scholarly journals Choice Architecture Cueing to Healthier Dietary Choices and Physical Activity at the Workplace: Implementation and Feasibility Evaluation

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3592
Author(s):  
Eeva Rantala ◽  
Saara Vanhatalo ◽  
Tanja Tilles-Tirkkonen ◽  
Markus Kanerva ◽  
Pelle Guldborg Hansen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Content Analysis ◽  
Real World ◽  
Qualitative Content Analysis ◽  
Workplace Health Promotion ◽  
Successful Implementation ◽  
Choice Architecture ◽  
Management Support ◽  
Feasibility Assessment ◽  
Facilitators And Barriers

Redesigning choice environments appears a promising approach to encourage healthier eating and physical activity, but little evidence exists of the feasibility of this approach in real-world settings. The aim of this paper is to portray the implementation and feasibility assessment of a 12-month mixed-methods intervention study, StopDia at Work, targeting the environment of 53 diverse worksites. The intervention was conducted within a type 2 diabetes prevention study, StopDia. We assessed feasibility through the fidelity, facilitators and barriers, and maintenance of implementation, building on implementer interviews (n = 61 informants) and observations of the worksites at six (t1) and twelve months (t2). We analysed quantitative data with Kruskall–Wallis and Mann–Whitney U tests and qualitative data with content analysis. Intervention sites altogether implemented 23 various choice architectural strategies (median 3, range 0–14 strategies/site), employing 21 behaviour change mechanisms. Quantitative analysis found implementation was successful in 66%, imperfect in 25%, and failed in 9% of evaluated cases. These ratings were independent of the ease of implementation of applied strategies and reminders that implementers received. Researchers’ assistance in intervention launch (p = 0.02) and direct contact to intervention sites (p < 0.001) predicted higher fidelity at t1, but not at t2. Qualitative content analysis identified facilitators and barriers related to the organisation, intervention, worksite environment, implementer, and user. Contributors of successful implementation included apt implementers, sufficient implementer training, careful planning, integration into worksite values and activities, and management support. After the study, 49% of the worksites intended to maintain the implementation in some form. Overall, the choice architecture approach seems suitable for workplace health promotion, but a range of practicalities warrant consideration while designing real-world implementation.

scholarly journals Drug dealing and drug use prevention – a qualitative interview study of authorities’ perspectives on two open drug scenes in Stockholm

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kristin Feltmann ◽  
Johanna Gripenberg ◽  
Anna K. Strandberg ◽  
Tobias H. Elgán ◽  
Pia Kvillemo
Keyword(s):  
Drug Use ◽  
Police Officers ◽  
Urban Areas ◽  
Qualitative Content Analysis ◽  
Organizational Factors ◽  
Successful Implementation ◽  
International Studies ◽  
Drug Dealing ◽  
Qualitative Interview Study ◽  
Facilitators And Barriers

Abstract Background The use of illicit substances causes various health and social problems globally. Moreover, open drug use and dealing in urban areas, i.e., open drug scenes, can cause public order problems, lead to the recruitment of marginalized and young people for drug use or sale, and induce feelings of insecurity in the general public. Although some international studies have described various ways to manage open drug scenes, such as law enforcement and social interventions, there is limited knowledge about the facilitators and barriers promoting or impeding the implementation of such interventions. The aim of the current study was to explore how different authorities describe the nature of two open drug scenes in Stockholm and to derive authorities’ perspective on facilitators and barriers to implementing interventions to reduce open drug dealing, drug use, and related problems at these locations. Methods Semi-structured interviews with police officers, security staff, social workers, and municipality officials (n = 21) in the municipality of Stockholm were conducted and analyzed by qualitative content analysis. Results The analysis of the interviews generated the following categories: Problems, Interventions, Organizational factors, and External factors, revealing information about the strategic and daily counteracting work occurring at the open drug scenes as well as authorities’ perceptions of facilitators and barriers to implementing interventions to reduce open drug dealing, drug use, and related problems. Facilitators included motivated and skilled professionals and organized collaboration between key actors. Prominent barriers were a lack of resources to maintain personnel continuity at the scenes, policies that impede information sharing and put security staff in danger, and people who use or sell drugs without having residence permits. Conclusions To increase the possibility of successful implementation of interventions to counteract open drug dealing, politicians and authorities should pay attention to collaboration between key actors, sufficient resource allocation, possible modification of policy governing professional duties, and remedies to the vulnerability of individuals without residence permits.

scholarly journals Teenage girls’ experience of the determinants of physical activity promotion: A theory-based qualitative content analysis

10.19082/5075 ◽  
2017 ◽  
Vol 9 (8) ◽  
pp. 5075-5082 ◽  
Author(s):  
Mahboobe Borhani ◽  
Roya Sadeghi ◽  
Davoud Shojaeizadeh ◽  
Tayebeh Fasihi Harandi ◽  
Mohammad Ali Vakili
Keyword(s):  
Physical Activity ◽  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Physical Activity Promotion ◽  
Teenage Girls ◽  
Activity Promotion

scholarly journals Acceptability, reach and implementation of a training to enhance teachers’ skills in physical activity promotion

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elina Renko ◽  
Keegan Knittle ◽  
Minttu Palsola ◽  
Taru Lintunen ◽  
Nelli Hankonen
Keyword(s):  
Physical Activity ◽  
Program Implementation ◽  
Real World ◽  
Physical Activity Promotion ◽  
School Staff ◽  
Future Research ◽  
Successful Implementation ◽  
Behavior Change Interventions ◽  
Activity Promotion ◽  
Long Term Follow Up

Abstract Background To achieve real-world impacts, behavior change interventions need to be scaled up and broadly implemented. Implementation is challenging however, and the factors influencing successful implementation are not fully understood. This study describes the nationwide implementation of a complex theory-based program targeting physical activity and sedentary behavior in vocational schools (Lets’s Move It; LMI). The implementation primarily involved a systematic and theory-based training and user manual for school staff. We explore how the perceived acceptability of this training (in line with the Theoretical Framework of Acceptability) relates to (un) successful implementation. The study evaluates (1) the experienced acceptability of the training and anticipated acceptability of later delivering the program; (2) reach and implementation, including adaptations and barriers; (3) whether acceptability ratings predict teachers’ intentions for implementation. Methods Upper secondary school staff from vocational and high schools (n = 194) enrolled in a two-part training, covering implementation of the LMI program and training in motivational interaction styles. One hundred fifty-one participants attended both parts of the training. Participants reported their perceived acceptability of the training and their implementation efforts in online questionnaires at baseline, after training sessions and at long-term follow-up. Qualitative data (open-ended questions) were analysed with content analysis to collate responses. Quantitative data analyses involved correlations and logistic regression. Results Participants rated the training as highly acceptable on all dimensions (average ratings exceeded 4.0 on a 5-point scale). The implementation reached at least 6100 students and 341 school classes. Most teachers intended to continue program implementation. Acceptability ratings explained 51.7% of teachers’ intentions to implement the student program (훘2 = 30.08; df = 8; p < .001), with affective attitude, perceived effectiveness and self-efficacy the most influential. Teachers commonly reported condensing program content, and reported deficits of time and collegial support as common barriers to implementation. Conclusion High acceptability and reach of the training indicate strong potential for implementation success. Multiple facets of acceptability seem important to successful implementation. Future research should explore ways to improve acceptability, thereby promoting successful implementation in real-world settings.

scholarly journals Motivators for Physical Activity among Ambulatory Nursing Home Older Residents

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Yuh-Min Chen ◽  
Yueh-Ping Li
Keyword(s):  
Physical Activity ◽  
Content Analysis ◽  
Nursing Home ◽  
Nursing Homes ◽  
Mood State ◽  
Qualitative Content Analysis ◽  
Regular Physical Activity ◽  
Purposive Sampling ◽  
State Filling ◽  
Empty Time

The purpose of this study was to explore self-identified motivators for regular physical activity among ambulatory nursing home older residents. A qualitative exploratory design was adopted. Purposive sampling was performed to recruit 18 older residents from two nursing homes in Taiwan. The interview transcripts were analyzed by qualitative content analysis. Five motivators of physical activity emerged from the result of analysis: eagerness for returning home, fear of becoming totally dependent, improving mood state, filling empty time, and previously cultivated habit. Research on physical activity from the perspectives of nursing home older residents has been limited. An empirically grounded understanding from this study could provide clues for promoting and supporting lifelong engagement in physical activity among older residents. The motivators reported in this study should be considered when designing physical activity programs. These motivators can be used to encourage, guide, and provide feedback to support older residents in maintaining physical activity.

scholarly journals User Perception of a Smartphone App to Promote Physical Activity Through Active Transportation: Inductive Qualitative Content Analysis Within the Smart City Active Mobile Phone Intervention (SCAMPI) Study (Preprint)

2020 ◽  
Author(s):  
Anna-Karin Lindqvist ◽  
Stina Rutberg ◽  
Emmie Söderström ◽  
Anna Ek ◽  
Christina Alexandrou ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Content Analysis ◽  
Mobile Phone ◽  
Smart City ◽  
Qualitative Content Analysis ◽  
Controlled Trial ◽  
Active Transportation ◽  
Smartphone App ◽  
Randomized Controlled

BACKGROUND Physical inactivity is globally recognized as a major risk factor for morbidity, particularly the incidence of noncommunicable diseases. Increasing physical activity (PA) is therefore a public health priority. Engaging in active transportation (AT) is a viable approach for promoting daily PA levels. Mobile health interventions enable the promotion of AT to a larger population. The Smart City Active Mobile Phone Intervention (SCAMPI) study was a randomized controlled trial designed to evaluate the ability of a behavior change program delivered via a smartphone app to motivate participants to increase their PA by engaging in AT. OBJECTIVE This qualitative study aims to examine the acceptance and user experience of the app promoting AT that was used in the SCAMPI trial (the TRavelVU Plus app). METHODS A total of 17 residents of Stockholm County (13 women; age range 25-61 years) who completed the 3-month app-based behavioral change program (delivered through the TRavelVU Plus app) in the SCAMPI randomized controlled trial during 2018 agreed to participate in a semistructured telephone-based interview. These participants were well representative of the whole intervention group (n=127) in terms of baseline characteristics such as age, sex, and area of residence. The interviews were audiorecorded, transcribed verbatim, and analyzed using an inductive qualitative content analysis. RESULTS The content analysis revealed 2 themes and 4 subcategories. The first theme, “main motivators: monitoring and messages,” highlighted that monitoring AT and being able to set weekly goals using the app were the primary motivators reported by study participants. The second theme, “acceptable but modifiable,” reflects that the app was well accepted and effectively encouraged many participants to use more AT. Nevertheless, there were functions in the app that require modification. For example, while the semiautomated travel tracking feature was appreciated, participants found it time-consuming and unreliable at times. CONCLUSIONS This study contributes novel insight into adults’ experiences of using a mobile app to promote the use of AT. The results showed that the app was well accepted and that self-monitoring and goal setting were the main motivators to engage in more AT. The semiautomated tracking of AT was appreciated; however, it was also reported to be energy- and time-consuming when it failed to work. Thus, this feature should be improved going forward. CLINICALTRIAL ClinicalTrials.gov NCT03086837; https://clinicaltrials.gov/ct2/show/NCT03086837 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12889-018-5658-4

scholarly journals Praktik vigilantisme digital di media sosial dalam konflik antarkelompok

2020 ◽  
Vol 4 (3) ◽  
pp. 749
Author(s):  
Muhamad Isnaini ◽  
Sarwititi Sarwoprasodjo ◽  
Rilus A. Kinseng ◽  
Kholil Kholil
Keyword(s):  
Social Media ◽  
Content Analysis ◽  
Real World ◽  
Virtual World ◽  
Qualitative Content Analysis ◽  
Intergroup Conflict ◽  
Daily Routine ◽  
Analysis Method ◽  
Content Analysis Method ◽  
Common Practices

This research was conducted based on the frequent conflicts in Johar Baru sub-district, Central Jakarta. Tawuran or brawls has become a daily routine in that particular sub-district. This study aimed to analyse practices of digital vigilantism on social media amid intergroup conflict. Researchers explored Facebook accounts of several groups that are often involved in a conflict. This study used a qualitative content analysis method. The results revealed that digital vigilantism practices found were security, supervision, control, discipline, and punishment of one group against other groups through social media, where punishment, i.e. name-calling, and shaming are the most common practices, so that conflicts from the virtual world lead to conflicts in the real world.

Recommendations from LGBTQ+ adults for increased inclusion within physical activity: a qualitative content analysis

2021 ◽  
Author(s):  
Shannon S C Herrick ◽  
Tyler Baum ◽  
Lindsay R Duncan
Keyword(s):  
Physical Activity ◽  
Content Analysis ◽  
Qualitative Content Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sports Teams ◽  
Gender Binary ◽  
The Creation ◽  
Gender Based ◽  
And Gender

Abstract For decades, physical activity contexts have been inherently exclusionary toward LGBTQ+ participation through their perpetuation of practices and systems that support sexuality- and gender-based discrimination. Progress toward LGBTQ+ inclusivity within physical activity has been severely limited by a lack of actionable and practical suggestions. The purpose of this study was to garner an extensive account of suggestions for inclusivity from LGBTQ+ adults. Using an online cross-sectional survey, LGBTQ+ adults (N = 766) were asked the following open-ended question, “in what ways do you think physical activity could be altered to be more inclusive of LGBTQ+ participation?” The resulting texts were coded using inductive qualitative content analysis. All coding was subject to critical peer review. Participants’ suggestions have been organized and presented under two overarching points of improvement: (a) creation of safe(r) spaces and (b) challenging the gender binary. Participants (n = 558; 72.8%) outlined several components integral to the creation and maintenance of safe(r) spaces such as: (i) LGBTQ+ memberships, (ii) inclusivity training for fitness facility staff, (iii) informative advertisement of LGBTQ+ inclusion, (iv) antidiscrimination policies, and (v) diverse representation. Suggestions for challenging the gender binary (n = 483; 63.1%) called for the creation of single stalls or gender-neutral locker rooms, as well as for the questioning of gender-based stereotypes and binary divisions of gender within physical activity (e.g., using skill level and experience to divide sports teams as opposed to gender). The findings of this study represent a multitude of practical suggestions for LGBTQ+ inclusivity that can be applied to a myriad of physical activity contexts.

scholarly journals Barriers to and Facilitators of Physical Activity among Korean Female Adults with Knee Osteoarthritis and Comorbidity: A Qualitative Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 226 ◽  
Author(s):  
Eunyoung Park ◽  
Hyung-Ran Park ◽  
Eui-Sung Choi
Keyword(s):  
Physical Activity ◽  
Content Analysis ◽  
Knee Osteoarthritis ◽  
Qualitative Content Analysis ◽  
Self Control ◽  
Support Provision ◽  
Content Analysis Method ◽  
Outpatient Center ◽  
Limited Physical Activity ◽  
Depth Interviews

When knee osteoarthritis is combined with comorbidity, it is associated with limited physical activity. This study aimed to identify barriers to and facilitators of physical activity among Korean female adults with knee osteoarthritis and comorbidity, such as hypertension, diabetes, and dyslipidemia. A qualitative content analysis study was conducted. Ten female knee osteoarthritis participants with comorbidity were recruited at an orthopedic outpatient center in South Korea. Data were collected using in-depth interviews and were analyzed using a conventional content analysis method. Ten participants with a mean age of 70.7 years participated in this study. Four categories of barriers and three of facilitators were identified. Barriers to physical activity were physical hardships, lack of motivation, environmental restrictions, and lack of knowledge. Categories of facilitators were pain management, self-control in physical activity, and understanding the importance of physical activity. Participants did not express any social or environmental facilitators of physical exercise. Healthcare professionals should include social support and environmental facilities to achieve medical and institutional compliance. Understanding female adults with knee osteoarthritis and comorbidity would support provision of appropriately tailored interventions that account for the characteristics of the comorbidity.

Older Adults’ Opinions on Fall Prevention in Relation to Physical Activity Level

2016 ◽  
Vol 37 (1) ◽  
pp. 58-78 ◽  
Author(s):  
Susanna Tuvemo Johnson ◽  
Cathrin Martin ◽  
Elisabeth Anens ◽  
Ann-Christin Johansson ◽  
Karin Hellström
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Content Analysis ◽  
Fall Prevention ◽  
Healthy Lifestyle ◽  
Qualitative Content Analysis ◽  
Adaptive Strategies ◽  
Activity Level ◽  
Behavioral Strategies ◽  
Physically Active

The purpose of this study was to explore and describe older adults’ opinions regarding actions to prevent falls and to analyze differences in the opinions of highly versus less physically active older adults. An open-ended question was answered by 262 individuals aged 75 to 98 years living in the community. The answers were analyzed using qualitative content analysis, and differences in the categories were compared between highly and less physically active persons. Physical activity was measured according to a five-level scale. The content analysis resulted in eight categories: assistive devices, avoiding hazards, behavioral adaptive strategies, being physically active, healthy lifestyle, indoor modifications, outdoor modifications, and seeking assistance. Behavioral adaptive strategies were mentioned to a greater extent by highly active people, and indoor modifications were more often mentioned by less active older adults. Support for active self-directed behavioral strategies might be important for fall prevention among less physically active older adults.

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