Understanding for whom, under what conditions, and how group-based physical activity interventions are successful: a realist review Health behavior, health promotion and society

Samantha M. Harden, Desmond McEwan, Benjamin D. Sylvester, Megan Kaulius, Geralyn Ruissen, Shauna M. Burke, Paul A. Estabrooks, Mark R. Beauchamp

Research output: Contribution to journalReview article

24 Citations (Scopus)

Abstract

Background: Participation in group-based physical activity (GBPA) interventions has been found to result in higher levels of exercise adherence and program compliance. However, previous reviews of GBPA programs have provided limited insight regarding 'for whom', 'under what conditions', and 'how' these interventions increase physical activity behavior. Methods: A realist review was conducted by following the seven recommended iterative and overlapping steps (J Health Serv Res Policy 10S1:21-34, 2005). The review was limited to group dynamics-based interventions for adults (>17 years of age). The search was conducted in PubMed, PsychInfo, and Web of Science search engines associated with the Science Citation Index Expanded, Social Sciences Citation Index, Arts & Humanities Citation Index, and MEDLINE. Results: Using a realist review approach, data from 52 studies were synthesized. Of those, 92 % (n∈=∈48) reported significant increases in participant physical activity. The synthesis resulted in three main observations and recommendations. Discussion: GBPA interventions have worked for a variety of populations, including those who are hard to reach; however, more research is needed on moderating factors to determine for whom different GBPA programs may be effective. Second, previous interventions have varied in the duration, frequency, and number of group-based strategies used, and comparative effectiveness research may be necessary to isolate the mechanisms of effect. Third, these interventions have been conducted in a diverse range of settings, using a variety of research designs and analytical approaches. Less information is known about the costs or sustainability of these programs in their intended settings. Conclusion: The results of this realist review have important implications for practice, refining trial designs, and replication across diverse populations and settings.

Original languageEnglish (US)
Article number958
JournalBMC Public Health
Volume15
Issue number1
DOIs
StatePublished - Sep 24 2015

Fingerprint

Health Behavior
Health Promotion
Comparative Effectiveness Research
Search Engine
Social Sciences
Program Evaluation
Art
PubMed
MEDLINE
Population
Compliance
Research Design
Costs and Cost Analysis
Health
Research

Keywords

  • Group-based
  • Interventions
  • Physical activity
  • Realist review

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Understanding for whom, under what conditions, and how group-based physical activity interventions are successful : a realist review Health behavior, health promotion and society. / Harden, Samantha M.; McEwan, Desmond; Sylvester, Benjamin D.; Kaulius, Megan; Ruissen, Geralyn; Burke, Shauna M.; Estabrooks, Paul A.; Beauchamp, Mark R.

In: BMC Public Health, Vol. 15, No. 1, 958, 24.09.2015.

Research output: Contribution to journalReview article

Harden, Samantha M. ; McEwan, Desmond ; Sylvester, Benjamin D. ; Kaulius, Megan ; Ruissen, Geralyn ; Burke, Shauna M. ; Estabrooks, Paul A. ; Beauchamp, Mark R. / Understanding for whom, under what conditions, and how group-based physical activity interventions are successful : a realist review Health behavior, health promotion and society. In: BMC Public Health. 2015 ; Vol. 15, No. 1.
@article{9df5fce86ffa48aeb0e9440afe612da1,
title = "Understanding for whom, under what conditions, and how group-based physical activity interventions are successful: a realist review Health behavior, health promotion and society",
abstract = "Background: Participation in group-based physical activity (GBPA) interventions has been found to result in higher levels of exercise adherence and program compliance. However, previous reviews of GBPA programs have provided limited insight regarding 'for whom', 'under what conditions', and 'how' these interventions increase physical activity behavior. Methods: A realist review was conducted by following the seven recommended iterative and overlapping steps (J Health Serv Res Policy 10S1:21-34, 2005). The review was limited to group dynamics-based interventions for adults (>17 years of age). The search was conducted in PubMed, PsychInfo, and Web of Science search engines associated with the Science Citation Index Expanded, Social Sciences Citation Index, Arts & Humanities Citation Index, and MEDLINE. Results: Using a realist review approach, data from 52 studies were synthesized. Of those, 92 {\%} (n∈=∈48) reported significant increases in participant physical activity. The synthesis resulted in three main observations and recommendations. Discussion: GBPA interventions have worked for a variety of populations, including those who are hard to reach; however, more research is needed on moderating factors to determine for whom different GBPA programs may be effective. Second, previous interventions have varied in the duration, frequency, and number of group-based strategies used, and comparative effectiveness research may be necessary to isolate the mechanisms of effect. Third, these interventions have been conducted in a diverse range of settings, using a variety of research designs and analytical approaches. Less information is known about the costs or sustainability of these programs in their intended settings. Conclusion: The results of this realist review have important implications for practice, refining trial designs, and replication across diverse populations and settings.",
keywords = "Group-based, Interventions, Physical activity, Realist review",
author = "Harden, {Samantha M.} and Desmond McEwan and Sylvester, {Benjamin D.} and Megan Kaulius and Geralyn Ruissen and Burke, {Shauna M.} and Estabrooks, {Paul A.} and Beauchamp, {Mark R.}",
year = "2015",
month = "9",
day = "24",
doi = "10.1186/s12889-015-2270-8",
language = "English (US)",
volume = "15",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Understanding for whom, under what conditions, and how group-based physical activity interventions are successful

T2 - a realist review Health behavior, health promotion and society

AU - Harden, Samantha M.

AU - McEwan, Desmond

AU - Sylvester, Benjamin D.

AU - Kaulius, Megan

AU - Ruissen, Geralyn

AU - Burke, Shauna M.

AU - Estabrooks, Paul A.

AU - Beauchamp, Mark R.

PY - 2015/9/24

Y1 - 2015/9/24

N2 - Background: Participation in group-based physical activity (GBPA) interventions has been found to result in higher levels of exercise adherence and program compliance. However, previous reviews of GBPA programs have provided limited insight regarding 'for whom', 'under what conditions', and 'how' these interventions increase physical activity behavior. Methods: A realist review was conducted by following the seven recommended iterative and overlapping steps (J Health Serv Res Policy 10S1:21-34, 2005). The review was limited to group dynamics-based interventions for adults (>17 years of age). The search was conducted in PubMed, PsychInfo, and Web of Science search engines associated with the Science Citation Index Expanded, Social Sciences Citation Index, Arts & Humanities Citation Index, and MEDLINE. Results: Using a realist review approach, data from 52 studies were synthesized. Of those, 92 % (n∈=∈48) reported significant increases in participant physical activity. The synthesis resulted in three main observations and recommendations. Discussion: GBPA interventions have worked for a variety of populations, including those who are hard to reach; however, more research is needed on moderating factors to determine for whom different GBPA programs may be effective. Second, previous interventions have varied in the duration, frequency, and number of group-based strategies used, and comparative effectiveness research may be necessary to isolate the mechanisms of effect. Third, these interventions have been conducted in a diverse range of settings, using a variety of research designs and analytical approaches. Less information is known about the costs or sustainability of these programs in their intended settings. Conclusion: The results of this realist review have important implications for practice, refining trial designs, and replication across diverse populations and settings.

AB - Background: Participation in group-based physical activity (GBPA) interventions has been found to result in higher levels of exercise adherence and program compliance. However, previous reviews of GBPA programs have provided limited insight regarding 'for whom', 'under what conditions', and 'how' these interventions increase physical activity behavior. Methods: A realist review was conducted by following the seven recommended iterative and overlapping steps (J Health Serv Res Policy 10S1:21-34, 2005). The review was limited to group dynamics-based interventions for adults (>17 years of age). The search was conducted in PubMed, PsychInfo, and Web of Science search engines associated with the Science Citation Index Expanded, Social Sciences Citation Index, Arts & Humanities Citation Index, and MEDLINE. Results: Using a realist review approach, data from 52 studies were synthesized. Of those, 92 % (n∈=∈48) reported significant increases in participant physical activity. The synthesis resulted in three main observations and recommendations. Discussion: GBPA interventions have worked for a variety of populations, including those who are hard to reach; however, more research is needed on moderating factors to determine for whom different GBPA programs may be effective. Second, previous interventions have varied in the duration, frequency, and number of group-based strategies used, and comparative effectiveness research may be necessary to isolate the mechanisms of effect. Third, these interventions have been conducted in a diverse range of settings, using a variety of research designs and analytical approaches. Less information is known about the costs or sustainability of these programs in their intended settings. Conclusion: The results of this realist review have important implications for practice, refining trial designs, and replication across diverse populations and settings.

KW - Group-based

KW - Interventions

KW - Physical activity

KW - Realist review

UR - http://www.scopus.com/inward/record.url?scp=84942505267&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84942505267&partnerID=8YFLogxK

U2 - 10.1186/s12889-015-2270-8

DO - 10.1186/s12889-015-2270-8

M3 - Review article

C2 - 26404722

AN - SCOPUS:84942505267

VL - 15

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 958

ER -