Luciana Torquati1, Tracy Kolbe-Alexander2, Toby Pavey3, Michael Leveritt4. 1. School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Australia. Electronic address: l.torquati@uq.edu.au. 2. School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Australia; School of Health and Wellbeing, University of Southern Queensland, Ipswich, Australia. 3. School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia. 4. School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Australia.
Abstract
OBJECTIVE: To use the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to evaluate and understand key implementation and context factors of a diet and physical activity (PA) workplace intervention for nurses. METHODS: A 3-month pilot intervention was developed to promote diet and PA behavior through self-monitoring, goal setting, and social support using pedometers, a smartphone app, and a dedicated Facebook group. Measures included diet quality, daily PA, adoption, and implementation (including qualitative data). Maintenance was assessed at 6-month follow-up. RESULTS: Forty-seven nurses participated in the study. At 3 months, fruit and vegetable intake significantly increased (P = .04) whereas PA significantly decreased (P = .01). The intervention was partially adopted as planned, with low reach and efficacy. Participants reported that changing 2 behaviors at the same time was difficult, with the majority feeling it was easier to change diet than to become more physically active. CONCLUSIONS AND IMPLICATIONS: The ability to change diet and PA behaviors at the same time was challenging in nurses. Future studies examining whether similar occupational groups with high stress, fatigue, and lack of time face the same challenges would contribute to understanding these results.
OBJECTIVE: To use the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to evaluate and understand key implementation and context factors of a diet and physical activity (PA) workplace intervention for nurses. METHODS: A 3-month pilot intervention was developed to promote diet and PA behavior through self-monitoring, goal setting, and social support using pedometers, a smartphone app, and a dedicated Facebook group. Measures included diet quality, daily PA, adoption, and implementation (including qualitative data). Maintenance was assessed at 6-month follow-up. RESULTS: Forty-seven nurses participated in the study. At 3 months, fruit and vegetable intake significantly increased (P = .04) whereas PA significantly decreased (P = .01). The intervention was partially adopted as planned, with low reach and efficacy. Participants reported that changing 2 behaviors at the same time was difficult, with the majority feeling it was easier to change diet than to become more physically active. CONCLUSIONS AND IMPLICATIONS: The ability to change diet and PA behaviors at the same time was challenging in nurses. Future studies examining whether similar occupational groups with high stress, fatigue, and lack of time face the same challenges would contribute to understanding these results.
Authors: Stephanie A Prince; Cara G Elliott; Kyle Scott; Sarah Visintini; Jennifer L Reed Journal: Int J Behav Nutr Phys Act Date: 2019-04-02 Impact factor: 6.457
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