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Evaluating the Let's Move It intervention programme theory for adolescents' physical activity: Theorized psychosocial mechanisms of behavioural changes

Lookup NU author(s): Professor Vera Araujo-SoaresORCiD, Professor Falko Sniehotta

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2024 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society. Objectives: Behaviour change theories have extensively been used in health behaviour change interventions and their programme theories. However, they are rarely evaluated in randomized field studies. The Let's Move It intervention targeted various psychosocial constructs to increase adolescents' physical activity. A theory-based process evaluation aiming to illuminate the trial findings as well as to test the programme theory used is conducted. Specifically, we investigate whether the intervention influenced the theorized determinants of change immediately post-intervention and after 1 year, and whether these determinants were associated with changes in physical activity. Design: A cluster-randomized controlled trial (n = 1166). Methods: We measured theorized determinants with self-report, and physical activity (PA) with accelerometry and self-report. The effects are evaluated with repeated measures ANOVA and regression models. Results: No changes were detected in most theorized determinants but intervention arm reported higher enactment of behaviour change techniques used during intervention immediately post-intervention and lower descriptive norms for PA throughout. Autonomous motivation was associated with PA immediately post-intervention. Conclusions: The lack of intervention effects may be due to many factors, for example insensitive measures, ceiling effects. However, reporting these null effects advances understanding of behaviour change processes. We introduce methodologic possibilities for future intervention programme theory evaluation efforts.


Publication metadata

Author(s): Palsola M, Araujo-Soares V, Hardeman W, Haukkala A, Heino MTJ, Sniehotta F, Sund R, Vasankari T, Hankonen N

Publication type: Article

Publication status: Published

Journal: British Journal of Health Psychology

Year: 2024

Pages: ePub ahead of Print

Online publication date: 24/09/2024

Acceptance date: 01/08/2024

Date deposited: 08/10/2024

ISSN (print): 1359-107X

ISSN (electronic): 2044-8287

Publisher: John Wiley and Sons Ltd

URL: https://doi.org/10.1111/bjhp.12744

DOI: 10.1111/bjhp.12744

Data Access Statement: The data that support the findings of this study are available in the Finnish Social Science Data Archive at http://urn.fi/urn:nbn:fi:fsd:T-FSD3446, reference number FSD3446.


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Funding

Funder referenceFunder name
Academy of Finland (grants 285283, 304114)
innish Ministry of Education and Culture (grant OKM/81/626/2014)

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