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fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
HURST, Gemma
Languages: English
Types: Doctoral thesis
Subjects: F900
Abstract\ud \ud Background. The many health benefits of physical activity are well established. In response to the \ud low levels of activity in Sandwell, UK, the ‗Walk to Beijing‘ (WTB) intervention aimed to increase \ud lifestyle physical activity using financial incentives (in combination with a health assessment, \ud pedometer and brief advice). Aim. To examine the benefits of a financial incentive scheme to \ud promote physical activity, specifically walking, in sedentary adults. Methods. A mixed methods \ud evaluation comprised: (1) outcome evaluation employing a pre-post intervention design to measure \ud three- and six- month changes in physical activity, physiological and self-reported health; (2) \ud process evaluation using semi-structured interviews to explore participant experiences, motivations \ud towards physical activity, incentivised health schemes and WTB participation; and (3) mixed methods \ud case-study approach using data at collected at six- and 12-month follow-up to further explore \ud sustainability of behaviour change. Results. Three-month data were available for 1082 participants \ud (64.5% of baseline sample). A statistically significant positive change from baseline to \ud three-month follow-up was observed for stage of change (p<.001, d=.63), which was maintained (but \ud not further improved) at six-months (p<.001, d=.64). Significant three- and six-month improvements \ud were also found in objective (e.g., BMI, waist-hip ratio, waist circumference and blood pressure) \ud and subjective (e.g., EQ-5D, SF12v2 and Theory of Planned Behaviour constructs) measures of health \ud status. At baseline, 41.7% of participants cited the financial incentive as influencing their \ud decision to take part. Qualitative data also identified that the financial incentive was the \ud primary motivator for some, but not all, individuals; other intervention components were also \ud motivators. Conclusion. Data suggested that financial incentives may promote participation in \ud lifestyle physical activity through aiding uptake and sustaining engagement, however, other \ud intervention components were also important. This research is the first to conduct an evaluation of \ud a financial incentive scheme to promote physical activity comprising a combination of quantitative, \ud qualitative and longitudinal case study methods to gain a unique and detailed insight into the \ud area. Important implications for future research and practice were identified.
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    • Brazier, J. E., & Roberts, J. (2004). The estimation of a preference-based measure of health from the SF-12. Med Care, 42(9), 851-859.
    • DeVahl, J., King, R., & Williamson, J. W. (2005). Academic incentives for students can increase participation in and effectiveness of a physical activity program.
    • Journal of American college health : J of ACH, 53(6), 295-298.
    • Epstein, L. H., Wing, R. R., Thompson, J. K., & Griffin, W. (1980). Attendance and fitness in aerobics exercise. The effects of contract and lottery procedures.
    • Behavior Modification, 4(4), 465-479.
    • Finkelstein, E. A., Brown, D. S., Brown, D. R., & Buchner, D. M. (2008). A randomized study of financial incentives to increase physical activity among sedentary older adults. Preventive Medicine, 47(2), 182-187.
    • French, S. A., Jeffery, R. W., & Oliphant, J. A. (1994). Facility access and self-reward as methods to promote physical activity among healthy sedentary adults.
    • American Journal of Health Promotion, 8(4), 257-259.
    • Fuller, P. R., Perri, M. G., Leermakers, E. A., & Guyer, L. K. (1998). Effects of a personalized system of skill acquisition and an educational program in the treatment of obesity. Addictive Behaviors, 23(1), 97-100.
    • Garofalo, K. (1994). Worksite wellness-rewarding healthy behaviors: successful program. AAOHN Journal: Official Journal of the American Association of Occupational Health Nurses, 42(5), 236.
    • Gomel, M., Oldenburg, B., Simpson, J. M., & Owen, N. (1993). Work-site cardiovascular risk reduction: a randomized trial of health risk assessment, education, counseling, and incentives. American Journal of Public Health, 83(9), 1231-1238.
    • Green, B. B., Cheadle, A., Pellegrini, A. S., & Harris, J. R. (2007). Active for life: a work-based physical activity program. Preventing Chronic Disease, 4(3), A63.
    • Hammond, S. L., Leonard, B., & Fridinger, F. (2000). The Centers for Disease Control and Prevention Director's Physical Activity Challenge: An Evaluation of a Worksite Health Promotion Intervention. American Journal of Health Promotion, 15(1), 17-20.
    • Harland, J., White, M., Drinkwater, C., Chinn, D., Farr, L., & Howel, D. (1999). The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care. British Medical Journal, 319(7213), 828-832.
    • Herman, C. W., Musich, S., Lu, C., Sill, S., Young, J. M., & Edington, D. W. (2006).
    • Effectiveness of an incentive-based online physical activity intervention on employee health status. Journal of Occupational and Environmental Medicine, 48(9), 889-895.
    • Hill, J. O., Wyatt, H. R., Reed, G. W., & Peters, J. C. (2003). Obesity and the environment: where do we go from here? Science, 299(5608), 853-855.
    • Jeffery, R. W., & French, S. A. (1997). Preventing weight gain in adults: design, methods and one year results from the Pound of Prevention study. International Journal of Obesity and Related Metabolic Disorders, 21(6), 457-464.
    • Jeffery, R. W., & French, S. A. (1999). Preventing weight gain in adults: the pound of prevention study. American Journal of Public Health, 89(5), 747-751.
    • Jeffery, R. W., & Wing, R. R. (1995). Long-term effects of interventions for weight loss using food provision and monetary incentives. Journal of Consulting and Clinical Psychology, 63(5), 793-796.
    • Jeffery, R. W., Wing, R. R., Sherwood, N. E., & Tate, D. F. (2003). Physical activity and weight loss: does prescribing higher physical activity goals improve outcome? The American Journal of Clinical Nutrition, 78(4), 684-689.
    • Jeffery, R. W., Wing, R. R., Thorson, C., & Burton, L. R. (1998). Use of personal trainers and financial incentives to increase exercise in a behavioral weight-loss program. Journal of Consulting and Clinical Psychology, 66(5), 777-783.
    • Kravitz, L., & Furst, D. (1991). Influence of reward and social support on exercise adherence in aerobic dance classes. Psychological Reports, 69(2), 423-426.
    • Noland, M. (1989). The effects of self-monitoring and reinforcement on exercise adherence. Research quarterly for exercise and sport, 60(3), 216.
    • (2001). The cardiovascular health impact of an incentive worksite health promotion program. American Journal of Health Promotion, 16(1), 16-20.
    • Poole, K., Kumpfer, K., & Pett, M. (2001). The impact of an incentive-based worksite health promotion program on modifiable health risk factors. American Journal of Health Promotion, 16(1), 21-26.
    • Pope, L., & Harvey-Berino, J. (2013). Burn and Earn: A Randomized Controlled Trial Incentivizing Exercise During Fall Semester For College First-Year Students.
    • Preventive Medicine, 56(3-4), 197-201.
    • Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: toward a more integrated model of change. Psychotherapy: Theory, Research, and Practice, 20, 161-173.
    • Robison, J. I., Rogers, M. A., Carlson, J. J., Mavis, B. E., Stachnik, T., Stoffelmayr, B., et al. (1992). Effects of a 6-month incentive-based exercise program on adherence and work capacity. Medicine and Science in Sports and Exercise, 24(1), 85-93.
    • Scott, D., & Goldwater, B. C. (1998). Increasing attendance at sport training sessions.
    • Perceptual and Motor Skills, 87(2), 515-518.
    • Stein, A. D., Karel, T., & Zuidema, R. (1999). Carrots and sticks: Impact of an incentive/disincentive employee flexible credit benefit plan on health status and medical costs. American Journal of Health Promotion, 13(5), 260-267.
    • Tucker, P., & Gilliland, J. (2007). The effect of season and weather on physical activity: a systematic review. Public Health, 121(12), 909-922.
    • Tucker, R. M., May, C., Bennett, R., Hymer, J., & McHaney, B. (2004). A gym-based wellness challenge for people with type 2 diabetes: effect on weight loss, body composition, and glycemic control. Diabetes Spectrum, 17(3), 176-180.
    • WHO. (2000) Obesity: Preventing and Managing the Global Epidemic. World Health Organization Technical Report Series No. 894. Geneva.
    • WHO. (2008). Waist Circumference and Waist-Hip Ratio. In Report of a WHO Expert Consultation (Ed.). Geneva,: Technical report, World Health Organization.
    • WHO. (2013). BMI Classification. Retrieved January, 2013, from http://apps.who.int/bmi/index.jsp?introPage=intro_3.html Wiggam, J., French, R., & Henderson, H. (1986). The effects of a token economy on distance walked by senior citizens in a retirement center. American Corrective Therapy Journal; American Corrective Therapy Journal.
    • Williams, B., Poulter, N. R., Brown, M. J., Davis, M., McInnes, G. T., Potter, J. P., et al. (2004). The BHS Guidelines Working Party. British Hypertension Society
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