6 results on '"Prior, Lindsay"'
Search Results
2. Physical activity and behaviour change: the role of distributed motivation.
- Author
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Gough, Aisling, Prior, Lindsay, Kee, Frank, and Hunter, Ruth F.
- Subjects
- *
BEHAVIOR modification , *COMPUTER software , *CONSUMER attitudes , *CONVERSATION , *ECOLOGY , *FOCUS groups , *INTERPERSONAL relations , *MOTIVATION (Psychology) , *PUBLIC health , *RESEARCH funding , *TECHNOLOGY , *WEATHER , *WORK environment , *WEARABLE technology , *QUALITATIVE research , *ORGANIZATIONAL structure , *PUBLIC sector , *JUDGMENT sampling , *PHYSICAL activity - Abstract
Physical inactivity levels are rising globally. In response, public health investigators have sought to design and implement effective interventions to raise levels of physical activity in populations, communities and individuals. Usually, such interventions are built around theories of behaviour change in which notions of motivation and incentivisation loom large. Drawing on focus group evidence derived in the context of a cluster RCT aimed at increasing levels of physical activity in the workplace, this paper offers a critical look at the factors that seemingly stimulate and sustain that activity. In particular, using novel methods of data analysis we illustrate how motives and motivation – often interpreted as a driving force 'in' individuals – can be more usefully seen as distributed; as a property of systems (incorporating technologies, organisational structures, and social interaction) rather than of persons. In our discussion, we outline various theoretical as well as empirical grounds for making such claims and conclude by drawing out the implications of our work for public health policy and research. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
3. Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: a cluster randomised controlled trial
- Author
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Hunter, Ruth F., Brennan, Sarah F., Tang, Jianjun, Smith, Oliver J., Murray, Jennifer, Tully, Mark A., Patterson, Chris, Longo, Alberto, Hutchinson, George, Prior, Lindsay, French, David P., Adams, Jean, McIntosh, E, Kee, Frank, Adams, Jean [0000-0002-5733-7830], and Apollo - University of Cambridge Repository
- Subjects
Adult ,Male ,Cost-Benefit Analysis ,Health Behavior ,Intervention ,Northern Ireland ,Behaviour change maintenance ,Interviews as Topic ,Study Protocol ,Behavioural economics ,Surveys and Questionnaires ,Humans ,Obesity ,Cities ,Workplace ,Exercise ,Motivation ,Mediation analyses ,Physical activity ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Cluster RCT ,Focus Groups ,Economic evaluation ,Research Design ,Quality of Life ,Financial incentives ,Female - Abstract
Background Increasing physical activity in the workplace can provide employee physical and mental health benefits, and employer economic benefits through reduced absenteeism and increased productivity. The workplace is an opportune setting to encourage habitual activity. However, there is limited evidence on effective behaviour change interventions that lead to maintained physical activity. This study aims to address this gap and help build the necessary evidence base for effective, and cost-effective, workplace interventions. Methods/design This cluster randomised control trial will recruit 776 office-based employees from public sector organisations in Belfast and Lisburn city centres, Northern Ireland. Participants will be randomly allocated by cluster to either the Intervention Group or Control Group (waiting list control). The 6-month intervention consists of rewards (retail vouchers, based on similar principles to high street loyalty cards), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of participating workplaces will promote and monitor minutes of physical activity undertaken by participants. Both groups will complete all outcome measures. The primary outcome is steps per day recorded using a pedometer (Yamax Digiwalker CW-701) for 7 consecutive days at baseline, 6, 12 and 18 months. Secondary outcomes include health, mental wellbeing, quality of life, work absenteeism and presenteeism, and use of healthcare resources. Process measures will assess intervention “dose”, website usage, and intervention fidelity. An economic evaluation will be conducted from the National Health Service, employer and retailer perspective using both a cost-utility and cost-effectiveness framework. The inclusion of a discrete choice experiment will further generate values for a cost-benefit analysis. Participant focus groups will explore who the intervention worked for and why, and interviews with retailers will elucidate their views on the sustainability of a public health focused loyalty card scheme. Discussion The study is designed to maximise the potential for roll-out in similar settings, by engaging the public sector and business community in designing and delivering the intervention. We have developed a sustainable business model using a ‘points’ based loyalty platform, whereby local businesses ‘sponsor’ the incentive (retail vouchers) in return for increased footfall to their business. Trial registration ISRCTN17975376 (Registered 19/09/2014). Electronic supplementary material The online version of this article (doi:10.1186/s12889-016-3244-1) contains supplementary material, which is available to authorized users.
- Published
- 2016
4. Identifying solutions to increase participation in physical activity interventions within a socio-economically disadvantaged community: a qualitative study.
- Author
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Cleland, Claire L., Hunter, Ruth F., Tully, Mark A., Scott, David, Kee, Frank, Donnelly, Michael, Prior, Lindsay, and Cupples, Margaret E.
- Subjects
CONCEPTUAL structures ,FOCUS groups ,HEALTH promotion ,INTERVIEWING ,RESEARCH methodology ,PROBLEM solving ,RESEARCH funding ,SELF-perception ,STRATEGIC planning ,QUALITATIVE research ,JUDGMENT sampling ,SOCIOECONOMIC factors ,COMMUNITY-based social services ,THEMATIC analysis ,PHYSICAL activity ,DESCRIPTIVE statistics - Abstract
Background There is an urgent need to increase population levels of physical activity, particularly amongst those who are socio-economically disadvantaged. Multiple factors influence physical activity behaviour but the generalisability of current evidence to such 'hard-to-reach' population subgroups is limited by difficulties in recruiting them into studies. Also, rigorous qualitative studies of lay perceptions and perceptions of community leaders about public health efforts to increase physical activity are sparse. We sought to explore, within a socio-economically disadvantaged community, residents' and community leaders' perceptions of physical activity (PA) interventions and issues regarding their implementation, in order to improve understanding of needs, expectations, and social/environmental factors relevant to future interventions. Methods Within an ongoing regeneration project (Connswater Community Greenway), in a socio-economically disadvantaged community in Belfast, we collaborated with a Community Development Agency to purposively sample leaders from public- and voluntary-sector community groups and residents. Individual semi-structured interviews were conducted with 12 leaders. Residents (n = 113), of both genders and a range of ages (14 to 86 years) participated in focus groups (n = 14) in local facilities. Interviews and focus groups were recorded, transcribed verbatim and analysed using a thematic framework. Results Three main themes were identified: awareness of PA interventions; factors contributing to intervention effectiveness; and barriers to participation in PA interventions. Participants reported awareness only of interventions in which they were involved directly, highlighting a need for better communications, both inter- and intra-sectoral, and with residents. Meaningful engagement of residents in planning/organisation, tailoring to local context, supporting volunteers, providing relevant resources and an 'exit strategy' were perceived as important factors related to intervention effectiveness. Negative attitudes such as apathy, disappointing experiences, information with no perceived personal relevance and limited access to facilities were barriers to people participating in interventions. Conclusions These findings illustrate the complexity of influences on a community's participation in PA interventions and support a social-ecological approach to promoting PA. They highlight the need for cross-sector working, effective information exchange, involving residents in bottom-up planning and providing adequate financial and social support. An in-depth understanding of a target population's perspectives is of key importance in translating PA behaviour change theories into practice. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
5. Physical activity and the rejuvenation of Connswater (PARC study): protocol for a natural experiment investigating the impact of urban regeneration on public health.
- Author
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Tully, Mark A., Hunter, Ruth F., McAneney, Helen, Cupples, Margaret E., Donnelly, Michael, Ellis, Geraint, Hutchinson, George, Prior, Lindsay, Stevenson, Michael, and Kee, Frank
- Subjects
PHYSICAL activity ,PUBLIC health ,URBAN health ,CROSS-sectional method ,COST effectiveness - Abstract
Background: There is a dearth of evidence regarding the impact of urban regeneration projects on public health, particularly the nature and degree to which urban regeneration impacts upon health-related behaviour change. Natural experiment methodology enables comprehensive large-scale evaluations of such interventions. The Connswater Community Greenway in Belfast is a major urban regeneration project involving the development of a 9 km linear park, including the provision of new cycle paths and walkways. In addition to the environmental improvements, this complex intervention involves a number of programmes to promote physical activity in the regenerated area. The project affords a unique opportunity to investigate the public health impact of urban regeneration. Methods/Design: The evaluation framework was informed by the socio-ecological model and guided by the RE-AIM Framework. Key components include: (1) a quasi-experimental before-and-after survey of the Greenway population (repeated cross-sectional design), in tandem with data from a parallel Northern Ireland-wide survey for comparison; (2) an assessment of changes in the local built environment and of walkability using geographic information systems; (3) semi-structured interviews with a purposive sample of survey respondents, and a range of community stakeholders, before and after the regeneration project; and (4) a cost-effectiveness analysis. The primary outcome is change in proportion of individuals identified as being regularly physically active, according to the current UK recommendations. The RE-AIM Framework will be used to make an overall assessment of the impact of the Greenway on the physical activity behaviour of local residents. Discussion: The Connswater Community Greenway provides a significant opportunity to achieve long-term, population level behaviour change. We argue that urban regeneration may be conceptualised meaningfully as a complex intervention comprising multiple components with the potential, individually and interactively, to affect the behaviour of a diverse population. The development and implementation of our comprehensive evaluation framework reflects this complexity and illuminates an approach to the empirical, rigorous evaluation of urban regeneration. More specifically, this study will add to the much needed evidence-base about the impact of urban regeneration on public health as well as having important implications for the development of natural experiment methodology. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
6. Effectiveness and cost-effectiveness of a physical activity loyalty scheme for behaviour change maintenance: a cluster randomised controlled trial
- Author
-
Hunter, Ruth F, Brennan, Sarah F, Tang, Jianjun, Smith, Oliver J, Murray, Jennifer, Tully, Mark A, Patterson, Chris, Longo, Alberto, Hutchinson, George, Prior, Lindsay, French, David P, Adams, Jean, McIntosh, Emma, and Kee, Frank
- Subjects
Adult ,Male ,Cost-Benefit Analysis ,Health Behavior ,Intervention ,Northern Ireland ,Behaviour change maintenance ,Interviews as Topic ,Behavioural economics ,Surveys and Questionnaires ,Humans ,Obesity ,Cities ,10. No inequality ,Workplace ,Exercise ,Motivation ,Mediation analyses ,Physical activity ,Cluster RCT ,Focus Groups ,Economic evaluation ,3. Good health ,Research Design ,Quality of Life ,Financial incentives ,Female - Abstract
BACKGROUND: Increasing physical activity in the workplace can provide employee physical and mental health benefits, and employer economic benefits through reduced absenteeism and increased productivity. The workplace is an opportune setting to encourage habitual activity. However, there is limited evidence on effective behaviour change interventions that lead to maintained physical activity. This study aims to address this gap and help build the necessary evidence base for effective, and cost-effective, workplace interventions. METHODS/DESIGN: This cluster randomised control trial will recruit 776 office-based employees from public sector organisations in Belfast and Lisburn city centres, Northern Ireland. Participants will be randomly allocated by cluster to either the Intervention Group or Control Group (waiting list control). The 6-month intervention consists of rewards (retail vouchers, based on similar principles to high street loyalty cards), feedback and other evidence-based behaviour change techniques. Sensors situated in the vicinity of participating workplaces will promote and monitor minutes of physical activity undertaken by participants. Both groups will complete all outcome measures. The primary outcome is steps per day recorded using a pedometer (Yamax Digiwalker CW-701) for 7 consecutive days at baseline, 6, 12 and 18 months. Secondary outcomes include health, mental wellbeing, quality of life, work absenteeism and presenteeism, and use of healthcare resources. Process measures will assess intervention "dose", website usage, and intervention fidelity. An economic evaluation will be conducted from the National Health Service, employer and retailer perspective using both a cost-utility and cost-effectiveness framework. The inclusion of a discrete choice experiment will further generate values for a cost-benefit analysis. Participant focus groups will explore who the intervention worked for and why, and interviews with retailers will elucidate their views on the sustainability of a public health focused loyalty card scheme. DISCUSSION: The study is designed to maximise the potential for roll-out in similar settings, by engaging the public sector and business community in designing and delivering the intervention. We have developed a sustainable business model using a 'points' based loyalty platform, whereby local businesses 'sponsor' the incentive (retail vouchers) in return for increased footfall to their business. TRIAL REGISTRATION: ISRCTN17975376 (Registered 19/09/2014).
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