Physical Activity Clinical Trial
Official title:
Physical Activity Promotion in Areas of Deprivation for Inactive Adults With Cardiovascular Disease (CVD) Risk: An Evaluation of Active Herts
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.
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