Abstract
This study examined the application of the transtheoretical model (TTM) as a means to increase physical activity at the worksite through the introduction of a 10-week pedometer walking program combined with internet-based motivational messages. Participants (N = 206) were employees of two worksites who completed a health history questionnaire and assessment based on the TTM. There were significant improvements in the number of steps per week, level of physical activity, movement through stage of change and other health related indicators (p < 0.05). The worksite pedometer walking program and e-technology may be effective interventions in improving the lifestyle of employees who might be at risk for developing chronic diseases. Editors’ Strategic Implications: Because walking is an inexpensive, easy, and convenient form of physical activity for many adults, implementation of this type of workplace program––with the important element of increasing individuals’ awareness of risks––could be an effective approach to reduce cardiovascular risk factors and manage overweight and obesity in sedentary adults. Future research should compare this simple model with more individualized (but often more expensive) programs.
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References
Adams, J., & White, M. (2003). Are activity promotion interventions based on the transtheoretical model effective? A critical review. British Journal of Sports Medicine, 37, 106–114.
Alnasir, F. A., & Masuadi, E. M. (2006). The effect of loss of body weight on lipid profile in overweight individuals. Saudi Medical Journal, 27, 687–692.
American College of Sport Medicine & Centers for Disease Control and Prevention. (2006). Guidelines for Physical Activity. Retrieved February 3, 2007 from; http://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf
American Heart Association. (2007). Blood pressure levels. Retrieved February 3, 2007 from: http://www.americanheart.org/presenter.jhtml?identifier=4450
Atlantis, E., Chow, C. M., Kirby, A., & Fiatarone Singh, M. A. (2006). Worksite intervention effects on physical health: A randomized controlled trial. Health Promotion International, 21, 191–200.
Barengo, N. C., Hu, G., Lakka, T. A., Pekkarinen, H., Nissinen, A., & Tuomilehto, J. (2004). Low physical activity as predictor for total and cardiovascular disease mortality in middle-aged men and women in Finland. European Heart Journal, 25, 2204–2211.
Brown, D. W., Balluz, L. S, Heath, G. W., Moriarty, D. G., Ford, E. S., Giles, W. H., et al. (2003). Associations between recommended levels of physical activity and health-related quality of life. Findings from the 2001 behavioral risk factor surveillance system (BRFSS) survey. Preventive Medicine, 37, 520–528.
Centers for Disease Control and Prevention, American College of Sports Medicine. (2007). Guidelines: General physical activities defined by level of intensities. Retrieved February 3, 2007, from: http://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf
Centers for Disease Control and Prevention. (2005)a. Trends in leisure-time physical inactivity by age, sex and race/ethnicity—United States, 1994–2004. Retrieved February 3, 2007 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5439a5.htm
Centers for Disease Control and Prevention. (2005b). Overweight and obesity: Contributing factors. Retrieved February 3, 2007 from http://www.cdc.gov/nccdphp/dnpa/obesity/contributing_factors.htm
Centers for Disease Control and Prevention. (2006). Overweight and obesity: Health consequences. Retrieved February 3, 2007 from http://www.cdc.gov/nccdphp/dnpa/obesity/consequences.htm
Centers for Disease Control and Prevention. (2007). Body mass index: About BMI for adults. Retrieved February 3, 2007, from http://www.cdc.gov/nccdphp/dnpa/bmi/adult_BMI/about_adult_BMI.htm
Chan, C. B., Ryan, D. A., & Tudor-Locke, C. (2004). Health benefits of a pedometer-based physical activity interventions in sedentary workers. Preventive Medicine, 39, 1215–1222.
Chan, C. B., Spangler, E., Valcour, J., & Tudor-Locke, C. (2003). Cross-sectional relationship of pedometer-determined ambulatory activity to indicators of health. Obesity Research, 11, 1563–1570.
Cooper, A. R., Page, A., Fox, K. R., & Misson, J. (2000). Physical activity patterns in normal, overweight and obese individuals using minute-by-minute accelerometry. European Journal of Clinical Nutrition, 54, 887–894.
Dunn, A. L., Marcus, B. H., Kampert, J. B., Garcia, M. E., Kohl, H. W., & Blair, S. N. (1997). Reduction in cardiovascular disease risk factors: 6-month results from Project Active. Preventive Medicine, 26, 883–892.
Eriksen, H. R., Ihlebaek, C., Mikkelsen, A., Grønningsaeter, H., Sandal, G. M., & Ursin, H. (2002). Improving subjective health at the worksite: a randomized controlled trial of stress management training, physical exercise, and an integrated health programme. Occupational Medicine, 52, 383–391.
Fogelholm, M., & Kukkonen-Harjula, K. (2000). Does physical activity prevent weight gain? A systematic review. Obesity Review, 1, 95–111.
Garrett, N. A., Brasure, M., Schmitz, K. H., Schultz, M. M., & Huber, M. R. (2004). Physical inactivity: Direct cost to a health plan. American Journal of Preventive Medicine, 27, 304–309.
Gerber, B. S., & Eiser, A. R. (2001). The patient physician relationship in the Internet age: future prospects and the research agenda. Journal of Medical Internet Research, 3, 15.
Griffin-Blake, C. S., & DeJoy, D. M. (2006). Evaluation of social-cognitive versus stage-matched, self-help physical activity interventions at the workplace. American Journal of Health Promotion, 20, 200–209.
Gordon-Larsen, P., Nelson, M. C, & Popkin, B. M. (2004). Longitudinal physical activity and sedentary behavior trends- adolescence to adulthood. American Journal of Preventive Medicine, 2, 277–283.
Gustafson, D. H, Hawkins, R., Pingree, S., Mctavish, F., Arora, N. K., Mendenhall, J., et al. (2001). Effect of computer support on younger women with breast cancer. Journal of General and Internal Medicine, 16, 435–445.
Hahn, R. A., Teutsch, S. M., Rothenberg, R. B., & Marks, J. S. (1990). Excess deaths from nine chronic diseases in the United States, 1986. Journal of America Medical Association, 264, 2654–2659.
Hirsch, I. B. (2002). The Prevention of Type 2 diabetes: Are we ready for the challenge? Clinical Diabetes, 20, 106–110.
Iwane, M., Arita, M., Tomimoto, S., Satani, O., Matsumoto, M., Miyashita, K., et al. (2000). Walking 10,000 steps/day or more reduces blood pressure and sympathetic nerve activity in mild essential hypertension. Hypertension Research, 23, 573–580.
Kirk, A. F., Mutrie, N., Macintyre, P. D., & Fisher, M. B. (2004). Promoting and maintaining physical activity in people with type-2 diabetes. American Journal of Preventive Medicine, 27, 289–296.
Kocourek, J., & Reid, R. D. (2006). Predicting exercise stage transition from a social ecological perspective in patients with coronary heart disease. Journal of Cardiopulmonary Rehabilitation, 26, 276.
Kujala, U. M. (2004). Evidence for exercise therapy in the treatment of chronic disease based on at least three randomized controlled trials-summary of published systematic reviews. Scandinavian Journal of Medicine & Science in Sports, 14, 339–345.
Levin, S., Lowry, R., Brown, D. R., & Dietz, W. H. (2003). Physical activity and BMI among US adolescents. Archive of Pediatric & Adolescent Medicine, 157, 816–820.
Lowther, M., Mutrie, N., & Scott, E. (2007). Identifying key processes of exercise behavior change associates with movement through stages of exercise behavior change. Journal of Health Psychology, 12, 261–272.
Marcus, B. H., Rossi, J. S., Selby, V. C., Niaura, R. S., & Abrams, D. B. (1992). The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11, 386–395.
Marshall, S. J., & Biddle, S. J. (2001). The transtheoretical model of behaviour change: A meta-analysis of applications to physical activity and exercise. Annals of Behavioral Medicine, 23, 229–246.
National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition and Physical Activity. (2006)a. BRFSS 2005: Prevalence data. Retrieved February 3, 2007 from http://apps.nccd.cdc.gov/brfss/display.asp?cat=DE&yr=2005&qkey=4409&state=UB
National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition and Physical Activity. (2006b). Physical activity for everyone: Recommendations: How active do adults need to be to gain some benefit? Retrieved February 3, 2007, from http://www.cdc.gov/nccdphp/dnpa/physical/recommendations/adults.htm
Partnership for Prevention. (2001, Fall). Healthy Workforce 2010: An essential health promotion sourcebook for employers, large and small. Retrieved February 3, 2007, from http://www.prevent.org/content/view/12/6/
Popovic, J. R. (2001). 1999 National hospital discharge survey: Annual summary with detailed diagnosis and procedure data. National Center for Health Statistics; Vital Health Statistics, 13, 1–206.
Prochaska, J. O., & DiClemente, C. C. (1983). The stages and processes of self change in smoking: towards an integrative model of change. Journal of Consulting & Clinical Psychology, 51, 390–395.
Prodaniuk, T. R., Plotnikoff, R. C., Spence, J. C., & Wilson, P. M. (2004). The influence of self-efficacy and outcome expectations on the relationship between perceived environment and physical activity in the workplace. International Journal of Behavioral Nutrition and Physical Activity, 1, 7.
Rached-Amrouche, C., Jamoussi-Kammoun, H., & Blouza-Chabchoub, S. (2007). Effects of dietary intervention on weight loss and improvement of metabolic cormorbidities in a population of obese adults. La Tunisie Medicale, 85, 102–104.
Ransdell, L. B., Robertson, L., Ornes, L., & Moyer-Mileur, L. (2004). Generation exercising together to improve fitness (GET FIT): A pilot study designed to increase physical activity and improve health-related fitness in three generation of women. Women’s Health, 40, 77–94.
Sacco, R. L., Gan, R., Boden-Albala, B., Lin, I. F., Kargman, D. E., Hauser, W. A., et al. (1998). Leisure-time physical activity and ischemic stroke risk: The Northern Manhattan stroke study. Stroke, 29, 380–387.
Sallis, J. F., Hovell, M. F., & Hofstetter, C. R. (1992a). Predictors of adoption and maintenance of vigorous physical activity in men and women. Preventive Medicine, 21, 237–251.
Sallis, J. F., Hovell, M. F., Hofstetter, C. R., & Barrington, E. (1992b). Explanation of vigorous physical activity during two years using social learning variables. Social Science & Medicine, 34, 25–32.
Sorensen, G., & Barbeau, E. (2004). Steps to a healthier US workforce: Integrating occupational health and safety and worksite health promotion: State of the science. Paper presented at the Symposium on Steps to a Healthier US Workforce. Abstract retrieved February 3, 2007, from: http://www.cdc.gov/niosh/worklife/steps/2004/whitepapers.html
Stovitz, S. D., VanWormer, J. J., Center, B. A., & Bremer, K. L. (2005). Pedometers as a means to increase ambulatory activity for patients seen at a family medicine clinic. Journal of American Board of Family Practice/American Board of Family Practice, 18, 335–343.
Strum, R. (2002). The effects of obesity, smoking and problem drinking on chronic medical problems and health care costs. Health Affairs, 21, 245–253.
Stunkard, A., & Wadden, T. (2003). Obesity theory and therapy (2nd ed.). New York: Raven Press.
Tate, D. F., Jackvony, E. H., & Wing, R. R. (2003). Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: A randomized trial. Journal of American Medical Association, 289, 1833–1836.
Trost, S. G., Owen, N., Bauman, A. E., Sallis, J. F, & Brown, W. (2002). Correlates of adults’ participation in physical activity: Review and updates. Medicine & Science in Sports and Exercise, 34, 1996–2001.
Tudor-Locke, C. E., Myers, A. M., Bell, R. C., Harris, S. B., & Wilson, R. N. (2002). Preliminary outcome evaluation of the First Step Program: A daily physical activity intervention for individuals with type 2 diabetes. Patient Education and Counseling, 47, 23–28.
United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, President’s Council on Physical Fitness and Sports. (1996). Physical activity and health: A report of the Surgeon General. Retrieved February 3, 2007, from: http://profiles.nlm.nih.gov/NN/B/B/H/B/_/nnbbhb.pdf
United States Department of Health and Human Services. (2002). Physical activity fundamentals to preventing disease. Office of the assistant secretary for planning and evaluation. Retrieved February 3, 2007, from: http://aspe.hhs.gov/health/reports/physicalactivity/index.shtml
United States Department of Health and Human Services. (2005). Preventing chronic disease: Investing wisely in health. Preventing obesity and chronic disease through good nutrition and physical activity. Retrieved February 3, 2007, from: http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/obesity.pdf
Wyatt, H. R., Peters, J. C., Reed, G. W., Barry, M., & Hill, J. O. (2005). A Colorado statewide survey of walking and its relation to excessive weight. Medicine and Science in Sports & Exercise, 37, 724–730.
Acknowledgments
This study was supported by a grant from the CDC and the State of Connecticut Department of Public Health. The authors thank each of their volunteers, participants, and graduate assistants, especially Jodi Petrozak and Mimi Zoladia of New Haven Family Alliance.
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Faghri, P.D., Omokaro, C., Parker, C. et al. E-technology and Pedometer Walking Program to Increase Physical Activity at Work. J Primary Prevent 29, 73–91 (2008). https://doi.org/10.1007/s10935-007-0121-9
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DOI: https://doi.org/10.1007/s10935-007-0121-9