for 3-7 days at baseline. Proportion of time-use in physical activity, standing and sedentary behavior were assessed based on body posture and movement intensity. Time in bed was determined using an automated algorithm. QoL was assessed during a home interview using the short Older People's Quality of Life Questionnaire at baseline and follow-up (range 13-65, higher scores indicate higher QoL). Compositional linear regression analysis was used to study whether baseline time-use composition predicts changes in QoL.</p><p><strong>Results: </strong>Over the 4-year follow-up, QoL scores decreased by 5% on average. Higher physical activity in relation to the other movement behaviors was associated with increase in QoL over time (β<sub>ilr</sub> 0.94, p = 0.013), but this association attenuated after adding baseline physical function into the model. Sedentary behavior, standing, and time in bed were not associated with changes in QoL. Theoretical reallocation of 30 min of physical activity into sedentary behavior, standing or time in bed was estimated to decrease QoL by 0.5 (CI 95% -0.6 to -0.4), 0.6 (-0.7 to -0.5) and 0.4 (-0.5 to -0.3) points, respectively.</p><p><strong>Conclusions: </strong>Theoretical reallocation of physical activity into sedentary behavior, standing, and time in bed was found to be associated with prospective decline in QoL among older adults. Engaging more in physical activity and less in more passive activities may promote better QoL with advancing age.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"130"},"PeriodicalIF":5.6,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of a UK supermarket intervention to increase purchasing of fresh fruit and vegetables: process evaluation of the WRAPPED natural experiment. 实施英国超市干预措施以增加新鲜水果和蔬菜的购买量:WRAPPED 自然实验的过程评估。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2024-11-11 DOI: 10.1186/s12966-024-01679-3
Janis Baird, Preeti Dhuria, Hannah Payne, Sarah Crozier, Wendy Lawrence, Christina Vogel
{"title":"Implementation of a UK supermarket intervention to increase purchasing of fresh fruit and vegetables: process evaluation of the WRAPPED natural experiment.","authors":"Janis Baird, Preeti Dhuria, Hannah Payne, Sarah Crozier, Wendy Lawrence, Christina Vogel","doi":"10.1186/s12966-024-01679-3","DOIUrl":"10.1186/s12966-024-01679-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Placement interventions, characterised by greater availability and more prominent positioning of healthy food products in supermarkets and other food stores, are associated with healthier patterns of purchasing and diet. The WRAPPED intervention study is a natural experiment that aims to evaluate a supermarket placement intervention to improve fruit and vegetable sales, household purchasing and the dietary quality of women and their children. Process evaluation, alongside the evaluation of outcomes, is essential to understand how interventions are implemented, under what circumstances they are effective, and their mechanisms of impact. This study aimed to assess the implementation of the WRAPPED placement intervention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study adopted a convergent mixed-methods design. Quantitative data extracted from study store planograms (visual representation of stores and product placement) before and after intervention implementation were used to assess the positioning of fresh fruit and vegetables in the first aisle from the front entrance (intervention dose). The availability of fresh fruit and vegetables in each study store was examined from stock-keeping unit (SKU) figures before and after intervention implementation. An intervention implementation survey (IIS) completed with store managers and senior supervisors before and 1- and 6-months post-intervention implementation enabled examination of the context across study stores. Semi-structured interviews with store managers and senior supervisors provided qualitative data about store staff experiences and perceptions of the intervention between 6-months post-intervention implementation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The placement intervention was implemented with close adherence to the study protocol. There were marked differences, post-intervention implementation, in the positioning of fresh fruit and vegetables in intervention stores compared with control stores: median distance in intervention stores was 8.0 m (IQR 5.0 to 10.0) compared with 23.8 m (IQR 21.0 to 30.0) in control stores (P &lt; 0.0001). The availability of varieties of fresh fruit and vegetables increased in intervention stores post-intervention compared with control stores: median (IQR) among intervention stores was 72 (51, 84) compared with 56.5 (50, 62) in control stores (P = 0.03). The mean change from baseline to post-implementation in number of different fruit and vegetables available in intervention stores was 15.3 (SD 16.7) (P = 0.01). IIS and interview data demonstrated little difference between intervention and store contexts over time. Reinforcing factors for intervention implementation included: head-office leadership, store staff views and attitudes and increased awareness of the importance of offering healthy food in prominent locations within stores.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study demonstrated that placement interventions which promote fresh f","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"21 1","pages":"128"},"PeriodicalIF":5.6,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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