PA interventions 2

Question 1

SMAR2T2 Goals:

Answer 1

Specific
Measurable
Attainable
Relevant, Realistic
Timely, Together

Question 2

Social Approaches

Objective

Interventionists should:

Exercisers should:

Effectiveness:

LIMITATIONS:

Answer 2

Objective
* Structure social environment to help support PA

Interventionists should:
* Provide exercisers with social support

Exercisers should:
* Know why they need support
* Be specific

Effectiveness:
* Yes, but often multiple strategies used. May depend on the population

Limitations:
Dependent on the cooperation of group members

Question 3

HAPA model
3 processes

Answer 3

Health Action Process Approach (HAPA).

Used to understand and help promote health behaviours

Pre intention stage
- outcome expectance, risk perception, self efficacy

intention stage
- action planning and self efficacy

post intention
- action, maintenance, self regulation

Question 4

5 A Social approaches
In a medical setting – use the 5As – to combine the “power” of the healthcare professional as a social influencer with information and behaviour change

Answer 4

AAAAA

Assess - ask about Pa levels and the patients tendency to change

Advise - provide info and adapted advice based on the need of the person and their motivation to change

Agree - communicate in a spirit of partnership using patient-centred techniques

Assist - use various techniques to increase the patients motivation and self efficacy and address their environment

Arrange - plan the follow up check ins, provide ongoing support and refer to other disciplines

Question 5

Environmental and Policy Approaches

Objective:

Examples:

Effectiveness:

Limitations:

Answer 5

Objective
* Change the … that facilitate or impede physical activity in an entire population

Examples:
* Transportation
* Urban planning
* Modify school-based PE
* Access to facilities

Effectiveness:
* Yes – long-lasting effect, addresses policy-level barriers to PA engagement

Limitations:
challenging, costly, time consuming

Question 6

Intervention techniques in a research setting based on sound theoretical and empirical framework offer the greatest potential for altering PA behaviour

NEED….

some PA that works in research may not work in the real world

Answer 6

pragmatic trials to test effectiveness in the REAL WORLD
(studies that evaluate the effectiveness of an intervention in real-world clinical settings)

Question 7

RE - AIM

Answer 7

RE-AIM
Asses research interventions in the real world.
was it effective in getting the outcomes

Reach
* The target population
* %, characteristics of people who participate

Efficacy or Effectiveness
* +/- consequences of intervention
* was it effective in getting outcomes

Adoption
* Settings that adopt particular intervention
* where in life is it adopted and HOW WELL

Implementation
* How well intervention is delivered in real world
* how to remain engaged
* was it consistent
* cost

Maintenance
* Extent to which intervention is sustained over time
* works great in research world but not as well in real