MAT-S-15-00544.pdf (2.06 MB)
Small steps : effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults
journal contribution
posted on 2016-02-10, 09:29 authored by L. K. Lewis, Alexander Viktor Rowlands, P. Gardiner, M. Standage, C. English, T. OldsObjective:
This study aimed to evaluate the preliminary effectiveness and feasibility of a theory-informed program to reduce sitting time in older adults.
Design:
Pre-experimental (pre-post) study. Thirty non-working adult (≥60 years) participants attended a one hour face-to-face intervention session and were guided through: a review of their sitting time; normative feedback on sitting time; and setting goals to reduce total sitting time and bouts of prolonged sitting. Participants chose six goals and integrated one per week incrementally for six weeks. Participants received weekly phone calls.
Outcome measures:
Sitting time and bouts of prolonged sitting (≥30 min) were measured objectively for seven days (activPAL3c inclinometer) pre- and post-intervention. During these periods, a 24-h time recall instrument was administered by computer-assisted telephone interview. Participants completed a post-intervention project evaluation questionnaire. Paired t tests with sequential Bonferroni corrections and Cohen’s d effect sizes were calculated for all outcomes.
Results:
Twenty-seven participants completed the assessments (71.7 ± 6.5 years). Post-intervention, objectively-measured total sitting time was significantly reduced by 51.5 min per day (p = 0.006; d = −0.58) and number of bouts of prolonged sitting by 0.8 per day (p = 0.002; d = −0.70). Objectively-measured standing increased by 39 min per day (p = 0.006; d = 0.58). Participants self-reported spending 96 min less per day sitting (p < 0.001; d = −0.77) and 32 min less per day watching television (p = 0.005; d = −0.59). Participants were highly satisfied with the program.
Conclusion:
The ‘Small Steps’ program is a feasible and promising avenue for behavioral modification to reduce sitting time in older adults.
History
Citation
Maturitas, 2016, 85, pp. 64-70Author affiliation
/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of MedicineVersion
- AM (Accepted Manuscript)
Published in
MaturitasPublisher
Elsevier for European Menopause and Andropause Society (EMAS)issn
0378-5122eissn
1873-4111Acceptance date
2015-12-27Copyright date
2016Available date
2017-01-02Publisher DOI
Publisher version
http://www.sciencedirect.com/science/article/pii/S0378512215300980Notes
The file associated with this record is under a 12-month embargo from publication in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.Language
enAdministrator link
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