Tailored physical activity behavior change interventions: challenges and opportunities. Issue 12 (23rd August 2021)

• Record Type: Journal Article
• Authors: Ma, Jasmin K; Floegel, Theresa A; Li, Linda C; Leese, Jenny; De Vera, Mary A; Beauchamp, Mark R; Taunton, Jack; Liu-Ambrose, Teresa; Allen, Kelli D
• Is Part Of: Translational behavioral medicine. Volume 11:Issue 12(2021)
• Page Start: 2174
• Page End: 2181
• Publication Date: 2021-08-23
• Subjects: Physical activity -- Behavior -- Implementation -- Intervention -- Exercise; Medicine and psychology -- Periodicals; 616.0019
• DOI: 10.1093/tbm/ibab106
• Languages: English
• ISSNs: 1869-6716

Abstract

Lay Summary: Being physically active has many social, emotional, and health benefits, but very few individuals are active enough to see those benefits. Using interventions that are tailored, in other words, individualized to a person's characteristics, needs, preferences, and/or situation, may help improve physical activity participation rates. However, a better understanding of how to do tailoring is needed. Our collaboration reviewed the literature and convened to suggest two key opportunities to better understand how tailored approaches to physical activity can be done: (a) improve engagement of those who the research is intended for and (b) understand the ethical impacts and patient/provider experience of using technology to support tailoring. Abstract: A physically active lifestyle provides innumerable benefits; yet, few individuals are physically active enough to reap those benefits. Tailored physical activity interventions may address low rates of physical activity by offering individualized strategies that consider a person's characteristics, needs, preferences, and/or context, rather than the traditional one-size-fits-all approach. However, the tailoring methodology is in its nascency, and an understanding of how best to develop such interventions is needed. In this commentary, we identify future directions to enhance the impact of tailored interventions designed to increase physical activity participation. A multi-country collaborative was established to review the literature and discuss an agenda for future research. Two overarching research opportunities are suggested for improving the development of tailored, behavioral physical activity interventions: (a) optimize the engagement of diverse knowledge users in intervention co-design and (b) examine ethical considerations that may impact the use of technology to support tailored physical activity delivery. Specifically, there is a need for better reporting and evaluation of knowledge user involvement alongside targeting diversity in the inclusion of knowledge users. Furthermore, while technology boasts many opportunities to increase the scale and precision of interventions, examinations of how it impacts recipients' experiences of and participation in tailored interventions are needed to ensure the benefits of technology use outweigh the risks. A better understanding of these research areas will help ensure that the diverse needs of individuals are met, technology is appropriately used to support tailoring, and ultimately it improves the effectiveness of tailored physical activity interventions.