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BMC Public Health
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

Examining social-cognitive theory constructs as mediators of behaviour change in the active team smartphone physical activity program: a mediation analysis

Authors: Amelia V. Romeo, Sarah M. Edney, Ronald C. Plotnikoff, Tim Olds, Corneel Vandelanotte, Jillian Ryan, Rachel Curtis, Carol A. Maher

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

Regular engagement in physical activity has well-established physical and psychological health benefits. Despite this, over a quarter of the global adult population is insufficiently physically active. Physical activity interventions grounded in behaviour change theory, such as the social-cognitive theory, are widely considered to be more effective than non-theoretical approaches. Such interventions set out to intervene on the ultimate outcome (physical activity), but also influence intermediate factors (social-cognitive theory constructs) which in turn, are believed to influence physical activity behaviour. The primary aim of the study was to use mediation analysis to examine whether changes in the social-cognitive theory and related constructs, in particular self-efficacy, outcome expectations, intentions, barriers and goal setting, mediated the effects of a smartphone-based social networking physical activity intervention.

Methods

Mediation analyses were conducted using the PROCESS Macro in SPSS to (i) calculate the regression coefficients for the effect of the independent variable (group allocation) on the hypothesised mediators (social-cognitive theory constructs), (ii) calculate the regression coefficient for the effect of the hypothesised mediators (social-cognitive theory constructs) on the dependent variable (objectively measured physical activity or self-report physical activity), independent of group assignment and (iii) determine the total, direct and indirect intervention effects.

Results

Data from 243 participants were included in the mediation analysis. There was no evidence of mediation for change in objectively measured MVPA or self-reported MVPA.

Conclusions

There was no conclusive evidence that any of the social-cognitive theory constructs mediated the relationship between an app-based intervention and change in physical activity. Ongoing efforts to develop and understand components that make physical activity app-based interventions effective are recommended.

Trial registration

This trial was registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12617000113​358, date of registration 23 January, 2017).
Appendix
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Metadata
Title
Examining social-cognitive theory constructs as mediators of behaviour change in the active team smartphone physical activity program: a mediation analysis
Authors
Amelia V. Romeo
Sarah M. Edney
Ronald C. Plotnikoff
Tim Olds
Corneel Vandelanotte
Jillian Ryan
Rachel Curtis
Carol A. Maher
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-020-10100-0

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