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The impact of multidimensional physical activity feedback on healthcare practitioners and patients

Max J Western, Dylan Thompson, Oliver J Peacock and Afroditi Stathi
BJGP Open 2019; 3 (1): bjgpopen18X101628. DOI: https://doi.org/10.3399/bjgpopen18X101628
Max J Western
1Lecturer in Behavioural Science, Department for Health, University of Bath, , UK
PhD
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Dylan Thompson
2Professor, Department for Health, University of Bath, , UK
PhD
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Oliver J Peacock
3Lecturer in Environmental Physiology, Department for Health, University of Bath, , UK
PhD
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Afroditi Stathi
4Reader, School of Sport, Exercise & Rehabilitation Sciences, University of Birmingham, , UK
PhD
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  • For correspondence: A.Stathi{at}bham.ac.uk
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    Figure 1. Examples of personalised feedback shown to participants. From left to right: health target attainment represented by traffic light colours across the five important health dimensions in a sliding scale format; a single day activity pattern colour graded by activity intensity; summary bar charts depicting the proportion of a given day spent in each intensity threshold and its resulting calorie expenditure

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    Table 1 Descriptive characteristics of all participants included in the analyses
    CharacteristicLow activity group, n (%)
    (n = 23)
    High activity group, n (%)
    (n = 21)
    P valuea
    Patient, n1514
    HCP, n87
    SexNSb
    Male12 (52)15 (71)
    Female11 (48)6 (29)
    Mean age, years58.6 (8.9)56.9 (12.6)NS
    Patient mean age, years (range)61.7 (44–70)63.6 (50–71)NS
    HCP mean age, years (range)52.8 (41–66)43.6 (31–61)NS
    Marital statusNSb
    Single/ widowed/ divorced9 (39)6 (29)
    Married/ cohabiting14 (61)15 (71)
    Highest educational attainmentNSb
    Up to A-Level or equivalent10 (43)8 (38)
    First degree or higher degree13 (57)13 (62)
    Mean height, years (SD)1.72 (0.11)1.76 (0.08)NS
    Mean weight, kg (SD)81.1 (16.7)79.2 (14.0)NS
    Mean BMI, kg/m2 (SD)27.2 (4.2)25.6 (3.8)NS
    Mean waist circumference, cm (SD)92.6 (12.6)90.6 (13.4)NS
    Physical activity dimension
    Mean physical activity level, PAL ratio (SD)c1.66 (0.25)1.96 (0.26)<0.001
    Mean sedentary time, % waking day (SD)d75.8 (7.3)61.8 (10.1)<0.001
    Mean daily moderate activity, minutes (SD)e84.1 (30.9)171.3 (63.9)<0.001
    Mean MVPA bouts, minutes/week (SD)f240.4 (148.2)643.3 (327.9)<0.001
    Mean vigorous activity, minutes/week (SD)g40.7 (55.6)182.7 (166.4)<0.001
    • aDifferences between groups tested using independent t-test unless specified. bTested using Pearson χ2 test for proportional differences. cPhysical activity level: average total daily energy expenditure/basal metabolic rate (kcal/day). dSedentary time: percentage of waking day spent under 1.5 METs (480 minutes of sleep was assumed and subtracted from the total). eDaily moderate activity: average number of single minutes of moderate activity accumulated in 24 hours (≥3 METs, <6 METs). fMVPA bouts: all activity greater than 3 METs sustained for at least a period of 10 minutes and accumulated across the week. gVigorous activity: all the minutes of vigorous activity (>6 METs) accumulated over the monitored week.

    • METs = metabolic equivelent of task. MVPA = moderate to vigorous intensity physical activity. HCP = healthcare professional. NS = not significantly different between groups. PAL = physical activity level.

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The impact of multidimensional physical activity feedback on healthcare practitioners and patients
Max J Western, Dylan Thompson, Oliver J Peacock, Afroditi Stathi
BJGP Open 2019; 3 (1): bjgpopen18X101628. DOI: 10.3399/bjgpopen18X101628

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The impact of multidimensional physical activity feedback on healthcare practitioners and patients
Max J Western, Dylan Thompson, Oliver J Peacock, Afroditi Stathi
BJGP Open 2019; 3 (1): bjgpopen18X101628. DOI: 10.3399/bjgpopen18X101628
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Keywords

  • physical activity
  • Fitness Trackers
  • feedback
  • qualitative research
  • Emotions
  • primary health care

More in this TOC Section

  • Slow walking speed and risk of cardiovascular events in type 2 diabetes: a systematic review
  • Experiences of dyslexia in GP training in the UK: a qualitative study
  • Acceptability and utility of parental guidance on weight talk with children for GPs: a qualitative study
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