TY - JOUR
T1 - Development and feasibility of a brief Zero-time Exercise intervention to reduce sedentary behaviour and enhance physical activity
T2 - A pilot trial
AU - Lai, Agnes
AU - Stewart, Sunita
AU - Wan, Alice
AU - Thomas, Carol
AU - Tse, Joyce
AU - Ho, Daniel
AU - Chan, Sophia
AU - Lam, Tai Hing
N1 - Funding Information:
their staff (SWD: Ms. Jacky Wong, Mr Ma Hok‐keung, Ms Sharon Hui, Ms Carman Lee, Ms Helen Au and CFSC: Mr Wong Kwan‐wing, Ms Rachel Kwok, Ms Yang Yun‐hui, Mr Lee Kiu‐fung, Ms Fung Ka‐ yan, Mr Lee Hang‐kin, Ms Chan Mei‐kwan), for their coordination and data collection. We are also grateful to our research team (Ms Grace Lau, Ms Zhou Jingwen, Mr Jackie King, Ms Jamie Chan, Dr Joanna Chu) for their important contributions. The research protocol was approved by the Institutional Review Board of The University of Hong Kong/Hospital Authority Hong Kong West Cluster with HKW IRB registration number: UW14‐601, and was registered at the National Institutes of Health (http://www.clinicaltrials.gov [Identifier number: NCT02607137]). Written informed consent was obtained from the participants.
Funding Information:
The Jockey Club FAMILY Project was initiated and funded by The Hong Kong Jockey Club Charities Trust. It aimed to promote health, happiness and harmony (3Hs) in Hong Kong (http://www.family.org. hk/) (Chan et al., 2011). The second phase of the project focused on promoting holistic health with an emphasis on the integration of phys‐ ical and psychological health. This ZTEx intervention was a part of the train‐the‐trainer programme of the Jockey Club FAMILY Project,
Funding Information:
Funding information This Hong Kong Jockey Club?FAMILY Project was supported by The Hong Kong Jockey Club Charities Trust. We would like to thank our collaborators, Hong Kong Social Welfare Department (SWD) and Christian Family Services Centre (CFSC) and their staff (SWD: Ms. Jacky Wong, Mr Ma Hok-keung, Ms Sharon Hui, Ms Carman Lee, Ms Helen Au and CFSC: Mr Wong Kwan-wing, Ms Rachel Kwok, Ms Yang Yun-hui, Mr Lee Kiu-fung, Ms Fung Ka-yan, Mr Lee Hang-kin, Ms Chan Mei-kwan), for their coordination and data collection. We are also grateful to our research team (Ms Grace Lau, Ms Zhou Jingwen, Mr Jackie King, Ms Jamie Chan, Dr Joanna Chu) for their important contributions. The research protocol was approved by the Institutional Review Board of The University of Hong Kong/Hospital Authority Hong Kong West Cluster with HKW IRB registration number: UW14-601, and was registered at the National Institutes of Health (http://www.clinicaltrials.gov [Identifier number: NCT02607137]). Written informed consent was obtained from the participants.
Funding Information:
This Hong Kong Jockey Club FAMILY Project was supported by The Hong Kong Jockey Club Charities Trust.
Publisher Copyright:
© 2019 John Wiley & Sons Ltd
PY - 2019/7
Y1 - 2019/7
N2 - A brief intervention using Zero-time Exercise (ZTEx), a foot-in-the-door approach, was developed to reduce sedentary behaviour and increase physical activity. ZTEx refers to the integration of simple strength- and stamina-enhancing physical activity into daily life, which can be done anytime, anywhere and by anyone. This paper presents the development, feasibility, and preliminary evidence for the effectiveness of this intervention under the Hong Kong Jockey Club FAMILY Project. Needs assessments were conducted with social workers from the Christian Family Services Center(CFSC) and the Social Welfare Department (SWD). This single group prospective ZTEx intervention trial, guided by the Health Action Process Approach, included a 3-hr core session at baseline and a 1-hr booster session at 1-month follow-up. Fifty-six participants (social and service-related workers) from CFSC (n = 28) and SWD (n = 28) received the intervention and completed the self-administered questionnaires at baseline. Forty-nine and 43 participants completed the 1-month and 3-month self-administered questionnaires, respectively. Fifteen participants attended the focus group interviews to share their feedback on ZTEx intervention after implementing their community-based ZTEx activities. Intention-to-treat analysis was conducted with missing data replaced by baseline values. Participants reported significant decreases in sitting time by 27 (2, 52) minutes (mean [95% confidence interval]) and 36 (0.2, 71) minutes on a weekday, increases in physical activity while seated by 0.7 (0.2, 1.4) days and 1.1 (0.6, 1.7) days in a week, and improvements in perceived knowledge, outcome expectancies and plan on doing ZTEx at the 1-month and 3-month follow-up, respectively. Balance and muscle strength significantly improved at the 1-month follow-up. The effect ranged from small to large (Cohen's d: 0.27–1.05, all p < 0.05). The qualitative feedbacks support the quantitative findings. Our findings show early evidence that ZTEx effectively reduced sedentary behaviour and enhanced physical activity and fitness. Further trials on this simple and low-cost intervention as the first step to promote higher intensity exercise are warranted.
AB - A brief intervention using Zero-time Exercise (ZTEx), a foot-in-the-door approach, was developed to reduce sedentary behaviour and increase physical activity. ZTEx refers to the integration of simple strength- and stamina-enhancing physical activity into daily life, which can be done anytime, anywhere and by anyone. This paper presents the development, feasibility, and preliminary evidence for the effectiveness of this intervention under the Hong Kong Jockey Club FAMILY Project. Needs assessments were conducted with social workers from the Christian Family Services Center(CFSC) and the Social Welfare Department (SWD). This single group prospective ZTEx intervention trial, guided by the Health Action Process Approach, included a 3-hr core session at baseline and a 1-hr booster session at 1-month follow-up. Fifty-six participants (social and service-related workers) from CFSC (n = 28) and SWD (n = 28) received the intervention and completed the self-administered questionnaires at baseline. Forty-nine and 43 participants completed the 1-month and 3-month self-administered questionnaires, respectively. Fifteen participants attended the focus group interviews to share their feedback on ZTEx intervention after implementing their community-based ZTEx activities. Intention-to-treat analysis was conducted with missing data replaced by baseline values. Participants reported significant decreases in sitting time by 27 (2, 52) minutes (mean [95% confidence interval]) and 36 (0.2, 71) minutes on a weekday, increases in physical activity while seated by 0.7 (0.2, 1.4) days and 1.1 (0.6, 1.7) days in a week, and improvements in perceived knowledge, outcome expectancies and plan on doing ZTEx at the 1-month and 3-month follow-up, respectively. Balance and muscle strength significantly improved at the 1-month follow-up. The effect ranged from small to large (Cohen's d: 0.27–1.05, all p < 0.05). The qualitative feedbacks support the quantitative findings. Our findings show early evidence that ZTEx effectively reduced sedentary behaviour and enhanced physical activity and fitness. Further trials on this simple and low-cost intervention as the first step to promote higher intensity exercise are warranted.
KW - Zero-time Exercise
KW - brief intervention
KW - physical activity
KW - sedentary behaviour
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U2 - 10.1111/hsc.12728
DO - 10.1111/hsc.12728
M3 - Article
C2 - 30821866
AN - SCOPUS:85062364559
VL - 27
SP - e233-e245
JO - Health and Social Care in the Community
JF - Health and Social Care in the Community
SN - 0966-0410
IS - 4
ER -