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Small steps : effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults

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posted on 10.02.2016, 09:29 by L. K. Lewis, Alexander Viktor Rowlands, P. Gardiner, M. Standage, C. English, T. Olds
Objective: 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. 64-70

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine

Version

AM (Accepted Manuscript)

Published in

Maturitas

Publisher

Elsevier for European Menopause and Andropause Society (EMAS)

issn

0378-5122

eissn

1873-4111

Acceptance date

27/12/2015

Copyright date

2016

Available date

02/01/2017

Publisher version

http://www.sciencedirect.com/science/article/pii/S0378512215300980

Notes

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

en

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