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Health Promotion International Advance Access





Published: Wed, 14 Feb 2018 00:00:00 GMT

Last Build Date: Wed, 14 Feb 2018 07:44:33 GMT

 



Reported theory use in walking interventions: a literature review and research agenda

Wed, 14 Feb 2018 00:00:00 GMT

Abstract
There is mixed evidence with some suggesting walking can be increased up to the recommended level through interventions based on behaviour change models and others showing partial or no effects [Arbour and Ginis (A randomised controlled trial of the effects of implementation intentions on women’s walking behaviour. Psychol Health, 2009;24:49–65); Merom et al. (Can a motivational intervention overcome an unsupportive environment for walking–findings from the Step-by-Step Study. Ann Behav Med 2009;38:137–46); Ornes and Ransdell (A pilot study examining exercise self-efficacy as a mediator for walking behavior in college-age women. Perceptual Motor Skills, 2010;1101098–104)]. Taken together, prior studies suggest that ongoing research attention is warranted. Walking behaviour change intervention studies were searched using key search words ‘walking promotion’ and ‘pedometer’ in the PubMed database. Initially, 87 articles were found and 25 walking behaviour change interventions were reviewed to focus attention on reported theory use. Results of the review suggest that interventions that are theoretically underpinned may be no more effective than their counterparts. The Transtheoretical Model (TTM) and Social Cognitive Models were most frequently reported with positive effects noted for TTM use. The review also indicates that using single theory may be better than using multiple theories in a single intervention.



Social movement involvement and healthy diet and activity behaviors among US adults

Mon, 12 Feb 2018 00:00:00 GMT

Abstract
Unhealthy lifestyle behaviors, namely poor diet and inadequate physical activity, significantly contribute to poor health and obesity risk, which in turn impact chronic illness outcomes. A possible approach to improving these health behaviors and subsequent outcomes is to capitalize on the theorized link between social movement involvement and overlapping health behaviors. Social movement involvement may be a viable stealth intervention for health, utilizing intrinsic motivators to improve health without an explicit focus on changing health behavior. Thus, the current study explored the links between social movement involvement and diet and physical activity. Two samples from a college population (N = 196) and the general population (N = 195) participated in an online survey, which included measures of social movement involvement, social movement-related health behaviors and dietary intake and physical activity. After controlling for known covariates, social movement-related health behaviors mediated the relationship between level of social movement involvement and fruit and vegetable consumption, whole grain intake and average daily physical activity in both samples. These findings suggest that health behaviors associated with social movement involvement may be an important mechanism in promoting health among social movement members and that the model holds across adult populations. This research adds to existing literature on stealth interventions as a viable means of improving important behavioral health components linked with obesity and chronic disease and supports social movement involvement as a potential form of stealth intervention.