scholarly journals Usage and Appreciation of a Web-Based Computer-Tailored Diet and Physical Activity Intervention based on the Self-Determination Theory: Evaluation of Process and Predictors   (Preprint)

10.2196/22390 ◽  
2020 ◽  
Author(s):  
Juul M.J. Coumans ◽  
Anke Oenema ◽  
Catherine A.W. Bolman ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Web Based ◽  
Theory Evaluation ◽  
Diet And Physical Activity

Usage and appreciation of a Web-Based Computer-Tailored Diet and Physical Activity Intervention based on the Self-Determination Theory: Evaluation of process and predictors (Preprint)

2020 ◽  
Author(s):  
Juul M.J. Coumans ◽  
Anke Oenema ◽  
Catherine A.W. Bolman ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Self Determination Theory ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Self Determination ◽  
Self Report ◽  
Stepwise Logistic Regression ◽  
Web Based ◽  
Motivational Constructs ◽  
Diet And Physical Activity

BACKGROUND eHealth seems to be a promising tool for promoting lifestyle behaviors, such as a healthy diet and physical activity (PA). However, making people use interventions is a crucial and challenging problem in eHealth. More insight into usage patterns and predicting factors is needed to improve future interventions. OBJECTIVE This paper describes the (predictors of) usage and appreciation of a web-based computer-tailored dietary and PA promotion intervention “MyLifestyleCoach” based on Self-Determination theory. Firstly, we depicted the participants’ flow in the intervention, identifying moments when people are likely to discontinue their use. Secondly, it was investigated whether demographic, motivational, and program-related characteristics predict usage of several intervention elements. Thirdly, appreciation scores of the intervention and the characteristics associated with these scores were reported. METHODS Data from online self-report questionnaires and objectively assessed usage data of several intervention parts were analyzed from participants randomized to the intervention condition. Multiple stepwise (logistic) regression analyses were conducted to examine the predictors of the intervention’s usage and evaluation scores. RESULTS Our findings indicate a low full completion rate for the intervention who chose and completed respectively the diet module (49/146, 33.6%), the PA module (2/12, 16.7%) and both modules (58/273, 21.2%). Several points in the intervention were identified where participants were likely to stop using the intervention. Autonomous and intrinsic motivation towards diet was related to the completion of initial sessions of the intervention (i.e., the opening session in which participants could choose which module to follow and the first session of the diet module). In contrast, controlled motivation was linked to the completion of both modules (initial and follow-up sessions). The appreciation scores were somewhat positive. Appreciation was predicted by several motivational constructs (e.g., amotivation), basic psychological needs (e.g., competence), and program-related features (e.g., the number of sessions completed). CONCLUSIONS To conclude, this study adds meaningful information on the use and appreciation of a Web-based computer-tailored dietary and PA intervention “MyLifestyleCoach”. Results indicate that different types of motivation are at play at different moments where people are likely to stop using the intervention. The intervention was appreciated fairly well, and several motivational constructs and fulfillment of the basic psychological needs were associated with appreciation. Practical implications of these findings have been provided. CLINICALTRIAL Netherlands Trial Register NL7333; https://www.trialregister.nl/trial/7333

scholarly journals Development and Testing of a Personalized Web-Based Diet and Physical Activity Intervention Based on Motivational Interviewing and the Self-Determination Theory: Protocol for the MyLifestyleCoach Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Juul M J Coumans ◽  
Catherine A W Bolman ◽  
Stijn A H Friederichs ◽  
Anke Oenema ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Healthy Eating ◽  
Controlled Trial ◽  
Intervention Mapping ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Web Based ◽  
Randomized Controlled

BACKGROUND Unhealthy dietary patterns and insufficient physical activity (PA) are associated with negative health outcomes, such as cardiovascular diseases, type 2 diabetes, cancer, overweight, and obesity. This makes the promotion of healthy dietary and PA behaviors a public health priority. OBJECTIVE This paper describes the development, design, and evaluation protocol of a Web-based computer-tailored (CT) dietary and PA promotion intervention, <i>MyLifestyleCoach</i>. A Web-based format was chosen for its accessibility and large-scale reach and low-cost potential. To achieve effective and persistent behavioral change, this innovative intervention is tailored to individual characteristics and is based on the self-determination theory and motivational interviewing (MI). METHODS The 6 steps of the intervention mapping protocol were used to systematically develop <i>MyLifestyleCoach</i> based on the existing effective CT PA promotion intervention <i>I Move</i>. The <i>MyLifestyleCoach</i> intervention consists of 2 modules: <i>I Move</i>, which is aimed at promoting PA, and <i>I Eat</i>, which is aimed at promoting healthy eating. Development of the <i>I Eat</i> module was informed by the previously developed <i>I Move</i>. Both modules were integrated to form the comprehensive <i>MyLifestyleCoach</i> program. Furthermore, <i>I Move</i> was slightly adapted, for example, the new Dutch PA guidelines were implemented. A randomized controlled trial consisting of an intervention condition and waiting list control group will be used to evaluate the effectiveness of the intervention on diet and PA. RESULTS Self-reported measures take place at baseline, 6 months, and 12 months after baseline. Enrollment started in October 2018 and will be completed in June 2020. Data analysis is currently under way, and the first results are expected to be submitted for publication in 2020. CONCLUSIONS <i>MyLifestyleCoach</i> is one of the first interventions to translate and apply self-determination theory and techniques from MI in Web-based computer tailoring for an intervention targeting PA and dietary behavior. Intervention mapping served as a blueprint for the development of this intervention. We will evaluate whether this approach is also successful in promoting eating healthier and increasing PA using an randomized controlled trial by comparing the intervention to a waiting list control condition. The results will provide an insight into the short- and long-term efficacy and will result in recommendations for the implementation and promotion of healthy eating and PA among adults in the Netherlands. CLINICALTRIAL Dutch Trial Register NL7333; https://www.trialregister.nl/trial/7333 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14491

scholarly journals Development and Testing of a Personalized Web-Based Diet and Physical Activity Intervention Based on Motivational Interviewing and the Self-Determination Theory: Protocol for the MyLifestyleCoach Randomized Controlled Trial

10.2196/14491 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e14491 ◽  
Author(s):  
Juul M J Coumans ◽  
Catherine A W Bolman ◽  
Stijn A H Friederichs ◽  
Anke Oenema ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Healthy Eating ◽  
Controlled Trial ◽  
Intervention Mapping ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Web Based ◽  
Randomized Controlled

Background Unhealthy dietary patterns and insufficient physical activity (PA) are associated with negative health outcomes, such as cardiovascular diseases, type 2 diabetes, cancer, overweight, and obesity. This makes the promotion of healthy dietary and PA behaviors a public health priority. Objective This paper describes the development, design, and evaluation protocol of a Web-based computer-tailored (CT) dietary and PA promotion intervention, MyLifestyleCoach. A Web-based format was chosen for its accessibility and large-scale reach and low-cost potential. To achieve effective and persistent behavioral change, this innovative intervention is tailored to individual characteristics and is based on the self-determination theory and motivational interviewing (MI). Methods The 6 steps of the intervention mapping protocol were used to systematically develop MyLifestyleCoach based on the existing effective CT PA promotion intervention I Move. The MyLifestyleCoach intervention consists of 2 modules: I Move, which is aimed at promoting PA, and I Eat, which is aimed at promoting healthy eating. Development of the I Eat module was informed by the previously developed I Move. Both modules were integrated to form the comprehensive MyLifestyleCoach program. Furthermore, I Move was slightly adapted, for example, the new Dutch PA guidelines were implemented. A randomized controlled trial consisting of an intervention condition and waiting list control group will be used to evaluate the effectiveness of the intervention on diet and PA. Results Self-reported measures take place at baseline, 6 months, and 12 months after baseline. Enrollment started in October 2018 and will be completed in June 2020. Data analysis is currently under way, and the first results are expected to be submitted for publication in 2020. Conclusions MyLifestyleCoach is one of the first interventions to translate and apply self-determination theory and techniques from MI in Web-based computer tailoring for an intervention targeting PA and dietary behavior. Intervention mapping served as a blueprint for the development of this intervention. We will evaluate whether this approach is also successful in promoting eating healthier and increasing PA using an randomized controlled trial by comparing the intervention to a waiting list control condition. The results will provide an insight into the short- and long-term efficacy and will result in recommendations for the implementation and promotion of healthy eating and PA among adults in the Netherlands. Trial Registration Dutch Trial Register NL7333; https://www.trialregister.nl/trial/7333 International Registered Report Identifier (IRRID) DERR1-10.2196/14491

A Self-Determined Exploration of Adolescents’ and Parents’ Experiences Derived From a Multidimensional School-Based Physical Activity Intervention

2020 ◽  
pp. 1-10
Author(s):  
Roberto Ferriz ◽  
Alejandro Jiménez-Loaisa ◽  
David González-Cutre ◽  
María Romero-Elías ◽  
Vicente J. Beltrán-Carrillo
Keyword(s):  
Physical Activity ◽  
Physical Activity Intervention ◽  
Leisure Time Physical Activity ◽  
Self Determination Theory ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Self Determination ◽  
Motivational Strategies ◽  
School Based ◽  
Parents Experiences

Purpose: Adolescents’ and parents’ experiences within a multidimensional school-based physical activity intervention grounded on self-determination theory were explored. Method: Qualitative data from 29 adolescents (aged 15–17 years) and three parents on behalf of the total students’ families were collected via participant observation (research diary), semistructured interviews, and focus groups. Results: Adolescents perceived that the application of motivational strategies, based on self-determination theory, satisfied their basic psychological needs for autonomy, competence and relatedness, favored self-determined motivation, and gave rise to adaptive consequences (improved physical activity knowledge, creation of affective bonds, and increased leisure-time physical activity). These results were supported by the information reported by the students’ parents. Discussion/Conclusions: The findings support the implementation of self-determination theory-based multidimensional interventions to promote adolescents’ physical activity participation. This study also presents several motivational strategies which could be useful for the design and implementation of future school-based physical activity interventions.

scholarly journals The Role of Self-Determination in Changing Physical Activity Behavior in People Diagnosed With Bowel Polyps: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 28 (1) ◽  
pp. 42-52 ◽  
Author(s):  
Liane S. Lewis ◽  
Barnabas Shaw ◽  
Srijit Banerjee ◽  
Pryscilla Dieguez ◽  
James Hernon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Physical Activity Behavior ◽  
Self Determination Theory ◽  
The Self ◽  
Self Determination ◽  
Behavioral Regulation ◽  
Randomized Controlled ◽  
Supervised Exercise

This nonblinded randomized controlled trial investigated the efficacy of a physical activity (PA) intervention underpinned by self-determination theory. Participants (N = 31, mean age 69 years [SD = 4.9]) diagnosed with bowel polyps were randomized to an active lifestyle program (ALP; n = 17) or standard care (n = 14). ALP received supervised exercise and counseling for 6 months. Both groups were followed up at 12 months. Outcomes were change in PA and behavioral regulation. Data were analyzed with intention to treat. At 6 months, differences were observed for behavioral regulation in favor of ALP (p < .05). PA differences were significant for leisure, walking, and vigorous in favor of ALP (p < .05). The self-determination theory can be an effective strategy for promoting PA behavior change in this population, but a larger trial is needed to further explore the utility of the self-determination theory in this context.

scholarly journals Delivery and Receipt of a Self-Determination-Theory-Based Extracurricular Physical Activity Intervention: Exploring Theoretical Fidelity in Action 3:30

2016 ◽  
Vol 38 (4) ◽  
pp. 381-395 ◽  
Author(s):  
Simon J. Sebire ◽  
Mark J. Edwards ◽  
Kenneth R. Fox ◽  
Ben Davies ◽  
Kathryn Banfield ◽  
...  
Keyword(s):  
Physical Activity ◽  
Autonomy Support ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Implementation Fidelity ◽  
Self Determination Theory ◽  
Need Satisfaction ◽  
Self Determination ◽  
After School ◽  
School Based

The implementation, fidelity, and receipt of a self-determination-theory-based after-school physical activity intervention (Action 3:30) delivered by teaching assistants (TAs) was examined using a mixed-methods process evaluation. Physical activity motivation and need satisfaction were reported by 539 participants at baseline, the end of intervention, and 4-month follow-up. Pupil- and TA-reported autonomy-support and teaching efficacy were collected alongside interviews with 18 TAs and focus groups with 60 participants. Among intervention boys there were small increases in identified, introjected, and external motivation and no differences in need satisfaction. Among girls, intrinsic and identified motivation and autonomy and relatedness were lower in the intervention group. Qualitative evidence for fidelity was moderate, and boys reported greater need satisfaction than girls. TAs provided greater structure than involvement or autonomy-support and felt least efficacious when facing school-based challenges. The findings highlight the refinements needed to enhance theoretical fidelity and intervention effectiveness for boys and girls.

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