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A novel approach to increase physical activity in older adults in the community using citizen science: a mixed-methods study

  • Anja FreiEmail author
  • Kaba Dalla Lana
  • Thomas Radtke
  • Emily Stone
  • Nevil Knöpfli
  • Milo A. Puhan
Original article

Abstract

Objectives

The aims of this study were to implement a novel, community-based physical activity (PA) intervention in a Swiss town with active participation of elderly participants and to evaluate its effectiveness, feasibility, acceptability and sustainability.

Methods

The CAPACITY intervention combined important determinants of PA, used smartphone apps to provide feedback/facilitate interaction, and followed a citizen science approach to enable participants to organize walking groups. We targeted persons > 60 years from Wetzikon. Assessments took place at baseline and after 6 months, during this intervention period, and 11 months after step-wise withdrawal of the study team.

Results

Twenty-nine persons were included in the study; 25 conducted 6-month follow-up. They had a significant increase in moderate-to-vigorous PA (p = 0.046) but not in daily steps (p = 0.331). After the intervention period, key participants took over organization, independently organized monthly get-togethers, added new walking routes and continuously recruit new participants. Eleven months after withdrawal of the study team, 61 people regularly walk in groups together.

Conclusions

The novel CAPACITY intervention was successfully implemented, transferred to participants and is now self-sustainable for almost 1 year in the community.

Keywords

Physical activity Walking intervention Elderly Community Citizen science Long-term sustainability CAPACITY 

Notes

Funding

This study was funded by Foundation Uniscientia (UNISCIENTIA STIFTUNG) and Foundation Walder (WALDER STIFTUNG). The funding body had no role in the design of the study, the collection and analysis of the data, or the preparation of the manuscript.

Compliance with ethical standards

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

38_2019_1230_MOESM1_ESM.docx (2 mb)
Supplementary material 1 (DOCX 2091 kb)

References

  1. Aguilar-Farías N, Brown WJ, Peeters GMEE (2014) ActiGraph GT3X+ cut-points for identifying sedentary behaviour in older adults in free-living environments. J Sci Med Sport 17:293–299.  https://doi.org/10.1016/j.jsams.2013.07.002 CrossRefGoogle Scholar
  2. Arbillaga-Etxarri A, Torrent-Pallicer J, Gimeno-Santos E et al (2016) Validation of walking trails for the urban training TM of chronic obstructive pulmonary disease patients. PLoS ONE 11:e0146705.  https://doi.org/10.1371/journal.pone.0146705 CrossRefGoogle Scholar
  3. Bauman AE, Reis RS, Sallis JF et al (2012) Correlates of physical activity: Why are some people physically active and others not? Lancet 380:258–271.  https://doi.org/10.1016/S0140-6736(12)60735-1 CrossRefGoogle Scholar
  4. Bravata DM, Smith-Spangler C, Sundaram V et al (2007) Using pedometers to increase physical activity and improve health: a systematic review. JAMA 298:2296–2304.  https://doi.org/10.1001/jama.298.19.2296 CrossRefGoogle Scholar
  5. Choi L, Ward SC, Schnelle JF, Buchowski MS (2012) Assessment of wear/nonwear time classification algorithms for triaxial accelerometer. Med Sci Sports Exerc 44:2009–2016.  https://doi.org/10.1249/MSS.0b013e318258cb36 CrossRefGoogle Scholar
  6. Conn VS, Hafdahl AR, Mehr DR (2011) Interventions to increase physical activity among healthy adults: meta-analysis of outcomes. Am J Public Health 101:751–758.  https://doi.org/10.2105/AJPH.2010.194381 CrossRefGoogle Scholar
  7. Cutrona CE, Suhr JA (1992) Controllability of stressful events and satisfaction with spouse support behaviors. Commun Res 19:154–174.  https://doi.org/10.1177/009365092019002002 CrossRefGoogle Scholar
  8. Demeyer H, Burtin C, Van Remoortel H et al (2014) Standardizing the analysis of physical activity in patients with COPD following a pulmonary rehabilitation program. Chest 146:318–327.  https://doi.org/10.1378/chest.13-1968 CrossRefGoogle Scholar
  9. Demeyer H, Louvaris Z, Frei A et al (2017) Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial. Thorax 72:415–423.  https://doi.org/10.1136/thoraxjnl-2016-209026 CrossRefGoogle Scholar
  10. Devlin NJ, Krabbe PFM (2013) The development of new research methods for the valuation of EQ-5D-5L. Eur J Heal Econ HEPAC Heal Econ Prev Care 14(Suppl 1):S1–S3.  https://doi.org/10.1007/s10198-013-0502-3 Google Scholar
  11. Fanning J, Mullen SP, McAuley E (2012) Increasing physical activity with mobile devices: a meta-analysis. J Med Internet Res 14:e161.  https://doi.org/10.2196/jmir.2171 CrossRefGoogle Scholar
  12. Fydrich T, Sommer G, Tydecks S, Brähler E (2009) Fragebogen zur sozialen Unterstützung (F-SozU): normierung der Kurzform (K-14)Social Support Questionnaire (F-SozU): Standardization of short form (K-14). Zeitschrift für Medizinische Psychol 18:43–48.  https://doi.org/10.1026/1616-3443.37.1.72 Google Scholar
  13. Harris T, Kerry SM, Victor CR et al (2015) A primary care nurse-delivered walking intervention in older adults: PACE (pedometer accelerometer consultation evaluation)-lift cluster randomised controlled trial. PLoS Med 12:e1001783.  https://doi.org/10.1371/journal.pmed.1001783 CrossRefGoogle Scholar
  14. Heath GW, Parra DC, Sarmiento OL et al (2012) Evidence-based intervention in physical activity: lessons from around the world. Lancet (London, England) 380:272–281.  https://doi.org/10.1016/S0140-6736(12)60816-2 CrossRefGoogle Scholar
  15. Kassavou A, Turner A, French DP (2013) Do interventions to promote walking in groups increase physical activity? A meta-analysis. Int J Behav Nutr Phys Act 10:18.  https://doi.org/10.1186/1479-5868-10-18 CrossRefGoogle Scholar
  16. Lee I-M, Shiroma EJ, Lobelo F et al (2012) Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 380:219–229.  https://doi.org/10.1016/S0140-6736(12)61031-9 CrossRefGoogle Scholar
  17. Orozco LJ, Buchleitner AM, Gimenez-Perez G et al (2008) Exercise or exercise and diet for preventing type 2 diabetes mellitus. Cochrane Database Syst Rev.  https://doi.org/10.1002/14651858.cd003054.pub3 Google Scholar
  18. Orrow G, Kinmonth A-L, Sanderson S, Sutton S (2012) Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ 344:e1389CrossRefGoogle Scholar
  19. Physical Activity Guidelines Advisory Committee (2018) 2018 Physical Activity Guidelines Advisory Committee Scientific Report, Washington, DCGoogle Scholar
  20. Puhan MA, Guyatt GH, Montori VM et al (2005) The standard gamble demonstrated lower reliability than the feeling thermometer. J Clin Epidemiol 58:458–465.  https://doi.org/10.1016/j.jclinepi.2004.07.010 CrossRefGoogle Scholar
  21. Santos-Lozano A, Santín-Medeiros F, Cardon G et al (2013) Actigraph GT3X: validation and determination of physical activity intensity cut points. Int J Sports Med 34:975–982.  https://doi.org/10.1055/s-0033-1337945 CrossRefGoogle Scholar
  22. Snaith RP (2003) The hospital anxiety and depression scale. Heal Qual Life Outcomes 1:29.  https://doi.org/10.1186/1477-7525-1-29 CrossRefGoogle Scholar
  23. Strassmann A, Steurer-Stey C, Lana KD et al (2013) Population-based reference values for the 1-min sit-to-stand test. Int J Public Health 58:949–953.  https://doi.org/10.1007/s00038-013-0504-z CrossRefGoogle Scholar
  24. Tudor-Locke C, Craig CL, Aoyagi Y et al (2011) How many steps/day are enough? For older adults and special populations. Int J Behav Nutr Phys Act 8:80.  https://doi.org/10.1186/1479-5868-8-80 CrossRefGoogle Scholar
  25. UK Government (2011) Start active, stay active: a report on physical activity from the four home countries’ chief medical officers, LondonGoogle Scholar
  26. World Health Organisation (2010) Global recommendations on physical activity for health, GenevaGoogle Scholar

Copyright information

© Swiss School of Public Health (SSPH+) 2019

Authors and Affiliations

  1. 1.Epidemiology, Biostatistics and Prevention InstituteUniversity of ZurichZurichSwitzerland

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