An Evaluation of the Active Herts Physical Activity Programme

Overview

There is a high prevalence of inactive adults in the United Kingdom (UK), many of whom suffer from conditions such as diabetes, cardiovascular disease, and poor mental health. These problems often co-exist more frequently in areas of higher socio-economic deprivation. There is an ongoing need to test the effectiveness, acceptability, and sustainability of community physical activity interventions. The Active Herts programme is a community physical activity programme aimed at inactive adults aged 16 and over who have one or more risk factors for cardiovascular disease (CVD) and/or a mild to moderate mental health condition. The programme uses the latest evidence-based behaviour change techniques to target physical activity, wellbeing, and key drivers of behaviour from the COM-B ('Capability', 'Opportunity', 'Motivation' and 'Behaviour') model of behaviour change.

This evaluation will follow a mixed-methods longitudinal (baseline, and 3, 6 and 12 month follow-ups) pragmatic observational design. Two types of programme are being delivered, each in a different area. In one, group participants will receive a behaviour change technique booklet, consultations (baseline, and optional at 3, 6, and 12 months), a booster phone call (week 2), motivational text messages (weeks 3, 6, and 12), and signposting to 12 weeks of exercise classes. In the other 'enhanced delivery' group, participants will receive the same but the 12 weeks of exercise will be free and tailored to their needs, and there will be optional exercise 'buddies' available. An outcome evaluation will assess changes in physical activity as the primary outcome, and sporting participation, sitting, wellbeing, psychological capability, and reflective motivation as secondary outcomes. A process evaluation will use both one-to-one interviews and focus groups to explore the views of stakeholders, delivery staff, and participants over three phases (set-up, deviations in the delivery of the intervention, and looking back over the intervention). Economic evaluation will examine the costs of the Active Herts programme against the benefits gained in terms of reduced risk of morbidity from a range of chronic conditions.

This study will measure key drivers of physical activity using up to date behaviour change theory, allowing evaluation of not only whether physical activity has increased but also why. The research will inform the future development of a scalable intervention that can be more robustly tested in a randomised controlled trial.

Full Title of Study: “Physical Activity Promotion in Areas of Deprivation for Inactive Adults With Cardiovascular Disease (CVD) Risk: An Evaluation of Active Herts”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: January 7, 2019

Interventions

  • Behavioral: Active Herts
    • Active Herts is a community physical activity intervention aimed at inactive adults aged 16 and over who have one or more risk factors for CVD and/or a mild to moderate mental health condition. The programme uses the latest evidence-based behaviour change techniques to target physical activity, wellbeing, and key drivers of behaviour from the COM-B model of behaviour change.

Arms, Groups and Cohorts

  • Standard delivery
    • Participants will receive a behaviour change technique booklet, consultations (baseline, and optional at 3, 6, and 12 months), a booster phone call (week 2), motivational text messages (weeks 3, 6, and 12), and signposting to 12 weeks of exercise classes.
  • Enhanced delivery
    • Participants will receive the same as intervention but the 12 weeks of exercise will be free and tailored to their needs, and there will be optional exercise ‘buddies’ available.

Clinical Trial Outcome Measures

Primary Measures

  • Change in Physical activity from baseline
    • Time Frame: 12 months
    • Assessed using the International Physical Activity Questionnaire (IPAQ)

Secondary Measures

  • Change in mental well-being from baseline
    • Time Frame: Short term (3 months), longer term (6 and 12 months)
    • Assessed using Warwick Edinburgh well-being scale
  • Change in perceptions of health from baseline
    • Time Frame: Short term (3 months), longer term (6 and 12 months)
    • EuroQOL five dimensions questionnaire (EQ-5D)
  • Readiness to change behaviour
    • Time Frame: Short term (3 months), longer term (6 and 12 months)
    • Key determinants of behaviour – measured using COM-B Capability, Opportunity, and Motivation

Participating in This Clinical Trial

Inclusion Criteria

  • inactive adults and do less than 30mins of physical activity per week
  • aged 16 or over
  • resident of Hertfordshire boroughs, including Broxbourne, Hertsmere, Stevenage or Watford

Referred patients and clients may also have:

  • a long term medical condition such as type 2 diabetes, hypertension, high cholesterol etc.
  • a mild to moderate mental health condition such as anxiety, depression or stress
  • a history or family history of heart disease

Exclusion Criteria

  • participants not able to give informed consent

Gender Eligibility: All

Minimum Age: 16 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of East Anglia
  • Collaborator
    • University of Hertfordshire
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Andy Jones, Prof, Principal Investigator, University of East Anglia
  • Overall Contact(s)
    • Andy Jones, Prof, 0044 1603 593127, A.P.Jones@uea.ac.uk

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