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dc.contributor.authorChater, Angel M.
dc.contributor.authorSchulz, Joerg
dc.contributor.authorJones, Andy
dc.contributor.authorBurke, Amanda
dc.contributor.authorCarr, Shelby
dc.contributor.authorKukucska, Dora
dc.contributor.authorTroop, Nicholas A.
dc.contributor.authorTrivedi, Daksha
dc.contributor.authorHowlett, Neil
dc.date.accessioned2022-08-08T08:30:16Z
dc.date.available2022-08-08T00:00:00Z
dc.date.available2022-08-08T08:30:16Z
dc.date.issued2022-09-09
dc.identifier.citationChater AM, Schulz J, Jones A, Burke A, Carr S, Kukucska D, Troop N, Trivedi D, Howlett N (2022) 'Outcome evaluation of Active Herts: a community-based physical activity programme for inactive adults at risk of cardiovascular disease and/or low mental wellbeing', Frontiers in Public Health, 10.3389/fpubh.2022.903109en_US
dc.identifier.issn2296-2565
dc.identifier.pmid36159253
dc.identifier.doi10.3389/fpubh.2022.903109
dc.identifier.urihttp://hdl.handle.net/10547/625474
dc.description.abstractBackground: A high proportion of UK adults are inactive, which can lead to a range of physical and mental health concerns. Active Herts is a community-based physical activity programme for inactive adults at risk of cardiovascular disease and/or low mental wellbeing. This paper provides a pragmatic evaluation of this programme. Method: This longitudinal study observed 717 adults (68% female, mean age = 56.9 years) from the ‘Active Herts’ programme. Programme users were provided with a 45-minute consultation with a ‘Get Active Specialist’, who talked them through an Active Herts self-help booklet and then signposted them to free or subsidised local exercise sessions. Programme users were followed up with a booster call two weeks later. The Get Active Specialist was a registered exercise professional (REPS Level 3), with additional training from the study team in motivational interviewing, health coaching, COM-B behavioural diagnosis and delivery of behaviour change techniques (BCTs) in practice. The Active Herts booklet contained theoretically-driven and evidence-based BCTs to translate behavioural science into public health practice. Physical activity (Metabolic Equivalent Time [METs], measured using the International Physical Activity Questionnaire (IPAQ), perceived health (EQ-5D-5L) and mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale: WEMWBS) were measured at baseline, three, six and twelve months. Results: At the end of the 12-month programme, users showed sustained improvements in physical activity (by +1331 METS), exceeding weekly recommendations. Sitting (reducing by over an hour per day), sporting participation, and perceptions of health were also improved, with improvements in mental wellbeing in the first three months. Conclusion: Designing and delivering a community-based physical activity programme that is theoretically-driven and evidence-based with frequent behaviour change training and supervision can yield a significant increase in self-reported physical activity, reduction in sitting behaviour and improvements to perceived health and mental wellbeing. Future research should extend this approach, utilising a real-world, pragmatic evaluation. Trial registration: ClinicalTrials.gov identifier (NCT number): NCT03153098en_US
dc.description.sponsorshipThis work was supported by funding from Sport England (ref: 2015000295), Broxbourne Borough Council, East and North Herts CCG, Herts Valley CCG, Hertfordshire Public Health, Herts Mind Network, Mind in Mid Herts, Herts Sports Partnership, and time allocation from the University of Hertfordshire, University College London and the University of Bedfordshire. Open access fees have been provided by the Institute for Sport and Physical Activity Research (ISPAR), University of Bedfordshire.en_US
dc.language.isoenen_US
dc.publisherFrontiersen_US
dc.relation.urlhttps://www.frontiersin.org/articles/10.3389/fpubh.2022.903109/full
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/36159253/
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/36159253/
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectphysical activityen_US
dc.subjectbehaviour changeen_US
dc.subjectinterventionen_US
dc.subjectcardiovascular diseaseen_US
dc.subjectmental healthen_US
dc.subjectActive Hertsen_US
dc.subjectHertfordshireen_US
dc.subjectSubject Categories::H123 Public Health Engineeringen_US
dc.titleOutcome evaluation of Active Herts: a community-based physical activity programme for inactive adults at risk of cardiovascular disease and/or low mental wellbeingen_US
dc.title.alternativeActive Hertsen_US
dc.typeArticleen_US
dc.contributor.departmentUniversity of Bedfordshireen_US
dc.contributor.departmentUniversity College Londonen_US
dc.contributor.departmentUniversity of Hertfordshireen_US
dc.contributor.departmentUniversity of East Angliaen_US
dc.contributor.departmentUniversity of Plymouthen_US
dc.identifier.journalFrontiers in Public Healthen_US
dc.identifier.pmcidPMC9500394
dc.date.updated2022-08-08T08:23:58Z
dc.description.noteis gold oa journal, will be able to upload final version when available RVO 8/8/22


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