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The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers

BACKGROUND: Chronic diseases are high in truck drivers and have been linked to work routines that promote inactivity and poor diets. This feasibility study examined the extent to which an m-Health financial incentives program facilitated physical activity and healthy dietary choices in Australian tr...

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Autores principales: Gilson, Nicholas D., Pavey, Toby G, Wright, Olivia RL, Vandelanotte, Corneel, Duncan, Mitch J, Gomersall, Sjaan, Trost, Stewart G., Brown, Wendy J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437648/
https://www.ncbi.nlm.nih.gov/pubmed/28521767
http://dx.doi.org/10.1186/s12889-017-4380-y
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author Gilson, Nicholas D.
Pavey, Toby G
Wright, Olivia RL
Vandelanotte, Corneel
Duncan, Mitch J
Gomersall, Sjaan
Trost, Stewart G.
Brown, Wendy J.
author_facet Gilson, Nicholas D.
Pavey, Toby G
Wright, Olivia RL
Vandelanotte, Corneel
Duncan, Mitch J
Gomersall, Sjaan
Trost, Stewart G.
Brown, Wendy J.
author_sort Gilson, Nicholas D.
collection PubMed
description BACKGROUND: Chronic diseases are high in truck drivers and have been linked to work routines that promote inactivity and poor diets. This feasibility study examined the extent to which an m-Health financial incentives program facilitated physical activity and healthy dietary choices in Australian truck drivers. METHODS: Nineteen men (mean [SD] age = 47.5 [9.8] years; BMI = 31.2 [4.6] kg/m(2)) completed the 20-week program, and used an activity tracker and smartphone application (Jawbone UP™) to regulate small positive changes in occupational physical activity, and fruit, vegetable, saturated fat and processed/refined sugar food/beverage choices. Measures (baseline, end-program, 2-months follow-up; April–December 2014) were accelerometer-determined proportions of work time spent physically active, and a workday dietary questionnaire. Statistical (repeated measures ANOVA) and thematic (interviews) analyses assessed program impact. RESULTS: Non-significant increases in the mean proportions of work time spent physically active were found at end-program and follow-up (+1%; 7 mins/day). Fruit (p = 0.023) and vegetable (p = 0.024) consumption significantly increased by one serve/day at end-program. Non-significant improvements in saturated fat (5%) and processed/refined sugar (1%) food/beverage choices were found at end-program and follow-up. Overall, 65% (n = 11) of drivers demonstrated positive changes in physical activity, and at least one dietary choice (e.g. saturated fat) at follow-up. Drivers found the financial incentives component of the program to be a less effective facilitator of change than the activity tracker and smartphone application, although this technology was easier to use for monitoring of physical activity than healthy dietary choices. CONCLUSIONS: Not all drivers benefitted from the program. However, positive changes for different health behaviours were observed in the majority of participants. Outcomes from this feasibility study inform future intervention development for studies with larger samples. TRIAL REGISTRATION: ANZCTR12616001513404. Registered November 2nd, 2016 (retrospectively registered).
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spelling pubmed-54376482017-05-22 The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers Gilson, Nicholas D. Pavey, Toby G Wright, Olivia RL Vandelanotte, Corneel Duncan, Mitch J Gomersall, Sjaan Trost, Stewart G. Brown, Wendy J. BMC Public Health Research Article BACKGROUND: Chronic diseases are high in truck drivers and have been linked to work routines that promote inactivity and poor diets. This feasibility study examined the extent to which an m-Health financial incentives program facilitated physical activity and healthy dietary choices in Australian truck drivers. METHODS: Nineteen men (mean [SD] age = 47.5 [9.8] years; BMI = 31.2 [4.6] kg/m(2)) completed the 20-week program, and used an activity tracker and smartphone application (Jawbone UP™) to regulate small positive changes in occupational physical activity, and fruit, vegetable, saturated fat and processed/refined sugar food/beverage choices. Measures (baseline, end-program, 2-months follow-up; April–December 2014) were accelerometer-determined proportions of work time spent physically active, and a workday dietary questionnaire. Statistical (repeated measures ANOVA) and thematic (interviews) analyses assessed program impact. RESULTS: Non-significant increases in the mean proportions of work time spent physically active were found at end-program and follow-up (+1%; 7 mins/day). Fruit (p = 0.023) and vegetable (p = 0.024) consumption significantly increased by one serve/day at end-program. Non-significant improvements in saturated fat (5%) and processed/refined sugar (1%) food/beverage choices were found at end-program and follow-up. Overall, 65% (n = 11) of drivers demonstrated positive changes in physical activity, and at least one dietary choice (e.g. saturated fat) at follow-up. Drivers found the financial incentives component of the program to be a less effective facilitator of change than the activity tracker and smartphone application, although this technology was easier to use for monitoring of physical activity than healthy dietary choices. CONCLUSIONS: Not all drivers benefitted from the program. However, positive changes for different health behaviours were observed in the majority of participants. Outcomes from this feasibility study inform future intervention development for studies with larger samples. TRIAL REGISTRATION: ANZCTR12616001513404. Registered November 2nd, 2016 (retrospectively registered). BioMed Central 2017-05-18 /pmc/articles/PMC5437648/ /pubmed/28521767 http://dx.doi.org/10.1186/s12889-017-4380-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gilson, Nicholas D.
Pavey, Toby G
Wright, Olivia RL
Vandelanotte, Corneel
Duncan, Mitch J
Gomersall, Sjaan
Trost, Stewart G.
Brown, Wendy J.
The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers
title The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers
title_full The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers
title_fullStr The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers
title_full_unstemmed The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers
title_short The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers
title_sort impact of an m-health financial incentives program on the physical activity and diet of australian truck drivers
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437648/
https://www.ncbi.nlm.nih.gov/pubmed/28521767
http://dx.doi.org/10.1186/s12889-017-4380-y
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