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

Lewis, L. K., Rowlands, A. V., Gardiner, P. A., Standage, M., English, C. and Olds, T. (2016) Small steps: preliminary effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults. Maturitas, 85 64-70. doi:10.1016/j.maturitas.2015.12.014

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Author Lewis, L. K.
Rowlands, A. V.
Gardiner, P. A.
Standage, M.
English, C.
Olds, T.
Title Small steps: preliminary effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults
Journal name Maturitas   Check publisher's open access policy
ISSN 1873-4111
0378-5122
Publication date 2016-03-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.maturitas.2015.12.014
Open Access Status File (Author Post-print)
Volume 85
Start page 64
End page 70
Total pages 7
Place of publication Shannon, Co Clare Ireland
Publisher Elsevier
Language eng
Subject 1300 Biochemistry, Genetics and Molecular Biology
2729 Obstetrics and Gynaecology
Abstract Objective: This study aimed to evaluate the preliminary effectiveness and feasibility of a theory-informed program to reduce sitting time in older adults.
Formatted abstract
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.
Keyword Sitting
Sedentary behavior
Aged
Adults
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
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School of Public Health Publications
 
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