• Energy matching of a high‑intensity exercise protocol with a low‑intensity exercise protocol in young people

      Bottoms, Lindsay; Howlett, Neil; Chater, Angel M.; Jones, Andy; Jones, Julia; Wyatt, Solange; Mengoni, Silvana E.; Sharma, Shivani; Irvine, Karen; Trivedi, Daksha; et al. (Springer, 2021-05-12)
    • An evolving model of best practice in a community physical activity programme: a case study of ‘Active Herts’

      Carr, Shelby; Burke, Amanda; Chater, Angel M.; Howlett, Neil; Jones, Andy (Human Kinetics, 2021-08-23)
      Background: Community-based physical activity programmes typically evolve to respond to local conditions and feedback from stakeholders. Process evaluations are essential for capturing how programmes are implemented, yet often fail to capture delivery evolution over time, meaning missed opportunities for capturing lessons learnt. Methods: This research paper reports on a staged approach to a process evaluation undertaken within a community-based UK 12-month physical activity programme that aimed to capture change and adaptation to programme implementation. Twenty-five one-to-one interviews, and twelve focus groups took place over the three years of programme delivery. Participants included programme participants, management, and service deliverers. Results: Programme adaptations that were captured through the ongoing process evaluation included changes to the design of promotional material, programme delivery content, ongoing training in behaviour change and the addition of regular participant community events. We address how these strands evolved over programme delivery, and how the process evaluation was able to capture them. Conclusion: The pragmatic evaluation approach enabled changes in response to the local context, as well as improvements in the programme to be captured in a timely manner, allowing the delivery to be responsive and the evaluation flexible.
    • How effective is community physical activity promotion in areas of deprivation for inactive adults with cardiovascular disease risk and/or mental health concerns? Study protocol for a pragmatic observational evaluation of the 'Active Herts' physical activity programme

      Howlett, Neil; Jones, Andy; Bain, Lucy; Chater, Angel M.; University of Hertfordshire; University of East Anglia; University of Bedfordshire; University College London (BMJ, 2017-11-25)
      Introduction There is a high prevalence of inactive adults in the UK, and many suffer from conditions such as cardiovascular disease (CVD) or poor mental health. These coexist more frequently in areas of higher socioeconomic deprivation. There is a need to test the effectiveness, acceptability and sustainability of physical activity programmes. Active Herts uses novel evidence-based behaviour change techniques to target physical inactivity. Methods and analysis Active Herts is a community physical activity programme for inactive adults aged 16+ with one or more risk factors for CVD and/or a mild to moderate mental health condition. This evaluation will follow a mixed-methods longitudinal (baseline, and 3-month, 6-month and 12-month follow-ups) design. Pragmatic considerations mean delivery of the programme differs by locality. In two areas programme users will receive a behaviour change technique booklet, regular consultations, a booster phone call, motivational text messages and signposting to 12 weeks of exercise classes. In another two areas programme users will also receive 12 weeks of free tailored exercise classes, with optional exercise ‘buddies’ available. An outcome evaluation will assess changes in physical activity as the primary outcome, and sporting participation, sitting, well-being, psychological capability and reflective motivation as secondary outcomes. A process evaluation will explore the views of stakeholders, delivery staff and programme leads. Economic evaluation will examine the programme costs against the benefits gained in terms of reduced risk of morbidity. Ethics and dissemination This study was been approved by the Faculty of Medicine and Health Sciences Research Ethics Committee at the University of East Anglia. Informed written consent will be obtained from programme users in the evaluation. Results will be published in peer-reviewed journals, presented at conferences, and shared through the study website and local community outlets.