Thøgersen-Ntoumani Cecilie, Quested Eleanor, Biddle Stuart J H, Kritz Marlene, Olson Jenny, Burton Elissa, Cerin Ester, Hill Keith D, McVeigh Joanne, Ntoumanis Nikos
Physical Activity and Well-Being Lab, School of Psychology, Curtin University, Perth, Australia.
Physically Active Lifestyles Research Group, University of Southern Queensland, Springfield, Australia.
Health Psychol Behav Med. 2019 Jun 17;7(1):202-233. doi: 10.1080/21642850.2019.1629934.
: The Residents in Action Trial (RiAT; ACTRN12616001177448) was a 16-week motivationally-embellished peer-led walking intervention designed to increase walking, reduce sitting, and improve mental health and well-being in insufficiently active residents in retirement villages. In this paper we report on 1) trial feasibility and acceptability, and 2) evaluate the processes involved in the implementation of the intervention using the RE-AIM framework. : A mixed methods design was employed, consisting of data from accelerometers, surveys, (individual, pair-based and focus group) interviews, and participant logbooks. Participants included 116 walkers (() age = 78.37(8.30); 92% female), 8 peer leaders (i.e. ambassadors) and 3 retirement village managers from 14 retirement villages. Descriptives and linear mixed modelling were used to analyse the quantitative data and inductive thematic analyses were employed to analyse the interview data. : The intended cluster randomised controlled design became quasi-experimental due to insufficient numbers of recruited ambassadors. The perceived burden of the number and frequency of research assessments was a frequently mentioned reason for a poor recruitment. Facilitators to walking maintenance were the use of self-monitoring, goal setting, social support, and having a routine. Reach was modest (about 14% of eligible participants were recruited from each village), but retention was excellent (92%). The motivational strategies taught appeared to have been implemented, at least in part, by the ambassadors. The walkers in the main experimental condition increased marginally their step counts, but there were no group differences on mental health and well-being outcomes, partly because of low statistical power. : Walkers and ambassadors who did take part in the study suggested that they enjoyed the programme and found it useful in terms of becoming more active and making social connections. However, the group format was not appealing to some participants, hence, other delivery options should be explored in the future.
居民行动试验（RiAT；ACTRN12616001177448）是一项为期16周的、由同伴主导并融入激励因素的步行干预试验，旨在增加退休村活动不足的居民的步行量、减少久坐时间，并改善他们的心理健康和幸福感。在本文中，我们报告了：1）试验的可行性和可接受性，以及2）使用RE-AIM框架评估干预实施过程。采用了混合方法设计，包括来自加速度计、调查问卷（个人、基于两人组和焦点小组）访谈以及参与者日志的数据。参与者包括来自14个退休村的116名步行者（年龄=78.37（8.30）；92%为女性）、8名同伴领导者（即大使）和3名退休村经理。描述性统计和线性混合模型用于分析定量数据，归纳主题分析用于分析访谈数据。由于招募的大使数量不足，原本计划的整群随机对照设计变成了准实验性设计。研究评估的数量和频率带来的感知负担是招募不佳的一个常见原因。步行维持的促进因素包括自我监测、目标设定、社会支持和有规律的安排。覆盖范围适中（每个村庄约14%的符合条件参与者被招募），但保留率极佳（92%）。所教授的激励策略似乎至少部分地由大使们实施了。主要实验条件下的步行者略微增加了他们的步数，但在心理健康和幸福感结果上没有组间差异，部分原因是统计效力较低。参与研究的步行者和大使表示，他们喜欢这个项目，并且发现它在变得更加活跃和建立社交联系方面很有用。然而，小组形式对一些参与者没有吸引力，因此，未来应探索其他实施方式。
