The formative evaluation of The HERizon Project randomised controlled trial - a home-based physical activity intervention for adolescent girls
Oral Presentation B9.1
DOI:
https://doi.org/10.14288/hfjc.v14i3.543Keywords:
Adolescents, Physical Activity, COVID-19, Girls, Behaviour ChangeAbstract
Purpose: The HERizon Project is a home-based multi-component physical activity (PA) intervention for adolescent girls in the UK and Ireland. This study was a formative evaluation of its implementation during the initial COVID-19 lockdown restrictions. Methods: 42 female participants aged 13 to 16 years old (mean = 14.2, SD = 1.1), were randomly allocated to: (i) the HERizon intervention group (n = 22) or (ii) a wait-list control group (n = 20). Participants in the six-week intervention group were asked to complete three PA sessions of their choice each week, engage in weekly need-supportive videocalls with an Activity Mentor, and had access to live workouts and a private social media group. The primary outcome was self-reported habitual PA. Secondary outcomes included cardiorespiratory fitness (20 m shuttle run), muscular strength (standing long jump), muscular endurance (push up test), and psychosocial outcomes (Perceived Competence Scale, Body Appreciation Scale, Self-Esteem Questionnaire, Behavioural Regulation in Exercise Questionnaire). Outcome measures were assessed at baseline and after the six-week intervention. Quantitative and qualitative process evaluation data were also collected which included online interviews (n = 10). Linear mixed modelling and reflexive thematic analysis were used to analyse the data. Results: There was no significant change in habitual PA between groups (p = 0.767). The intervention group had significantly increased cardiorespiratory fitness (p = 0.001), muscular endurance (p = 0.022), intrinsic motivation (p = 0.037), and body appreciation (p < 0.003) in comparison to the wait-list control group. All participants in the intervention group completed the intervention and compliance to the intervention was high (participants completed 18 ± 2 sessions). The live workouts, behaviour change support and routine were identified as key facilitators to adhering to the programme. Benefits of the programme reported during interviews included increased enjoyment of exercise, increased confidence and improved performance. Conclusions: Although no change in PA was observed, HERizon resulted in improved physical fitness and psychosocial outcomes. These preliminary findings, alongside positive findings for feasibility and acceptability, highlight potential benefits from the home-based intervention, thus further investigation is warranted. Future trials should include accelerometers for a more accurate measurement of habitual PA. Funding: Study founded by The Marie Sklodowska-Curie Action Cofund (DTA3) (grant agreement number: 801604).
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Copyright (c) 2021 Emma S. Cowley, Paula M. Watson, Lawrence Foweather, Sarahjane Belton, Chiara Mansfield, Gabriella Whitcomb-Khan, Isabella Cacciatore, Andrew Thompson, Dick Thijssen, Anton J.M. Wagenmakers
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