Abstract
BackgroundLimited data are available on the development, implementation and evaluation processes of physical activity promotion programmes among older adults. More integrative insights into interventions describing the planned systematic development, implementation and evaluation are needed.Methods and designThe purpose of this study is to give an integrative insight into the development of the Active plus programme applying the six-step Intervention Mapping protocol. The Active plus programme consisted of two theory- and evidence-based tailored physical activity promotion interventions, both comprising three tailored letters delivered over four months and aimed at raising awareness of insufficient physical activity, and stimulating physical activity initiation and maintenance among the over-fifties.The first intervention, the basic tailored intervention, provided tailored letters that intervened on the psychosocial determinants of physical activity. The second intervention, the intervention plus, provided the same tailored information but additionally provided tailored information about physical activity opportunities in the specific environment in which the older adults lived. This environment-based component also provided access to a forum and e-buddy system on a website. A plan for implementation and evaluation is also described.DiscussionThe planned development of the Active plus programme resulted in two theory- and evidence-based tailored physical activity interventions targeted at the over-fifties.Trial RegistrationDutch Trial Register NTR 920
Highlights
IntroductionAwareness raising regarding physical activity (PA) level Personal and normative feedback about participant’s PA level and PA recommendations Compare PA level to PA recommendation Compare PA level to similar others (same age and sex) Compare PA level to participant’s estimationStage-matched advice to change behaviourNo plans/ precontemplator ContemplatorFeedback on: -Attitude (pros)Feedback on: -Attitude (pros & cons) -Self-efficacyStimulate: -Role modelling -Intrinsic motivation PreparatorFeedback on: -PA benefits -Self-efficacy -PA possibilities -Social supportStimulate: -Role modelling -Intrinsic motivation -Commitment -Action planActor/ Maintainer
Awareness raising regarding physical activity (PA) level Personal and normative feedback about participant’s PA level and PA recommendations Compare PA level to PA recommendation Compare PA level to similar others Compare PA level to participant’s estimationStage-matched advice to change behaviourNo plans/ precontemplator ContemplatorFeedback on: -AttitudeFeedback on: -Attitude -Self-efficacyStimulate: -Role modelling -Intrinsic motivation PreparatorFeedback on: -PA benefits -Self-efficacy -PA possibilities -Social supportStimulate: -Role modelling -Intrinsic motivation -Commitment -Action planActor/ Maintainer
Together with the fact that older adults form a large percentage of the population – in the Netherlands 32% of all residents are over 50 years of age [8], a percentage that is expected to rise even further in the coming years [8,10] – stimulating PA among this large and growing group is of major relevance
Summary
Awareness raising regarding PA level Personal and normative feedback about participant’s PA level and PA recommendations Compare PA level to PA recommendation Compare PA level to similar others (same age and sex) Compare PA level to participant’s estimationStage-matched advice to change behaviourNo plans/ precontemplator ContemplatorFeedback on: -Attitude (pros)Feedback on: -Attitude (pros & cons) -Self-efficacyStimulate: -Role modelling -Intrinsic motivation PreparatorFeedback on: -PA benefits -Self-efficacy -PA possibilities -Social supportStimulate: -Role modelling -Intrinsic motivation -Commitment -Action planActor/ Maintainer. Limited data are available on the development, implementation and evaluation processes of physical activity promotion programmes among older adults. More integrative insights into interventions describing the planned systematic development, implementation and evaluation are needed. Regular physical activity (PA) reduces the risk of health problems such as cardiovascular diseases, obesity, and type 2 diabetes [1,2,3,4,5,6,7] These disorders become more prevalent and their impact increases when people age [1]. This paper aims to contribute to the need for integrative descriptions of interventions by describing the systematic planned theory- and evidence-based development of the Active plus programme, including two computer-tailored PA interventions. The Intervention Mapping (IM) protocol was applied [20]
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