Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study
Objective Helping people to change their health behaviours is becoming a greater feature within the role of health professionals, including through whole system initiatives such as Making Every Contact Count. Health services provide an ideal setting to routinely promote health behaviours, including...
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| Language: | English |
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BMJ Publishing Group
2024-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/10/e085233.full |
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| author | Kate Jolly Nanette Mutrie Thomas Yates Sheila Greenfield Ralph Maddison Emma Frew Colin Greaves Magdalena Skrybant Kajal Gokal Amanda J Daley Dale W Esliger Lauren B Sherar Charlotte Edwardson Stuart Biddle Sarah Tearne Anna Chalkley Natalie Ives Helen Parretti James P Sanders Matthew Krouwel Ryan A Griffin |
| author_facet | Kate Jolly Nanette Mutrie Thomas Yates Sheila Greenfield Ralph Maddison Emma Frew Colin Greaves Magdalena Skrybant Kajal Gokal Amanda J Daley Dale W Esliger Lauren B Sherar Charlotte Edwardson Stuart Biddle Sarah Tearne Anna Chalkley Natalie Ives Helen Parretti James P Sanders Matthew Krouwel Ryan A Griffin |
| author_sort | Kate Jolly |
| collection | DOAJ |
| description | Objective Helping people to change their health behaviours is becoming a greater feature within the role of health professionals, including through whole system initiatives such as Making Every Contact Count. Health services provide an ideal setting to routinely promote health behaviours, including physical activity. Snacktivity is a novel approach that promotes small bouts of physical activity (activity snacks) throughout the day. This study explored health professionals’ initial experiences of delivering a Snacktivity intervention to promote physical activity within routine health consultations. A further aim was to investigate health professionals’ ability/fidelity in delivering the Snacktivity intervention to their patients.Design Semistructured interviews (n=11) and audio recording of consultations (n=46).Setting and participants Healthcare professionals from a variety of specialisms who delivered the Snacktivity intervention within patient consultations.Results Analyses revealed two higher-level themes of interest: (1) health professionals’ conceptualisation of Snacktivity (subthemes: observations/reflections about patients’ understanding, engagement and enthusiasm for delivering the Snacktivity intervention) and (2) health professionals’ understanding of Snacktivity and experience in delivering the intervention (subthemes: delivering Snacktivity; limitations, challenges and possible improvements). Consultation audio recordings demonstrated health professionals delivered the Snacktivity intervention with high levels of fidelity. Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations although practical barriers to implementation such as time constraints were raised, and confidence in doing so was mixed.Conclusions Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations. The primary barrier to implementation was the time to deliver it, however, gaining greater experience in the intervention and improving behaviour change counselling skills may reduce this barrier.Trial registration number ISRCTN64851242. |
| format | Article |
| id | doaj-art-958197a33ebe4e268dd5d7e3b7a05832 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-958197a33ebe4e268dd5d7e3b7a058322025-08-20T01:56:46ZengBMJ Publishing GroupBMJ Open2044-60552024-10-01141010.1136/bmjopen-2024-085233Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative studyKate Jolly0Nanette Mutrie1Thomas Yates2Sheila Greenfield3Ralph Maddison4Emma Frew5Colin Greaves6Magdalena Skrybant7Kajal Gokal8Amanda J Daley9Dale W Esliger10Lauren B Sherar11Charlotte Edwardson12Stuart Biddle13Sarah Tearne14Anna Chalkley15Natalie Ives16Helen Parretti17James P Sanders18Matthew Krouwel19Ryan A Griffin20Institute of Applied Health Research, University of Birmingham, Birmingham, UKPhysical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UKDiabetes Research Centre, University of Leicester, Leicester, UKInstitute of Applied Health Research, College of Medical and Dental Sciences, Murray Learning Centre, University of Birmingham, Birmingham, UKInstitute for Physical Activity and Nutrition, Deakin University, Melbourne, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UK3 School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UKCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKDiabetes Research Centre, College of Life Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre, Leicester, UKUniversity of Southern Queensland, Toowoomba, Queensland, AustraliaBCTU, University of Birmingham, Birmingham, UKFaculty of Life Sciences and Health Studies, University of Bradford, Bradford, UKBCTU, University of Birmingham, Birmingham, UKNorwich Medical School, University of East Anglia, Norwich, UKCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UKBCTU, University of Birmingham, Birmingham, UKObjective Helping people to change their health behaviours is becoming a greater feature within the role of health professionals, including through whole system initiatives such as Making Every Contact Count. Health services provide an ideal setting to routinely promote health behaviours, including physical activity. Snacktivity is a novel approach that promotes small bouts of physical activity (activity snacks) throughout the day. This study explored health professionals’ initial experiences of delivering a Snacktivity intervention to promote physical activity within routine health consultations. A further aim was to investigate health professionals’ ability/fidelity in delivering the Snacktivity intervention to their patients.Design Semistructured interviews (n=11) and audio recording of consultations (n=46).Setting and participants Healthcare professionals from a variety of specialisms who delivered the Snacktivity intervention within patient consultations.Results Analyses revealed two higher-level themes of interest: (1) health professionals’ conceptualisation of Snacktivity (subthemes: observations/reflections about patients’ understanding, engagement and enthusiasm for delivering the Snacktivity intervention) and (2) health professionals’ understanding of Snacktivity and experience in delivering the intervention (subthemes: delivering Snacktivity; limitations, challenges and possible improvements). Consultation audio recordings demonstrated health professionals delivered the Snacktivity intervention with high levels of fidelity. Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations although practical barriers to implementation such as time constraints were raised, and confidence in doing so was mixed.Conclusions Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations. The primary barrier to implementation was the time to deliver it, however, gaining greater experience in the intervention and improving behaviour change counselling skills may reduce this barrier.Trial registration number ISRCTN64851242.https://bmjopen.bmj.com/content/14/10/e085233.full |
| spellingShingle | Kate Jolly Nanette Mutrie Thomas Yates Sheila Greenfield Ralph Maddison Emma Frew Colin Greaves Magdalena Skrybant Kajal Gokal Amanda J Daley Dale W Esliger Lauren B Sherar Charlotte Edwardson Stuart Biddle Sarah Tearne Anna Chalkley Natalie Ives Helen Parretti James P Sanders Matthew Krouwel Ryan A Griffin Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study BMJ Open |
| title | Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study |
| title_full | Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study |
| title_fullStr | Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study |
| title_full_unstemmed | Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study |
| title_short | Making Every Contact Count: health professionals’ experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations – a qualitative study |
| title_sort | making every contact count health professionals experiences of integrating conversations about snacktivity to promote physical activity within routine consultations a qualitative study |
| url | https://bmjopen.bmj.com/content/14/10/e085233.full |
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