Background <p>A novel ‘whole day’ approach that could motivate the public to be more physically active is Snacktivity™. The Snacktivity™ approach encourages individuals to accumulate 150&#xa0;min of physical activity in short 2–5-min ‘snacks’ of moderate-vigorous intensity physical activity (MVPA) throughout the day/week.</p> Method <p>A randomised controlled trial to assess the feasibility/acceptability of a Snacktivity™ intervention and trial processes was conducted. The trial aimed to recruit 80 physically inactive adults from healthcare services and via social media. Participants were randomised to the Snacktivity™ intervention or usual care and followed up at 12&#xa0;weeks. The intervention was predominately delivered by health professionals within consultations. Assessment of whether the Snacktivity™ intervention and trial methods were acceptable to participants, adherence to Snacktivity™ (assessed by Fitbit) and physical activity (assessed by accelerometer), and retention were considered according to traffic light stop-go progression criteria (green-amber-red).</p> Results <p>Seventy-two participants (<i>n</i> = 37 Snacktivity™ intervention; <i>n</i> = 35 usual care) were recruited across 14&#xa0;months (72/80, 90%, (green) 95% CI: 83% to 97%). Snacktivity™ adherence was achieved in 12/37 participants (32%, (red) 95% CI: 17% to 48%). Physical activity adherence was achieved in 17/37 participants (46%, (amber) 95% CI: 30% to 62%). Seven participants (10%, (green) 95% CI: 3% to 17%) withdrew from follow-up and 25/72 (35%, (amber) 95% CI: 24% to 46%) had no accelerometer data at follow-up (retention).</p> Conclusion <p>The Snacktivity™ intervention may be feasible and acceptable to implement. Findings can inform subsequent research that seeks to investigate whether Snacktivity™ based approaches are effective in promoting physical activity in the population.</p> Trial Registration <p>ISRCTN: 64851242. Registration date: 31/01/21.</p>

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Snacktivity™ to Promote Physical Activity in Primary Care, Community Health and Public Health Settings: A Feasibility Randomised Controlled Trial

  • Amanda J. Daley,
  • Ryan A. Griffin,
  • James P. Sanders,
  • Kajal Gokal,
  • Natalie Ives,
  • Magdalena Skrybant,
  • Helen M. Parretti,
  • Charlotte L. Edwardson,
  • Stuart J. H. Biddle,
  • Kate Jolly,
  • Colin J. Greaves,
  • Sheila M. Greenfield,
  • Ralph Maddison,
  • Dale W. Esliger,
  • Lauren B. Sherar,
  • Emma Frew,
  • Nanette Mutrie,
  • Ben Maylor,
  • Tom Yates,
  • Sarah Tearne,
  • Catherine A. Moakes

摘要

Background

A novel ‘whole day’ approach that could motivate the public to be more physically active is Snacktivity™. The Snacktivity™ approach encourages individuals to accumulate 150 min of physical activity in short 2–5-min ‘snacks’ of moderate-vigorous intensity physical activity (MVPA) throughout the day/week.

Method

A randomised controlled trial to assess the feasibility/acceptability of a Snacktivity™ intervention and trial processes was conducted. The trial aimed to recruit 80 physically inactive adults from healthcare services and via social media. Participants were randomised to the Snacktivity™ intervention or usual care and followed up at 12 weeks. The intervention was predominately delivered by health professionals within consultations. Assessment of whether the Snacktivity™ intervention and trial methods were acceptable to participants, adherence to Snacktivity™ (assessed by Fitbit) and physical activity (assessed by accelerometer), and retention were considered according to traffic light stop-go progression criteria (green-amber-red).

Results

Seventy-two participants (n = 37 Snacktivity™ intervention; n = 35 usual care) were recruited across 14 months (72/80, 90%, (green) 95% CI: 83% to 97%). Snacktivity™ adherence was achieved in 12/37 participants (32%, (red) 95% CI: 17% to 48%). Physical activity adherence was achieved in 17/37 participants (46%, (amber) 95% CI: 30% to 62%). Seven participants (10%, (green) 95% CI: 3% to 17%) withdrew from follow-up and 25/72 (35%, (amber) 95% CI: 24% to 46%) had no accelerometer data at follow-up (retention).

Conclusion

The Snacktivity™ intervention may be feasible and acceptable to implement. Findings can inform subsequent research that seeks to investigate whether Snacktivity™ based approaches are effective in promoting physical activity in the population.

Trial Registration

ISRCTN: 64851242. Registration date: 31/01/21.