Get the message? A scoping review of physical activity messaging

Chloë Williamson,Paul Kelly,Nanette Mutrie,Graham Baker,Ailsa Niven

doi:10.1186/s12966-020-00954-3

Abstract

BackgroundUnderstanding how to create and deliver effective physical activity (PA) messages for and to various population subgroups may play a role in increasing population PA levels. This scoping review aimed to provide an overview of what is known about PA messaging and highlight key research gaps.MethodsWe followed a 5-stage protocol proposed by Arksey & O’Malley and the Preferred Reporting Items For Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews checklist. Stage 1: research questions were identified. Stage 2: we identified relevant studies by searching electronic databases, contacting existing networks and hand searching reference lists. Stage 3: studies were screened in Covidence™ software. Stage 4: study data were extracted and charted. Stage 5: findings from included studies were collated, summarised and reported in two ways: (1) a descriptive numerical analysis providing insight into extent, nature and distribution of the included studies, and (2) a narrative summary summarizing the evidence reviewed organised by messaging concepts and by population subgroup.ResultsA total of 9525 references were imported into Covidence™ for screening. Of these, 123 studies were included in final analysis. We found that PA messaging evidence is complex and multidimensional in nature, with numerous concepts to consider when creating or evaluating messages. The extent to which these different PA messaging concepts have been researched is variable. Where research has accumulated and evidence is consistent, it supports the following: (1) PA messages should be framed positively and highlight short-term outcomes specifically relating to social and mental health, (2) message content should be tailored or targeted to intended recipient(s), and (3) when developing messages, formative research, psychological theory and/or social marketing principles should be used.ConclusionWhile it is unlikely to address global inactivity on its own, PA messaging may play a valuable role improving population PA levels. However, it is a complex and multidimensional concept and greater understanding is still needed. We present a synthesis of the existing evidence, highlighting key areas where evidence has accumulated and where gaps lie, as well as recommendations for PA messaging to different population subgroups.

Highlights

It has been suggested that a systems approach may play an important role in responding to complex public health challenges, such as efforts to increase physical activity (PA) at population level [3–7]
Effective messaging can augment the dissemination of PA guidelines and related information such as benefits of PA to various population subgroups, as this information is generally not created to be public facing or to motivate people to become or remain physically active [10]
Our scoping review builds on these findings by providing an up to date overview of PA messaging research evidence from multiple countries across the globe and making recommendations for population groups aligning with PA for health guidelines

Summary

Introduction

Physical inactivity is a major contributor to the growing global burden of non-communicable diseases including cancer, cardiovascular disease, depression and diabetes [1]. A systems approach acknowledges that alongside efforts to modify policy and the physical environment to promote PA [8] there is an important role for interventions which aim to address individual factors. Understanding how to create and deliver effective physical activity (PA) messages for and to various population subgroups may play a role in increasing population PA levels. This scoping review aimed to provide an overview of what is known about PA messaging and highlight key research gaps

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Discussion

Conclusion