Changing diet and physical activity in nurses: a pilot study and process evaluation highlighting challenges in workplace health promotion

Torquati, Luciana and Kolbe-Alexander, Tracy and Pavey, Toby and Leveritt, Michael (2018) Changing diet and physical activity in nurses: a pilot study and process evaluation highlighting challenges in workplace health promotion. Journal of Nutrition Education and Behavior, 50 (10). pp. 1015-1025. ISSN 1499-4046


Objective: To use the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to evaluate and understand key implementation and context factors of a diet and physical activity (PA) workplace intervention for nurses.Methods: A 3-month pilot intervention was developed to promote diet and PA behavior through selfmonitoring, goal setting, and social support using pedometers, a smartphone app, and a dedicated Facebook group. Measures included diet quality, daily PA, adoption, and implementation (including qualitative data). Maintenance was assessed at 6-month follow-up. Results: Forty-seven nurses participated in the study. At 3 months, fruit and vegetable intake significantly increased (P = .04) whereas PA significantly decreased (P = .01). The intervention was partially adopted as planned, with low reach and efficacy. Participants reported that changing 2 behaviors at the same time was difficult, with the majority feeling it was easier to change diet than to become more physically active. Conclusions and Implications: The ability to change diet and PA behaviors at the same time was challenging in nurses. Future studies examining whether similar occupational groups with high stress, fatigue, and lack of time face the same challenges would contribute to understanding these results.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Health and Wellbeing
Date Deposited: 24 Jan 2019 04:54
Last Modified: 25 Jan 2019 06:13
Uncontrolled Keywords: diet behavior, physical activity, workplace, health promotion
Fields of Research : 11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
C Society > 92 Health > 9205 Specific Population Health (excl. Indigenous Health) > 920505 Occupational Health
Identification Number or DOI: 10.1016/j.jneb.2017.12.001

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