Institute for Sport and Physical Activity Research, University of Bedfordshire, Bedford, United Kingdom.
Centre for Behaviour Change, University College London, London, United Kingdom.
Front Public Health. 2022 Sep 9;10:903109. doi: 10.3389/fpubh.2022.903109. eCollection 2022.
A high proportion of UK adults are inactive, which can lead to a range of physical and mental health concerns. Active Herts is a community-based physical activity programme for inactive adults at risk of cardiovascular disease and/or low mental wellbeing. This paper provides a pragmatic evaluation of this programme.
This longitudinal study observed 717 adults (68% female, mean age = 56.9 years) from the "Active Herts" programme. Programme users were provided with a 45-min consultation with a "Get Active Specialist," who talked them through an Active Herts self-help booklet and then signposted them to free or subsidized local exercise sessions. Programme users were followed up with a booster call 2 weeks later. The Get Active Specialist was a registered exercise professional (REPS Level 3), with additional training from the study team in motivational interviewing, health coaching, COM-B behavioral diagnosis and delivery of behavior change techniques (BCTs) in practice. The Active Herts booklet contained theoretically-driven and evidence-based BCTs to translate behavioral science into public health practice. Physical activity (Metabolic Equivalent Time [METs], measured using the International Physical Activity Questionnaire (IPAQ), perceived health (EQ-5D-5L) and mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale: WEMWBS) were measured at baseline, 3, 6 and 12 months.
At the end of the 12-month programme, users showed sustained improvements in physical activity (by +1331 METS), exceeding weekly recommendations. Sitting (reducing by over an hour per day), sporting participation, and perceptions of health were also improved, with improvements in mental wellbeing in the first 3 months.
Designing and delivering a community-based physical activity programme that is theoretically-driven and evidence-based with frequent behavior change training and supervision can yield a significant increase in self-reported physical activity, reduction in sitting behavior and improvements to perceived health and mental wellbeing. Future research should extend this approach, utilizing a real-world, pragmatic evaluation.
ClinicalTrials.gov, identifier (NCT number): NCT03153098.
英国成年人中有很大一部分不活跃，这可能导致一系列身心健康问题。“积极赫茨”是一项面向有心血管疾病和/或低心理健康风险的不活跃成年人的社区基础体育活动计划。本文对该计划进行了实用性评估。
本纵向研究观察了 717 名来自“积极赫茨”计划的成年人（68%为女性，平均年龄=56.9 岁）。计划使用者接受了 45 分钟的“积极活动专家”咨询，专家与他们一起阅读“积极赫茨”自助手册，然后为他们提供免费或补贴的当地锻炼课程。计划使用者在两周后接受了助推电话随访。“积极活动专家”是注册运动专业人员（REPS 3 级），并接受了来自研究团队的额外培训，包括动机性访谈、健康辅导、COM-B 行为诊断以及在实践中提供行为改变技术（BCT）。“积极赫茨”手册包含了将行为科学转化为公共卫生实践的理论驱动和基于证据的 BCT。在基线、3、6 和 12 个月时，使用国际体力活动问卷（IPAQ）测量体力活动（代谢当量[MET]）、感知健康（EQ-5D-5L）和心理健康（华威-爱丁堡心理健康量表：WEMWBS）。
在 12 个月的计划结束时，使用者的体力活动水平持续提高（增加了+1331 METS），超过了每周建议的水平。久坐（每天减少一个多小时）、运动参与度和健康感知也得到了改善，心理健康在头 3 个月得到了改善。
设计和提供理论驱动、基于证据的社区基础体育活动计划，并结合频繁的行为改变培训和监督，可以显著增加自我报告的体力活动，减少久坐行为，并改善感知健康和心理健康。未来的研究应该扩展这种方法，利用真实世界的实用评估。
ClinicalTrials.gov，标识符（NCT 编号）：NCT03153098。
