Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Evidence-informed recommendations for constructing and disseminating messages supplementing the new Canadian Physical Activity Guidelines

Authors: Amy E Latimer-Cheung, Ryan E Rhodes, Michelle E Kho, Jennifer R Tomasone, Heather L Gainforth, Kristina Kowalski, Gabriella Nasuti, Marie-Josée Perrier, Mary Duggan, The Canadian Physical Activity Guidelines Messaging Recommendation Workgroup

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Few validated guidelines exist for developing messages in health promotion practice. In clinical practice, the Appraisal of Guidelines, Research, and Evaluation II (AGREE II) Instrument is the international gold standard for guideline assessment, development, and reporting. In a case study format, this paper describes the application of the AGREE II principles to guide the development of health promotion guidelines for constructing messages to supplement the new Canadian Physical Activity Guidelines (CPAG) released in 2011.

Methods

The AGREE II items were modified to suit the objectives of developing messages that (1) clarify key components of the new CPAG and (2) motivate Canadians to meet the CPAG. The adapted AGREE II Instrument was used as a systematic guide for the recommendation development process. Over a two-day meeting, five workgroups (one for each CPAG – child, youth, adult, older adult – and one overarching group) of five to six experts (including behavior change, messaging, and exercise physiology researchers, key stakeholders, and end users) reviewed and discussed evidence for creating and targeting messages to supplement the new CPAG. Recommendations were summarized and reviewed by workgroup experts. The recommendations were pilot tested among end users and then finalized by the workgroup.

Results

The AGREE II was a useful tool in guiding the development of evidence-based specific recommendations for constructing and disseminating messages that supplement and increase awareness of the new CPAG (child, youth, adults, and older adults). The process also led to the development of sample messages and provision of a rationale alongside the recommendations.

Conclusions

To our knowledge, these are the first set of evidence-informed recommendations for constructing and disseminating messages supplementing physical activity guidelines. This project also represents the first application of international standards for guideline development (i.e., AGREE II) to the creation of practical recommendations specifically aimed to inform health promotion and public health practice. The messaging recommendations have the potential to increase the public health impact of evidence-based guidelines.
Appendix
Available only for authorised users
Literature
1.
go back to reference Green LW, Ottoson JM, Garcia C, Hiatt RA: Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health. 2009, 30: 151-174. 10.1146/annurev.publhealth.031308.100049.CrossRefPubMed Green LW, Ottoson JM, Garcia C, Hiatt RA: Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health. 2009, 30: 151-174. 10.1146/annurev.publhealth.031308.100049.CrossRefPubMed
2.
go back to reference Michie S, Abraham C, Whittington C, McAteer J, Gupta S: Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009, 28 (6): 690-701.CrossRefPubMed Michie S, Abraham C, Whittington C, McAteer J, Gupta S: Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009, 28 (6): 690-701.CrossRefPubMed
3.
go back to reference Williams SL, French DP: What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour–and are they the same?. Health Educ Res. 2011, 26 (2): 308-322. 10.1093/her/cyr005.CrossRefPubMed Williams SL, French DP: What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour–and are they the same?. Health Educ Res. 2011, 26 (2): 308-322. 10.1093/her/cyr005.CrossRefPubMed
4.
go back to reference Bahtsevani C, Uden G, Willman A: Outcomes of evidence-based clinical practice guidelines: a systematic review. Int J Technol Assess Health Care. 2004, 20 (4): 427-433.CrossRefPubMed Bahtsevani C, Uden G, Willman A: Outcomes of evidence-based clinical practice guidelines: a systematic review. Int J Technol Assess Health Care. 2004, 20 (4): 427-433.CrossRefPubMed
5.
go back to reference MacDermid JC, Graham I: Knowledge translation: putting the "practice" in evidence-based practice. Hand Clin. 2009, 25: 125-143. 10.1016/j.hcl.2008.10.003.CrossRefPubMed MacDermid JC, Graham I: Knowledge translation: putting the "practice" in evidence-based practice. Hand Clin. 2009, 25: 125-143. 10.1016/j.hcl.2008.10.003.CrossRefPubMed
6.
go back to reference Cohen MG, Fonarow GC, Peterson ED, Moscucci M, Dai D, Hernandez AF, Bonow RO, Smith SC: Racial and ethnic differences in the treatment of acute myocardial infarction: findings from the Get With The Guidelines–Coronary Artery Disease program. Circulation. 2010, 121: 2294-2301. 10.1161/CIRCULATIONAHA.109.922286.CrossRefPubMed Cohen MG, Fonarow GC, Peterson ED, Moscucci M, Dai D, Hernandez AF, Bonow RO, Smith SC: Racial and ethnic differences in the treatment of acute myocardial infarction: findings from the Get With The Guidelines–Coronary Artery Disease program. Circulation. 2010, 121: 2294-2301. 10.1161/CIRCULATIONAHA.109.922286.CrossRefPubMed
7.
go back to reference Hassett MJ, Hughes ME, Niland JC, Ottesen R, Edge SB, Bookman MA, Carlson RW, Theriault RL, Weeks JC: Selecting high priority quality measures for breast cancer quality improvement. Med Care. 2008, 46 (8): 762-770. 10.1097/MLR.0b013e318178ead3.CrossRefPubMedPubMedCentral Hassett MJ, Hughes ME, Niland JC, Ottesen R, Edge SB, Bookman MA, Carlson RW, Theriault RL, Weeks JC: Selecting high priority quality measures for breast cancer quality improvement. Med Care. 2008, 46 (8): 762-770. 10.1097/MLR.0b013e318178ead3.CrossRefPubMedPubMedCentral
8.
go back to reference Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna SE: AGREE II: Advancing guideline development, reporting, and evaluation in health care. CMAJ. 2010, 182 (18): 10.1503/cmaj.090449. Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna SE: AGREE II: Advancing guideline development, reporting, and evaluation in health care. CMAJ. 2010, 182 (18): 10.1503/cmaj.090449.
9.
go back to reference Bull F: the Expert Working Groups: Physical activity guidelines in the U.K.: Review and recommendations. 2010, Loughborough: Loughborough University Bull F: the Expert Working Groups: Physical activity guidelines in the U.K.: Review and recommendations. 2010, Loughborough: Loughborough University
10.
go back to reference Tremblay MS, Kho ME, Tricco AC, Duggan M: Process description and evaluation of Canadian Physical Activity Guidelines development. Int J Behav Nutr Phys Act. 2010, 7: 42-10.1186/1479-5868-7-42.CrossRefPubMedPubMedCentral Tremblay MS, Kho ME, Tricco AC, Duggan M: Process description and evaluation of Canadian Physical Activity Guidelines development. Int J Behav Nutr Phys Act. 2010, 7: 42-10.1186/1479-5868-7-42.CrossRefPubMedPubMedCentral
11.
go back to reference Tremblay MS, Leblanc AG, Carson V, Choquette L, Connor Gorber S, Dillman C, Duggan M, Gordon MJ, Hicks A, Janssen I: Canadian Physical Activity Guidelines for the Early Years (aged 0–4 years). Appl Physiol Nutr Metab. 2012, 37 (2): 345-369. 10.1139/h2012-018.CrossRefPubMed Tremblay MS, Leblanc AG, Carson V, Choquette L, Connor Gorber S, Dillman C, Duggan M, Gordon MJ, Hicks A, Janssen I: Canadian Physical Activity Guidelines for the Early Years (aged 0–4 years). Appl Physiol Nutr Metab. 2012, 37 (2): 345-369. 10.1139/h2012-018.CrossRefPubMed
12.
go back to reference Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007, 116 (9): 1081-1093.CrossRefPubMed Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007, 116 (9): 1081-1093.CrossRefPubMed
13.
go back to reference The Department of Human Health Services: 2008 Physical activity guidelines for Amercians. Physical activity guidelines for Amercians. 2008 The Department of Human Health Services: 2008 Physical activity guidelines for Amercians. Physical activity guidelines for Amercians. 2008
14.
go back to reference Brawley LR, Latimer AE: Physical activity guidelines for Canadians: strategies for dissemination of the message, expectations for change and evaluation. Appl Physiol Nutr Metab. 2007, 32 (Suppl 2F): S189-205.CrossRefPubMed Brawley LR, Latimer AE: Physical activity guidelines for Canadians: strategies for dissemination of the message, expectations for change and evaluation. Appl Physiol Nutr Metab. 2007, 32 (Suppl 2F): S189-205.CrossRefPubMed
15.
go back to reference Latimer AE, Brawley LR, Bassett RL: A systematic review of three approaches for constructing physical activity messages: What messages work and what improvements are needed?. Int J Behav Nutr Phys Act. 2010, 7 (1): 36-10.1186/1479-5868-7-36.CrossRefPubMedPubMedCentral Latimer AE, Brawley LR, Bassett RL: A systematic review of three approaches for constructing physical activity messages: What messages work and what improvements are needed?. Int J Behav Nutr Phys Act. 2010, 7 (1): 36-10.1186/1479-5868-7-36.CrossRefPubMedPubMedCentral
16.
go back to reference Rhodes RE, Pfaeffli LA: Mediators of physical activity behaviour change among adult non-clinical populations: a review update. Int J Behav Nutr Phys Act. 2010, 7: 37-10.1186/1479-5868-7-37.CrossRefPubMedPubMedCentral Rhodes RE, Pfaeffli LA: Mediators of physical activity behaviour change among adult non-clinical populations: a review update. Int J Behav Nutr Phys Act. 2010, 7: 37-10.1186/1479-5868-7-37.CrossRefPubMedPubMedCentral
17.
go back to reference Lubans DR, Foster C, Biddle SJ: A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Prev Med. 2008, 47 (5): 463-470. 10.1016/j.ypmed.2008.07.011.CrossRefPubMed Lubans DR, Foster C, Biddle SJ: A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Prev Med. 2008, 47 (5): 463-470. 10.1016/j.ypmed.2008.07.011.CrossRefPubMed
18.
go back to reference Berry TR, Witcher C, Holt NL, Plotnikoff RC: A qualitative examination of perceptions of physical activity guidelines and preferences for format. Health Promot Pract. 2010, 11 (6): 908-916. 10.1177/1524839908325066.CrossRefPubMed Berry TR, Witcher C, Holt NL, Plotnikoff RC: A qualitative examination of perceptions of physical activity guidelines and preferences for format. Health Promot Pract. 2010, 11 (6): 908-916. 10.1177/1524839908325066.CrossRefPubMed
19.
go back to reference Spence JC, Brawley LR, Craig CL, Plotnikoff RC, Tremblay MS, Bauman A, Faulkner GE, Chad K, Clark MI: ParticipACTION: awareness of the participACTION campaign among Canadian adults–examining the knowledge gap hypothesis and a hierarchy-of-effects model. Int J Behav Nutr Phys Act. 2009, 6: 85-10.1186/1479-5868-6-85.CrossRefPubMedPubMedCentral Spence JC, Brawley LR, Craig CL, Plotnikoff RC, Tremblay MS, Bauman A, Faulkner GE, Chad K, Clark MI: ParticipACTION: awareness of the participACTION campaign among Canadian adults–examining the knowledge gap hypothesis and a hierarchy-of-effects model. Int J Behav Nutr Phys Act. 2009, 6: 85-10.1186/1479-5868-6-85.CrossRefPubMedPubMedCentral
20.
go back to reference Cameron C, Craig CL, Bull FC, Bauman A: Canada's physical activity guides: has their release had an impact?. Can J Public Health. 2007, 98 (Suppl 2): S161-169.PubMed Cameron C, Craig CL, Bull FC, Bauman A: Canada's physical activity guides: has their release had an impact?. Can J Public Health. 2007, 98 (Suppl 2): S161-169.PubMed
21.
go back to reference Wong F, Huhman M, Heitzler C, Asbury L, Bretthauer-Mueller R, McCarthy S, Londe P: VERB™—a social marketing campaign to increase physical activity among youth. Prev Chronic Dis. 2004, 1: A10-PubMedPubMedCentral Wong F, Huhman M, Heitzler C, Asbury L, Bretthauer-Mueller R, McCarthy S, Londe P: VERB™—a social marketing campaign to increase physical activity among youth. Prev Chronic Dis. 2004, 1: A10-PubMedPubMedCentral
22.
go back to reference Craig CL, Bauman A, Gauvin L, Robertson J, Murumets K: ParticipACTION: A mass media campaign targeting parents of inactive children; knowledge, saliency, and trialing behaviours. Int J Behav Nutr Phys Act. 2009, 6: 88-10.1186/1479-5868-6-88.CrossRefPubMedPubMedCentral Craig CL, Bauman A, Gauvin L, Robertson J, Murumets K: ParticipACTION: A mass media campaign targeting parents of inactive children; knowledge, saliency, and trialing behaviours. Int J Behav Nutr Phys Act. 2009, 6: 88-10.1186/1479-5868-6-88.CrossRefPubMedPubMedCentral
23.
go back to reference McGuire WJ: Public communication as a strategy for inducing health-promoting behavioral change. Prev Med. 1984, 13 (3): 299-319. 10.1016/0091-7435(84)90086-0.CrossRefPubMed McGuire WJ: Public communication as a strategy for inducing health-promoting behavioral change. Prev Med. 1984, 13 (3): 299-319. 10.1016/0091-7435(84)90086-0.CrossRefPubMed
24.
go back to reference Glasgow RE, Vogt TM, Boles SM: Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999, 89 (9): 1322-1327. 10.2105/AJPH.89.9.1322.CrossRefPubMedPubMedCentral Glasgow RE, Vogt TM, Boles SM: Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999, 89 (9): 1322-1327. 10.2105/AJPH.89.9.1322.CrossRefPubMedPubMedCentral
25.
go back to reference Huhman ME, Potter LD, Duke JC, Judkins DR, Heitzler CD, Wong FL: Evaluation of a national physical activity intervention for children: VERB campaign, 2002–2004. Am J Prev Med. 2007, 32 (1): 38-43. 10.1016/j.amepre.2006.08.030.CrossRefPubMed Huhman ME, Potter LD, Duke JC, Judkins DR, Heitzler CD, Wong FL: Evaluation of a national physical activity intervention for children: VERB campaign, 2002–2004. Am J Prev Med. 2007, 32 (1): 38-43. 10.1016/j.amepre.2006.08.030.CrossRefPubMed
26.
go back to reference Tremblay MS, Haskell WL: From science to physical activity guidelines. 2012, Champaign: Human Kinetics Publishers Tremblay MS, Haskell WL: From science to physical activity guidelines. 2012, Champaign: Human Kinetics Publishers
27.
go back to reference Gainforth HL, Spence JC, Berry T, Craig CL, Faulkner G, Rhodes R, Tremblay MS, Latimer-Cheung AE: Evaluating the uptake of Canada’s New Physical Activity Guidelines. Trans Behav Med. 10.1007/s13142-012-0190-z. Gainforth HL, Spence JC, Berry T, Craig CL, Faulkner G, Rhodes R, Tremblay MS, Latimer-Cheung AE: Evaluating the uptake of Canada’s New Physical Activity Guidelines. Trans Behav Med. 10.1007/s13142-012-0190-z.
Metadata
Title
Evidence-informed recommendations for constructing and disseminating messages supplementing the new Canadian Physical Activity Guidelines
Authors
Amy E Latimer-Cheung
Ryan E Rhodes
Michelle E Kho
Jennifer R Tomasone
Heather L Gainforth
Kristina Kowalski
Gabriella Nasuti
Marie-Josée Perrier
Mary Duggan
The Canadian Physical Activity Guidelines Messaging Recommendation Workgroup
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-419

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue