ORCID Profile
0000-0002-6534-3763
Current Organisations
Universitas Airlangga
,
University Of Strathclyde
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Publisher: Wiley
Date: 19-03-2017
DOI: 10.1111/CHSO.12217
Publisher: Hindawi Limited
Date: 05-12-2014
DOI: 10.1111/PEDI.12247
Abstract: To explore stakeholder's perceptions of physical activity (PA) and sedentary behaviour support in youth with type 1 diabetes (T1D), to aid intervention development. Primary data were collected between February and September 2012. Patients (N = 16), parents (N = 16), and professionals (N = 9) were recruited from a diabetes clinic for a qualitative study. Semi-structured interviews (N = 33) and focus groups (N = 2), using broad open-ended questions, were conducted in patient's arent's homes, and at the diabetes clinic. Data were analysed thematically. Based on participants' experiences and interpretations, parent and peer support were perceived as essential. Professionals identified they could do more to encourage PA. Technology and information on local opportunities, in addition to in-person support, and a combination of group and one-to-one support were perceived as useful. Important perceived components of support were: diabetes preparation, management and support enjoyment education and incorporation of behaviour change techniques. The time of diagnosis was described as an appropriate point to initiate interventions. The findings will help the development of future PA and sedentary behaviour interventions for youth with T1D.
Publisher: SAGE Publications
Date: 16-05-2014
Abstract: It is not clear how best to support youth with type 1 diabetes to participate in physical education (PE) at school. The aim of this study was to explore perceptions of facilitators and barriers to PE in youth with type 1 diabetes and to determine how schools can help these in iduals to be physically active. Interviews and focus groups were conducted with youth with type 1 diabetes aged 7–9 ( n = 8) and 12–14 ( n = 8) years with type 1 diabetes, their parents ( n = 16), diabetes professionals ( n = 9) and schoolteachers ( n = 37). Data were thematically analysed. Four main themes were identified relating to support needs of youth with diabetes in school in general and specifically in PE lessons: (1) differences between primary and secondary schools (2) areas requiring address in all schools (3) what teachers can do to help accommodate youth with type 1 diabetes and (4) what schools can do to help accommodate youth with type 1 diabetes. Diabetes support varied across schools. Primary schools in particular could improve communication between schools and primary specialist PE teachers regarding youth with type 1 diabetes to aid participation in PE. Diabetes knowledge was limited among all teachers. Participants felt that diabetes could be used as an excuse to sit out of PE and that teachers’ fears could facilitate this. Improved and consistent diabetes management training and guidance on the responsibilities of teachers is necessary. Better communication between schools, teachers, parents, youth with type 1 diabetes and diabetes professionals is also required. The findings have helped produce suggestions for practice and research on how to improve support for youth with type 1 diabetes in schools in general and specifically in PE lessons.
Publisher: Wiley
Date: 03-2013
DOI: 10.1111/DME.12091_2
Publisher: MDPI AG
Date: 15-12-2018
Abstract: Sedentary behaviour is associated with poor health outcomes, and office-based workers are at significant health risk, as they accumulate large proportions of their overall sitting time at work. The aim of this integrated systematic review was to collate and synthesize published research on sedentary behaviour interventions in the workplace that have reported on at least one an aspect of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. Studies were included if they involved adult office workers, were conducted in an office setting, and changes in sedentary behaviour had been measured as a primary outcome. Five electronic databases were searched yielding 7234 articles, with 75 articles (61 in idual interventions) meeting the inclusion criteria. Reach indicators were the most frequently reported RE-AIM dimensions, which were reported on average 59% of the time. Efficacy/effectiveness was the second most reported dimension at 49% reporting across all of the indicators. Implementation indicators were reported an average of 44% of the time, with indicators of adoption and maintenance reported as the lowest of all indicators at 13% and 8%, respectively. Recommendations are provided to improve reporting across all RE-AIM dimensions, which is an important first step to enable the effective translation of interventions into real world settings.
Publisher: Public Library of Science (PLoS)
Date: 21-09-2017
Publisher: American Institute of Mathematical Sciences (AIMS)
Date: 2016
Publisher: Oxford University Press (OUP)
Date: 26-09-2013
Publisher: Hindawi Limited
Date: 29-07-2013
DOI: 10.1111/PEDI.12060
Abstract: To systematically review physical activity and/or sedentary behavior intervention studies for youth with type 1 diabetes. Several databases were searched for articles reporting on randomized-controlled trials (RCTs) in youth (<18 yr) with type 1 diabetes. Data was extracted and bias assessed to evaluate study characteristics, intervention design, and efficacy of interventions on physical activity and health. Where sufficient data were available meta-analyses of health outcomes [for hemoglobin A1c (HbA1c)] were performed. Weighted mean differences (WMD) were calculated using fixed and random effect models. The literature search identified 12/2397 full-text articles reporting on 11 studies. Two interventions were wholly unsupervised and only one was based on behavior change theory with no studies exploring changes in behavior processes. Nine interventions aimed to improve fitness or physical activity, two aimed to improve health, and none aimed at changing sedentary behavior. Eight interventions improved physical activity and/or fitness. At least one beneficial effect on health was found in each intervention group apart from two studies where no changes were found. Meta-analysis of 10 studies showed the interventions have a significant beneficial reduction of HbA1c (%), indicating an improvement in glycemic control [WMD, -0.85% (95% CI, -1.45 to -0.25%)]. There were insufficient data to pool other health outcome data. Few RCTs explored the efficacy of unsupervised theory-based physical activity and/or sedentary behavior interventions in youth with type 1 diabetes. Limited reporting made comparison of findings challenging. There was an overall significant beneficial effect of physical activity on HbA1c.
Publisher: Wiley
Date: 07-2014
DOI: 10.1002/PDI.1874
Publisher: Wiley
Date: 04-2014
DOI: 10.1002/PDI.1844
Publisher: Elsevier BV
Date: 07-2018
Publisher: Oxford University Press (OUP)
Date: 2013
DOI: 10.1093/IWC/IWS004
Publisher: Wiley
Date: 2017
DOI: 10.1002/PDI.2069
Publisher: MDPI AG
Date: 24-06-2020
Abstract: Background: Prolonged sedentary behaviour (SB) is associated with risk of chronic diseases. Digital interventions in SB require mixed method evaluations to understand potential for impact in real-world settings. In this study, the RE-AIM QuEST evaluation framework will be used to understand the potential of a digital health promotion application which targets reducing and breaking up SB across multiple workplace settings. Methods: Four companies and 80 employees were recruited to use a digital application. Questionnaires were used to measure SB, and additional health and work-related outcomes at baseline, one month, three month and six month follow-up. Qualitative data was collected through focus groups with employees and interviews with stakeholders. Questionnaire data was analysed using Wilcoxon Sign Rank tests and qualitative data was thematically analysed. Results: The digital application significantly increased standing time at one month for the total group and transitions per hour in one of the companies. Facilitators and barriers were identified across RE-AIM. Conclusions: Addressing the barriers which have been identified, while maintaining the positive attributes will be critical to producing an effective digital application which also has the potential for impact in the real world.
Publisher: MDPI AG
Date: 29-12-2019
Abstract: Background: Interventions targeting a reduction in sedentary behaviour in office workers need to be scaled-up to have impact. In this study, the RE-AIM QuEST framework was used to evaluate the potential for further implementation and scale-up of a consultation based workplace intervention which targeted both the reduction, and breaking up of sitting time. Methods: To evaluate the Springfield College sedentary behaviour intervention across multiple RE-AIM QuEST indicators intervention participant, non-participant (employees who did not participate) and key informant (consultation delivery team members of the research team and stakeholders in workplace health promotion) data were collected using interviews, focus groups and questionnaires. Questionnaires were summarized using descriptive statistics and interviews and focus groups were transcribed verbatim, and thematically analysed. Results: Barriers to scale-up were: participant burden of activity monitoring lack of management support influence of policy flexibility (scheduling/locations) time and cost. Facilitators to scale up were: visible leadership social and cultural changes in the workplace high acceptability existing health and wellbeing programmes culture and philosophy of the participating college. Conclusions: There is potential for scale-up, however adaptations will need to be made to address the barriers to scale-up. Future interventions in office workers should evaluate for scalability during the pilot phases of research.
Publisher: Informa UK Limited
Date: 13-02-2015
Publisher: Wiley
Date: 30-08-2013
DOI: 10.1002/PDI.1792
Publisher: American Institute of Mathematical Sciences (AIMS)
Date: 2016
Publisher: Elsevier BV
Date: 07-2010
Publisher: MDPI AG
Date: 10-08-2020
Abstract: Welbot is a nudge-based digital intervention that aims to reduce sedentary behaviour and improve physical and mental wellbeing at work. The purpose of this study was to pilot test the Welbot intervention. Forty-one (6M/35F) University staff (M age = 43-years) participated in this study, which was a single arm repeated measures trial conducted over three weeks of intervention. The primary outcome was sedentary behaviour (measured subjectively and objectively) and secondary outcomes included: mental wellbeing, procrastination, depression, anxiety and stress, and work engagement. A subset of participants (n = 6) wore an ActivPAL to objectively measure activity data, while another subset of participants (n = 6) completed a qualitative semi-structured interview to ascertain experiences of using Welbot. Following the intervention, a Friedman non-parametric test revealed that participants self-reported significantly less time sitting and more time standing and objectively recorded more steps at the week-1 follow-up. A series of paired t-tests exhibited that changes in all secondary outcomes were in the expected direction. However, only improvements in depression, anxiety, and stress were significant. After using Welbot, thematic analysis demonstrated that participants perceived they had a positive behaviour change, increased awareness of unhealthy behaviours at work, and provided suggestions for intervention improvement. Overall, findings provided indications of the potential positive impact Welbot may have on employees’ wellbeing, however, limitations are noted. Recommendations for intervention improvement including personalisation (e.g., in idual preferences for nudges and the option to sync Welbot with online calendars) and further research into how users engage with Welbot are provided.
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Alison Kirk.