scholarly journals Web-Based Dietary and Physical Activity Intervention Programs for Hypertensive Patients: Scoping Review (Preprint)

10.2196/22465 ◽  
2020 ◽  
Author(s):  
Fatimah Najihah Baderol Allam ◽  
Mohd Ramadan Ab Hamid ◽  
Siti Sabariah Buhari ◽  
Harrinni Md Noor
Keyword(s):  
Physical Activity ◽  
Scoping Review ◽  
Physical Activity Intervention ◽  
Intervention Programs ◽  
Web Based ◽  
Hypertensive Patients

scholarly journals Web-Based Dietary and Physical Activity Intervention Programs for Hypertensive Patients: A Scoping Literature Review (Preprint)

2020 ◽  
Author(s):  
Fatimah Najihah Baderol Allam ◽  
Mohd Ramadan Ab Hamid ◽  
Siti Sabariah Buhari ◽  
Harrinni Md Noor
Keyword(s):  
Physical Activity ◽  
Literature Review ◽  
Intervention Program ◽  
Physical Activity Intervention ◽  
Lifestyle Changes ◽  
Intervention Programs ◽  
Web Based ◽  
Hypertensive Patients ◽  
Manual Search ◽  
The Web

BACKGROUND Hypertension is the root cause of many chronic diseases. Lifestyle changes, i.e., dietary alterations and physical activity, were seen to be an important step in the prevention and treatment of hypertension. Educating people through the web-based interventional programs could offer an effective solution and help these hypertensive patients in the existing healthcare scenario. OBJECTIVE In this study, the researchers conducted a literature review of the web-based dietary changes and physical activity-related intervention programs designed for the hypertensive patients, for identifying the methodologies, effectiveness, protocols and the theories that could affect and improve the existing clinical activities. METHODS This review is supported by the 5-stage framework proposed by Arksey and O’Malley, for mapping the relevant studies published in the literature in the following manner: (1) Identifying the research questions; (2) Identifying the relevant studies; (3) Selection of such studies for further reviewing; (4) Charting the data from the selected studies in the literature; and (5) Summarising the reports and the results. Here, the researchers carried an electronic and manual search of the 6 databases. They have summarised all the data based on the characteristics of the different web-based tools (i.e., structure, function, and communication paradigm), context and users, intended use, evaluation (of the study design and the outcomes) using the studies in the literature. RESULTS The researchers selected 15 web-based intervention articles published on the topic of hypertension from 7 countries. A few of these web-based tools (26.5%, 4/15) included >3 functions and provided a lot of important information (like appointments, health record, or viewable care). Several tools were seen to be standalone tools (73.5%, 11/15), while a majority of the tools supported the communication intervention-related lifestyle or behavioural changes (86.5%, 13/15) and the medication adherence (40%, 6/15). It was seen that physicians (60%, 9/15), allied health professionals from different disciplines (33.5%, 5/15), and nurses (33.5%, 5/15), were the healthcare providers who generally used these tools for communicating with their patients. More than half of the above tools (67%, 10/15) were assessed by different researchers in the randomised controlled trials, while 5 tools (33%, 5/15) were investigated in the non-randomised studies. CONCLUSIONS In this study, the researchers identified many web-based intervention programs for hypertensive patients from the databases. They stated that developers need to consider the preferences of the patients with regards to the information or the design features while developing or modifying the web-based educational websites. These tools could be used for designing a patient-tailored website intervention program which was based on the diet and the physical activities for the hypertensive patients.

scholarly journals Efficacy of a computer-tailored web-based physical activity intervention using Fitbits for older adults: a randomised controlled trial protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033305 ◽  
Author(s):  
Stephanie Alley ◽  
Jannique GZ van Uffelen ◽  
Stephanie Schoeppe ◽  
Lynne Parkinson ◽  
Susan Hunt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Activity Intervention ◽  
Sitting Time ◽  
Intervention Fidelity ◽  
Web Based ◽  
Participant Satisfaction ◽  
Website Usability ◽  
Secondary Outcomes ◽  
Tailored Advice

IntroductionPhysical activity is an integral part of healthy ageing, yet the majority of older adults 65+ years are not sufficiently active. Web-based physical activity interventions hold much promise to reach older adults. Preliminary evidence suggests that web-based interventions with tailored advice and Fitbits may be well suited for older adults.Methods and analysisThis study aims to test the effectiveness of ‘Active for Life’, a 12-week computer-tailored web-based physical activity intervention using Fitbits for older adults. We will recruit 300 participants who will be randomly assigned to one of three trial arms: (1) web-based physical activity intervention with tailored advice only, (2) web-based physical activity intervention with tailored advice and Fitbit or (3) a wait-list control. The primary outcome, objective moderate to vigorous physical activity (MVPA) and secondary outcomes of objective sedentary behaviour, objective sleep, quality of life, social support, physical function and satisfaction with life will be assessed at baseline and week 12. The secondary outcomes of self-reported physical activity, sitting time and sleep will be assessed at baseline, week 6, 12 and 24. Website usability and participant satisfaction will be assessed at week 12 and website usage and intervention fidelity will be assessed from week 1 to 24. Intention-to-treat linear mixed model analyses will be used to test for group (tailoring only, tailoring +Fitbit, control) differences on changes in the main outcome, MVPA and secondary outcomes. Generalised linear models will be used to compare intervention groups (tailoring only, tailoring +Fitbit) on website usability, participant satisfaction, website usage and intervention fidelity.Ethics and disseminationThe study has received ethics approval from the Central Queensland University Human Research Ethics Committee (H16/12-321). Study outcomes will be disseminated through peer-reviewed publications and academic conferences and used to inform improvements and dissemination of a tailored, web-based physical activity intervention for adults 65+ years.Trial registration numberAustralian and New Zealand Clinical Trials Registry Number: ACTRN12618000646246

Health-related lifestyle and dropout from a web-based physical activity intervention trial in older adults: A latent profile analysis.

2021 ◽  
Vol 40 (8) ◽  
pp. 481-490
Author(s):  
Tiara Ratz ◽  
Claudia Voelcker-Rehage ◽  
Claudia R. Pischke ◽  
Saskia Muellmann ◽  
Manuela Peters ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Latent Profile Analysis ◽  
Physical Activity Intervention ◽  
Profile Analysis ◽  
Intervention Trial ◽  
Web Based ◽  
Health Related ◽  
Latent Profile

Feasibility and Effectiveness of a Web-Based Physical Activity Intervention for Working Mothers

2016 ◽  
Vol 13 (8) ◽  
pp. 822-829 ◽  
Author(s):  
Emily L. Mailey ◽  
Jennifer Huberty ◽  
Brandon C. Irwin
Keyword(s):  
Physical Activity ◽  
Group Dynamics ◽  
Working Mothers ◽  
Physical Activity Intervention ◽  
Well Being ◽  
Discussion Board ◽  
User Engagement ◽  
Web Based ◽  
Self Worth ◽  
Website Use

Background:The purpose of this study was to examine the feasibility and effectiveness of a web-based intervention to promote physical activity and self-worth among working mothers.Methods:Participants (N = 69) were randomly assigned to receive a standard web-based intervention or an enhanced intervention that included group dynamics strategies to promote engagement. The 8-week intervention was guided by self-determination theory. Each week, participants were instructed to complete 3 tasks: listen to a podcast related to well-being, complete a workbook assignment, and communicate with other participants on a discussion board. Participants in the enhanced condition received an additional weekly task to enhance group cohesion. Data were collected at baseline, week 8, and week 16.Results:Physical activity (P < .001, η2 = 0.35) and self-worth (P < .001, η2 = 0.39) increased significantly in both groups following the intervention, and introjected (P < .001, η2 = 0.30) and external motivation (P = .04, η2 = 0.10) decreased. Website use declined across the 8-week intervention in both groups (P < .001, η2 = 0.48); however, discussion board use was higher in the enhanced condition (P = .04, η2 = 0.21).Conclusions:These findings suggest web-based interventions can improve physical activity and self-worth among working mothers. Group dynamics strategies only minimally enhanced user engagement, and future studies are needed to optimize web-based intervention designs.

scholarly journals Predictors of Self-Determined Module Choice in a Web-Based Computer-Tailored Diet and Physical Activity Intervention: Secondary Analysis of Data From a Randomized Controlled Trial

10.2196/15024 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e15024
Author(s):  
Juul M J Coumans ◽  
Catherine A W Bolman ◽  
Anke Oenema ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Physical Activity Intervention ◽  
Multinomial Logistic Regression ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Motivation To Change ◽  
Web Based ◽  
Multinomial Logistic Regression Analysis ◽  
Randomized Controlled

Background Tailoring an online intervention to participant preferences (eg, by giving participants a choice which modules to follow) may increase engagement in the intervention, motivation for behavioral change, and possibly intervention effects. So far, little is known about what characteristics predict these module choices. Filling this knowledge gap is useful for optimizing program engagement. Objective We investigated participant choice for a dietary and/or physical activity (PA) promotion module in our web-based computer-tailored intervention based on self-determination theory (SDT) and motivational interviewing (MI). Furthermore, we investigated which demographic characteristics, current behavior, psychosocial constructs and constructs from SDT and MI, and program-related variables such as advice on which module to follow were associated with these choices. Methods Observational data were used from the randomized controlled trial MyLifestyleCoach of participants who were randomized into the intervention condition, completed the baseline questionnaire, and made a module choice in the opening session of the intervention. Here, they received advice on their own dietary and PA behavior. At the session’s end, they chose which lifestyle modules they would like to follow (both, diet, PA, or no module). Measurements included demographic information; self-reported diet and PA; and several psychosocial, SDT, and MI constructs. In total, data from 619 Dutch adults (59.6% women; mean age was 51.9 [SD 13.5] years) were analyzed. A stepwise multinomial logistic regression analysis was conducted to investigate which characteristics are related to module choice; the diet module served as reference category as almost everyone was advised to follow this module. Results Of this sample, 54.8% (339/619) chose to do both the diet and PA module, 25.4% (157/619) chose to follow the diet module, 17.8% (110/619) preferred to follow no module, and 2.1% (13/619) chose to do the PA module only. Furthermore, it was found that older people, those who consumed more fruit, and those who scored lower on importance to change their current diet were more likely to choose no module compared to the diet module. People who had more motivation to change their current PA and those who received strong advice compared with slight advice to follow the diet module were more likely to choose both modules compared with the diet module only. Conclusions The results show that more than half of the sample was interested in following both the diet and PA module in this online lifestyle intervention. Several characteristics were found to be related to module choice. A future challenge is to examine how this knowledge can be used to improve future interventions, such as tailoring (messages or content) on specific groups or examining where and how MI could be used to motivate people to make a certain module choice. Trial Registration Netherlands Trial Register NL7333; https://www.trialregister.nl/trial/7333

A Web-based versus a Print-based Physical Activity Intervention for Community-dwelling Older Adults: Randomized Trial With a Cross-over Design (Preprint)

2021 ◽  
Author(s):  
Claudia Pischke ◽  
Claudia Voelcker-Rehage ◽  
Tiara Ratz ◽  
Manuela Peters ◽  
Christoph Buck ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Randomized Trial ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Community Dwelling ◽  
Significant Group ◽  
Web Based ◽  
Group Sessions ◽  
Community Dwelling Older Adults

BACKGROUND Despite the crucial role of regular physical activity (PA) for preventing chronic non-communicable diseases, fewer than half of older adults in Germany engage in the recommended levels of endurance training. OBJECTIVE The aim of this study was to compare acceptance and effectiveness of two interventions (web- vs. print-based) for PA promotion among initially inactive community-dwelling older adults aged 60 years and above in a nine-month randomized trial with a cross-over design. METHODS Participants were recruited offline and randomized to one of the following interventions for self-monitoring PA: (a) a print-based intervention (PRINT n=113), (b) a web-based intervention (WEB, n=129). Thirty percent (n=38) of those in group (b) received a PA tracker in addition to WEB (WEB+, (c)). After randomization, participants and researchers were not blinded. Participants’ intervention preferences at baseline were assessed retrospectively. All intervention groups were offered ten weekly face-to-face group sessions led by trained assistants. Afterwards, participants could choose to stay in their group or cross over to one of the other groups and group sessions were continued monthly for another six months. Three-dimensional accelerometers to assess PA and sedentary behavior (SB) at baseline (T0), three-month (T1) and nine-month follow-ups (T2) were employed. Adherence to PA recommendations, attendance of group sessions, and acceptance of the interventions were assessed via self-administered paper-based questionnaires. Linear mixed models were used to calculate differences in moderate-to-vigorous PA (MVPA) and SB between time points and intervention groups. RESULTS One-hundred and ninety-five participants completed T1. Only n=1 changed from WEB to PRINT and n=15 moved from PRINT to WEB (WEB-WEB: n=103, PRINT-PRINT: n=76) when offered to cross over at T1. One-hundred and sixty participants completed T2. MVPA in min per day increased between baseline and T1, but these within-group changes in time disappeared after adjusting for covariates. MVPA decreased by 9 min per day between baseline and T2 (βtime = -9.37, 95% CI: [-18.58; -0.16]), regardless of intervention group (WEB vs. PRINT: βgroup*time = -3.76, 95% CI: [-13.33; 5.82], WEB+ vs. PRINT: βgroup*time = 1.40, 95% CI: [-11.04; 13.83]). Nineteen percent of the participants met PA recommendations at T0, 20% at T1, and 20% at T2. For SB, there were no significant group differences and group-by-time interactions, neither at T1 nor at T2. Intervention acceptance was generally high. Use of intervention material was high to moderate at T1 (e.g., the PA diary was used by over 65% at least once a week) and decreased by T2 (40-50% in PRINT and in WEB used the PA diary at least once a week, and 58% in WEB+). CONCLUSIONS Despite high levels of acceptance of web- and print-based interventions for PA promotion and little movement between groups at T1, when given the choice, participation was not associated with increases in PA or decreases in SB over time. CLINICALTRIAL German Clinical Trials Register DRKS00016073 (Date of registration 10–01-2019).

Adherence to Physical Activity Recommendations in Older Adults: An Israeli National Survey

2011 ◽  
Vol 19 (1) ◽  
pp. 30-47 ◽  
Author(s):  
Yael Netz ◽  
Rebecca Goldsmith ◽  
Tal Shimony ◽  
Yosefa Ben-Moshe ◽  
Aviva Zeev
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Culturally Diverse ◽  
Physical Activity Intervention ◽  
Intervention Programs ◽  
Religious Leaders ◽  
Physical Activity Recommendations ◽  
Arab Sector ◽  
Diverse Groups ◽  
Activity Recommendations

The trend of extended life expectancy along with a sedentary lifestyle is typical in Western cultures.Objective:To explore adherence to physical activity recommendations in older adults in Israel.Methods:A random sample of 1,536 Jews and 316 Arabs age 65+ were interviewed and divided into sufficiently active, insufficiently active, and inactive groups based on official guidelines.Results:Only 36.4% of the Jewish sector and 19.6% of the Arab sector are sufficiently active. Men are more active than women, the secular are more active than the religious among both Jews and Arabs, and more years of education, a higher income, and fewer diseases and medications are related to higher levels of physical activity.Discussion:To slow down biological age decline with physical activity, intervention programs specifically tailored for culturally diverse groups are suggested—for example, recruiting prominent religious leaders to promote physical activity in religious populations.

scholarly journals Long-term efficacy of a printed or a Web-based tailored physical activity intervention among older adults

2013 ◽  
Vol 10 (1) ◽  
pp. 104 ◽  
Author(s):  
Denise Peels ◽  
Catherine Bolman ◽  
Rianne Henrica Johanna Golsteijn ◽  
Hein de Vries ◽  
Aart Mudde ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Activity Intervention ◽  
Web Based ◽  
Term Efficacy

scholarly journals Systematic Review Shows Only Few Reliable Studies of Physical Activity Intervention in Adolescents

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Nara Michelle Moura Soares ◽  
Arley Santos Leão ◽  
Josivan Rosa Santos ◽  
Glauber Rocha Monteiro ◽  
Jorge Rollemberg dos Santos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Observational Studies ◽  
Physical Activity Intervention ◽  
Intervention Programs ◽  
Inclusion Criteria ◽  
Intervention Period ◽  
Effective Interventions ◽  
Mesh Terms ◽  
High Prevalence ◽  
Low Levels

Introduction. Several studies have pointed to the high prevalence of low levels of physical activity in adolescents, suggesting the need for more effective interventions for this group. The aim of this study was to present evidence of intervention programs for efficacy of physical activity for adolescents.Methods. Surveys in PubMed, SportDiscus, LiLacs, and SciELO databases were conducted using keywords to identify population, intervention, and outcome, as well as DeCS and MeSH terms in English, Portuguese, and Spanish, whenever appropriate. The review included observational studies with minimal intervention of six months, minimum sample size of 100 adolescents, written in any language, and those who have reached STROBE score greater than 70%.Results. Only seven studies met all inclusion criteria. Of these, five were pre- and postintervention and two hadn>2000participants. Interventions were of several types, durations, and strategies for physical activity implementation. Behavior change was assessed in 43% of studies and three reported success in some way.Conclusion. Due to heterogeneity in their contents and methodologies, as well as the lack of jobs that accompany adolescents after the intervention period, one cannot draw conclusions about the actual effects of the intervention programs of physical activity on the behavior of young people.

Sign in / Sign up

Export Citation Format

Share Document