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Do we need to reconsider best practice in goal setting for physical activity promotion?
  1. Christian Swann1,2,
  2. Simon Rosenbaum3,4
  1. 1 Early Start, University of Wollongong, Wollongong, New South Wales, Australia
  2. 2 School of Psychology, University of Wollongong, Wollongong, New South Wales, Australia
  3. 3 School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
  4. 4 Black Dog Institute, Prince of Wales Hospital, Sydney, New South Wales, Australia
  1. Correspondence to Dr Christian Swann, Early Start Research Institute, University of Wollongong, Northfields Avenue, Wollongong NSW 2522, Australia; cswann{at}uow.edu.au

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Goal setting is one of the most widely applied and universally accepted strategies used to increase physical activity (PA). Goals are defined as internal representations of desired outcomes, events or processes,1 such as losing 10 kg (outcome), completing a marathon (event) or being more active (process). Goal setting is particularly relevant for individual-level interventions, for example, when set by practitioners/clinicians prescribing exercise or making referrals. Indeed, the current trend of self-monitoring using wearables (Fitbit-like devices) is essentially rooted in achieving PA change through goal setting. Given recent calls for a ‘movement for movement2 in response to a burgeoning evidence base regarding the importance of PA prescription and counselling,3 ensuring that the right goals are established, for the right person, and at the right time has clear implications for the effectiveness of interventions targeting both clinical and non-clinical populations. Furthermore, given that the greatest potential public health impact of PA promotion lies in assisting physically inactive individuals engage in some PA, as opposed to increasing the volume of PA among those who are already physically active,4 ensuring our approach to PA goal setting is individualised and based on current evidence is of high significance.

In line with goal-setting theory,5 best practice is considered to be specific, challenging goals. For example, the American College of Sports Medicine (ACSM) Guidelines for Exercise Testing and Prescription recommends the commonly used specific, measurable, achievable, realistic, time-bound, self-determined (SMARTS) acronym.6 However, theory and research suggests that setting specific, challenging goals (ie, current best practice) may be problematic for inactive populations, prompting the questions: ‘Are we setting the right goals for PA promotion?’ and ‘Do we need to rethink our approach to goal setting in order to maximise engagement in PA?’

A recent systematic review and meta-analysis7 found that while both were beneficial, specific goals were no more effective at increasing PA than goals that were vaguely defined (eg, ‘to be more active’). Despite the common assumption that specific goals are superior to vague ones,7 Locke and Latham’s goal-setting theory5 states that ‘trying for specific, challenging goals may actually hurt performance in certain circumstances (such as) during the early stages of learning a new, complex task’ (p. 229). Specific, challenging goals can require greater attentional demands, create work overload, induce focus on immediate performance outcomes, divert necessary attention away from strategy development and inhibit learning.8 Therefore, if learning how to be physically active is considered a complex task, then goal setting theory and evidence suggests that specific goals should not be considered best practice (ie, most effective) for individuals at the early stages of learning to be active.

Complex tasks differ from simple tasks on three dimensions8: (1) the number of dimensions that must be attended to simultaneously (component complexity), (2) the sequencing of acts and coordination required among acts to accomplish the task (coordinating complexity) and (3) the need to adjust to change which can lead to outcomes such as uncertainty and anxiety (dynamic complexity). Learning to become physically active requires attention to a range of components such as frequency, intensity, duration, mode and cost of PA (ie, high component complexity). Sequencing and coordination are required to be physically active, such as scheduling, organising and prioritising (ie, high coordinating complexity). Individuals need to adjust to the changes involved in becoming, and staying, physically active, for example, with commitment, motivation and overcoming setbacks/relapses (ie, high dynamic complexity). From this perspective, the process of becoming physically active can arguably be considered a ‘complex task’, meaning that there is a need to reconsider specific, challenging goals as best practice for individuals at the early stages of learning to be active.

This issue suggests an oversimplification or misunderstanding in the application of goal-setting theory and implies something has been lost in translation from theory to practice. Further, questions can be raised over the recommendation of specific, challenging goals as current best practice advocated by leading organisations (eg, ACSM).6 Similarly, promotion of the World Health Organisation’s (WHO) guidelines for PA centres on specific targets for PA per week, which are problematic from a goal-setting perspective (eg, if individuals adopt these targets as goals). Indeed, weekly goals—a primary focus of the WHO guidelines—do not have a significant effect on PA, whereas daily goals and daily-plus-weekly goals do.7 Such recommendations may also act as a deterrent for physically inactive people who may incorrectly believe that benefits from PA are only obtained once this (in many clinical cases, unrealistic) threshold is achieved. Therefore, it is important for researchers, practitioners and policymakers to rethink and move beyond commonly held assumptions in goal setting and to adopt a critical perspective regarding the type of goals that should be set for individuals to maximise engagement in PA (see table 1). By doing so, it may be possible to achieve greater engagement in PA, on a larger scale and over a longer term, simply by changing how goals are phrased.

Table 1

Recommendations for reconsidering best practice in goal setting for physical activity promotion

References

Footnotes

  • Twitter @cswannpsych @simon_rosenbaum

  • Funding Simon Rosenbaum is funded by an NHMRC Early Career Fellowship (APP1098518)

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.