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Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Research article

Evaluating Active U: an internet-mediated physical activity program

Authors: Lorraine R Buis, Timothy A Poulton, Robert G Holleman, Ananda Sen, Paul J Resnick, David E Goodrich, LaVaughn Palma-Davis, Caroline R Richardson

Published in: BMC Public Health | Issue 1/2009

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Abstract

Background

Engaging in regular physical activity can be challenging, particularly during the winter months. To promote physical activity at the University of Michigan during the winter months, an eight-week Internet-mediated program (Active U) was developed providing participants with an online physical activity log, goal setting, motivational emails, and optional team participation and competition.

Methods

This study is a program evaluation of Active U. Approximately 47,000 faculty, staff, and graduate students were invited to participate in the online Active U intervention in the winter of 2007. Participants were assigned a physical activity goal and were asked to record each physical activity episode into the activity log for eight weeks. Statistics for program reach, effectiveness, adoption, and implementation were calculated using the Re-Aim framework. Multilevel regression analyses were used to assess the decline in rates of data entry and goal attainment during the program, to assess the likelihood of joining a team by demographic characteristics, to test the association between various predictors and the number of weeks an individual met his or her goal, and to analyze server load.

Results

Overall, 7,483 individuals registered with the Active U website (≈16% of eligible), and 79% participated in the program by logging valid data at least once. Staff members, older participants, and those with a BMI < 25 were more likely to meet their weekly physical activity goals, and average rate of meeting goals was higher among participants who joined a competitive team compared to those who participated individually (IRR = 1.28, P < .001).

Conclusion

Internet-mediated physical activity interventions that focus on physical activity logging and goal setting while incorporating team competition may help a significant percentage of the target population maintain their physical activity during the winter months.
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Literature
1.
go back to reference Manson JE, Greenland P, LaCroix AZ, Stefanick ML, Mouton CP, Oberman A, Perri MG, Sheps DS, Pettinger MB, Siscovick DS: Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med. 2002, 347: 716-725. 10.1056/NEJMoa021067.CrossRefPubMed Manson JE, Greenland P, LaCroix AZ, Stefanick ML, Mouton CP, Oberman A, Perri MG, Sheps DS, Pettinger MB, Siscovick DS: Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med. 2002, 347: 716-725. 10.1056/NEJMoa021067.CrossRefPubMed
2.
go back to reference Paffenbarger RS, Hyde RT, Wing AL, Hsieh CC: Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986, 314: 605-613.CrossRefPubMed Paffenbarger RS, Hyde RT, Wing AL, Hsieh CC: Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986, 314: 605-613.CrossRefPubMed
3.
go back to reference Richardson CR, Kriska AM, Lantz PM, Hayward RA: Physical Activity and Mortality Across Cardiovascular Disease Risk Groups. Med Sci Sports Exerc. 2004, 36: 1923-1929. 10.1249/01.MSS.0000145443.02568.7A.CrossRefPubMed Richardson CR, Kriska AM, Lantz PM, Hayward RA: Physical Activity and Mortality Across Cardiovascular Disease Risk Groups. Med Sci Sports Exerc. 2004, 36: 1923-1929. 10.1249/01.MSS.0000145443.02568.7A.CrossRefPubMed
4.
go back to reference Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002, 346: 393-403. 10.1056/NEJMoa012512.CrossRefPubMed Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002, 346: 393-403. 10.1056/NEJMoa012512.CrossRefPubMed
5.
go back to reference Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M: Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001, 344: 1343-1350. 10.1056/NEJM200105033441801.CrossRefPubMed Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M: Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001, 344: 1343-1350. 10.1056/NEJM200105033441801.CrossRefPubMed
6.
go back to reference Blumenthal JA, Babyak MA, Moore KA, Craighead WE, Herman S, Khatri P, Waugh R, Napolitano MA, Forman LM, Appelbaum M, Doraiswamy PM, Krishnan KR: Effects of exercise training on older patients with major depression. Arch Intern Med. 1999, 159: 2349-2356. 10.1001/archinte.159.19.2349.CrossRefPubMed Blumenthal JA, Babyak MA, Moore KA, Craighead WE, Herman S, Khatri P, Waugh R, Napolitano MA, Forman LM, Appelbaum M, Doraiswamy PM, Krishnan KR: Effects of exercise training on older patients with major depression. Arch Intern Med. 1999, 159: 2349-2356. 10.1001/archinte.159.19.2349.CrossRefPubMed
7.
go back to reference Wolin KY, Yan Y, Colditz GA, Lee IM: Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer. 2009, 100: 611-616. 10.1038/sj.bjc.6604917.CrossRefPubMedPubMedCentral Wolin KY, Yan Y, Colditz GA, Lee IM: Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer. 2009, 100: 611-616. 10.1038/sj.bjc.6604917.CrossRefPubMedPubMedCentral
9.
go back to reference Matthews CE, Freedson PS, Hebert JR, Stanek EJ, Merriam PA, Rosal MC, Ebbeling CB, Ockene IS: Seasonal variation in household, occupational, and leisure time physical activity: longitudinal analyses from the seasonal variation of blood cholesterol study. Am J Epidemiol. 2001, 153: 172-183. 10.1093/aje/153.2.172.CrossRefPubMed Matthews CE, Freedson PS, Hebert JR, Stanek EJ, Merriam PA, Rosal MC, Ebbeling CB, Ockene IS: Seasonal variation in household, occupational, and leisure time physical activity: longitudinal analyses from the seasonal variation of blood cholesterol study. Am J Epidemiol. 2001, 153: 172-183. 10.1093/aje/153.2.172.CrossRefPubMed
10.
go back to reference Tudor-Locke C, Bassett DR, Swartz AM, Strath SJ, Parr BB, Reis JP, Dubose KD, Ainsworth BE: A preliminary study of one year of pedometer self-monitoring. Ann Behav Med. 2004, 28: 158-162. 10.1207/s15324796abm2803_3.CrossRefPubMed Tudor-Locke C, Bassett DR, Swartz AM, Strath SJ, Parr BB, Reis JP, Dubose KD, Ainsworth BE: A preliminary study of one year of pedometer self-monitoring. Ann Behav Med. 2004, 28: 158-162. 10.1207/s15324796abm2803_3.CrossRefPubMed
11.
go back to reference Newman MA, Pettee KK, Storti KL, Richardson CR, Kuller LH, Kriska AM: Monthly variation in physical activity levels in postmenopausal women. Med Sci Sports Exerc. 2009, 41: 322-327.CrossRefPubMed Newman MA, Pettee KK, Storti KL, Richardson CR, Kuller LH, Kriska AM: Monthly variation in physical activity levels in postmenopausal women. Med Sci Sports Exerc. 2009, 41: 322-327.CrossRefPubMed
12.
go back to reference Graffagnino CL, Falko JM, La Londe M, Schaumburg J, Hyek MF, Shaffer LE, Snow R, Caulin-Glaser T: Effect of a community-based weight management program on weight loss and cardiovascular disease risk factors. Obesity (Silver Spring). 2006, 14: 280-288. 10.1038/oby.2006.36.CrossRef Graffagnino CL, Falko JM, La Londe M, Schaumburg J, Hyek MF, Shaffer LE, Snow R, Caulin-Glaser T: Effect of a community-based weight management program on weight loss and cardiovascular disease risk factors. Obesity (Silver Spring). 2006, 14: 280-288. 10.1038/oby.2006.36.CrossRef
13.
go back to reference Haines DJ, Davis L, Rancour P, Robinson M, Neel-Wilson T, Wagner S: A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff. J Am Coll Health. 2007, 55: 219-225. 10.3200/JACH.55.4.219-225.CrossRefPubMed Haines DJ, Davis L, Rancour P, Robinson M, Neel-Wilson T, Wagner S: A pilot intervention to promote walking and wellness and to improve the health of college faculty and staff. J Am Coll Health. 2007, 55: 219-225. 10.3200/JACH.55.4.219-225.CrossRefPubMed
14.
go back to reference Jenum AK, Anderssen SA, Birkeland KI, Holme I, Graff-Iversen S, Lorentzen C, Ommundsen Y, Raastad T, Odegaard AK, Bahr R: Promoting physical activity in a low-income multiethnic district: effects of a community intervention study to reduce risk factors for type 2 diabetes and cardiovascular disease: a community intervention reducing inactivity. Diabetes Care. 2006, 29: 1605-1612. 10.2337/dc05-1587.CrossRefPubMed Jenum AK, Anderssen SA, Birkeland KI, Holme I, Graff-Iversen S, Lorentzen C, Ommundsen Y, Raastad T, Odegaard AK, Bahr R: Promoting physical activity in a low-income multiethnic district: effects of a community intervention study to reduce risk factors for type 2 diabetes and cardiovascular disease: a community intervention reducing inactivity. Diabetes Care. 2006, 29: 1605-1612. 10.2337/dc05-1587.CrossRefPubMed
15.
go back to reference Wellman NS, Kamp B, Kirk-Sanchez NJ, Johnson PM: Eat better & move more: a community-based program designed to improve diets and increase physical activity among older Americans. Am J Public Health. 2007, 97: 710-717. 10.2105/AJPH.2006.090522.CrossRefPubMedPubMedCentral Wellman NS, Kamp B, Kirk-Sanchez NJ, Johnson PM: Eat better & move more: a community-based program designed to improve diets and increase physical activity among older Americans. Am J Public Health. 2007, 97: 710-717. 10.2105/AJPH.2006.090522.CrossRefPubMedPubMedCentral
16.
go back to reference White K, Jacques PH: Combined diet and exercise intervention in the workplace: effect on cardiovascular disease risk factors. AAOHN Journal. 2007, 55: 109-114.CrossRefPubMed White K, Jacques PH: Combined diet and exercise intervention in the workplace: effect on cardiovascular disease risk factors. AAOHN Journal. 2007, 55: 109-114.CrossRefPubMed
19.
go back to reference Napolitano MA, Fotheringham M, Tate D, Sciamanna C, Leslie E, Owen N, Bauman A, Marcus B: Evaluation of an Internet-based physical activity intervention: a preliminary investigation. Ann Behav Med. 2003, 25: 92-99. 10.1207/S15324796ABM2502_04.CrossRefPubMed Napolitano MA, Fotheringham M, Tate D, Sciamanna C, Leslie E, Owen N, Bauman A, Marcus B: Evaluation of an Internet-based physical activity intervention: a preliminary investigation. Ann Behav Med. 2003, 25: 92-99. 10.1207/S15324796ABM2502_04.CrossRefPubMed
20.
go back to reference Richardson CR, Brown BB, Foley S, Dial KS, Lowery JC: Feasibility of adding enhanced pedometer feedback to nutritional counseling for weight loss. J Med Internet Res. 2005, 7: e56-10.2196/jmir.7.5.e56.CrossRefPubMedPubMedCentral Richardson CR, Brown BB, Foley S, Dial KS, Lowery JC: Feasibility of adding enhanced pedometer feedback to nutritional counseling for weight loss. J Med Internet Res. 2005, 7: e56-10.2196/jmir.7.5.e56.CrossRefPubMedPubMedCentral
21.
go back to reference Richardson CR, Mehari KS, McIntyre LG, Janney AW, Fortlage LA, Sen A, Strecher VJ, Piette JD: A randomized trial comparing structured and lifestyle goals in an Internet-mediated walking program for people with type 2 diabetes. Int J Behav Nutr Phys Act. 2007, 4: 59-10.1186/1479-5868-4-59.CrossRefPubMedPubMedCentral Richardson CR, Mehari KS, McIntyre LG, Janney AW, Fortlage LA, Sen A, Strecher VJ, Piette JD: A randomized trial comparing structured and lifestyle goals in an Internet-mediated walking program for people with type 2 diabetes. Int J Behav Nutr Phys Act. 2007, 4: 59-10.1186/1479-5868-4-59.CrossRefPubMedPubMedCentral
22.
go back to reference Spittaels H, De Bourdeaudhuij I, Vandelanotte C: Evaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population. Prev Med. 2007, 44: 209-217. 10.1016/j.ypmed.2006.11.010.CrossRefPubMed Spittaels H, De Bourdeaudhuij I, Vandelanotte C: Evaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population. Prev Med. 2007, 44: 209-217. 10.1016/j.ypmed.2006.11.010.CrossRefPubMed
23.
go back to reference Klesges LM, Estabrooks PA, Dzewaltowski DA, Bull SS, Glasgow RE: Beginning with the application in mind: designing and planning health behavior change interventions to enhance dissemination. Ann Behav Med. 2005, 29 (Suppl): 66-75. 10.1207/s15324796abm2902s_10.CrossRefPubMed Klesges LM, Estabrooks PA, Dzewaltowski DA, Bull SS, Glasgow RE: Beginning with the application in mind: designing and planning health behavior change interventions to enhance dissemination. Ann Behav Med. 2005, 29 (Suppl): 66-75. 10.1207/s15324796abm2902s_10.CrossRefPubMed
24.
go back to reference Glasgow RE: eHealth evaluation and dissemination research. Am J Prev Med. 2007, 32: S119-126. 10.1016/j.amepre.2007.01.023.CrossRefPubMed Glasgow RE: eHealth evaluation and dissemination research. Am J Prev Med. 2007, 32: S119-126. 10.1016/j.amepre.2007.01.023.CrossRefPubMed
25.
go back to reference Cameron LD, Leventhal H, Eds: The self-regulation of health and illness behavior. 2003, London: Routledge Cameron LD, Leventhal H, Eds: The self-regulation of health and illness behavior. 2003, London: Routledge
26.
go back to reference Boekaerts M, Pintrich PR, Zeidner M, Eds: Handbook of self-regulation. 2000, San Diego, CA: Academic Press Boekaerts M, Pintrich PR, Zeidner M, Eds: Handbook of self-regulation. 2000, San Diego, CA: Academic Press
28.
go back to reference Vuong QH: Likelihood ratio tests for model selection and non-nested hypotheses. Econometrica. 1989, 57: 307-333. 10.2307/1912557.CrossRef Vuong QH: Likelihood ratio tests for model selection and non-nested hypotheses. Econometrica. 1989, 57: 307-333. 10.2307/1912557.CrossRef
29.
go back to reference Verheijden MW, Jans MP, Hildebrandt VH, Hopman-Rock M: Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle. J Med Internet Res. 2007, 9: e1-10.2196/jmir.9.1.e1.CrossRefPubMedPubMedCentral Verheijden MW, Jans MP, Hildebrandt VH, Hopman-Rock M: Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle. J Med Internet Res. 2007, 9: e1-10.2196/jmir.9.1.e1.CrossRefPubMedPubMedCentral
31.
go back to reference Glasgow RE, Boles SM, McKay HG, Feil EG, Barrera M: The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results. Prev Med. 2003, 36: 410-419. 10.1016/S0091-7435(02)00056-7.CrossRefPubMed Glasgow RE, Boles SM, McKay HG, Feil EG, Barrera M: The D-Net diabetes self-management program: long-term implementation, outcomes, and generalization results. Prev Med. 2003, 36: 410-419. 10.1016/S0091-7435(02)00056-7.CrossRefPubMed
32.
go back to reference Glasgow RE, Nelson CC, Kearney KA, Reid R, Ritzwoller DP, Strecher VJ, Couper MP, Green B, Wildenhaus K: Reach, engagement, and retention in an Internet-based weight loss program in a multi-site randomized controlled trial. J Med Internet Res. 2007, 9: e11-10.2196/jmir.9.2.e11.CrossRefPubMedPubMedCentral Glasgow RE, Nelson CC, Kearney KA, Reid R, Ritzwoller DP, Strecher VJ, Couper MP, Green B, Wildenhaus K: Reach, engagement, and retention in an Internet-based weight loss program in a multi-site randomized controlled trial. J Med Internet Res. 2007, 9: e11-10.2196/jmir.9.2.e11.CrossRefPubMedPubMedCentral
33.
go back to reference Ren Y, Kraut R, Kiesler S: Applying common identity and bond theory to design of online communities. Organization Studies. 2007, 28: 377-408. 10.1177/0170840607076007.CrossRef Ren Y, Kraut R, Kiesler S: Applying common identity and bond theory to design of online communities. Organization Studies. 2007, 28: 377-408. 10.1177/0170840607076007.CrossRef
34.
go back to reference Neville LM, O'Hara B, Milat A: Computer-tailored physical activity behavior change interventions targeting adults: a systematic review. Int J Behav Nutr Phys Act. 2009, 6: 30-10.1186/1479-5868-6-30.CrossRefPubMedPubMedCentral Neville LM, O'Hara B, Milat A: Computer-tailored physical activity behavior change interventions targeting adults: a systematic review. Int J Behav Nutr Phys Act. 2009, 6: 30-10.1186/1479-5868-6-30.CrossRefPubMedPubMedCentral
35.
go back to reference Raacke J, Bonds-Raacke J: MySpace and Facebook: applying the uses and gratifications theory to exploring friend-networking sites. Cyberpsychol Behav. 2008, 11: 169-174. 10.1089/cpb.2007.0056.CrossRefPubMed Raacke J, Bonds-Raacke J: MySpace and Facebook: applying the uses and gratifications theory to exploring friend-networking sites. Cyberpsychol Behav. 2008, 11: 169-174. 10.1089/cpb.2007.0056.CrossRefPubMed
36.
go back to reference Etter JF: Comparing the efficacy of two Internet-based, computer-tailored smoking cessation programs: a randomized trial. J Med Internet Res. 2005, 7: e2-10.2196/jmir.7.1.e2.CrossRefPubMedPubMedCentral Etter JF: Comparing the efficacy of two Internet-based, computer-tailored smoking cessation programs: a randomized trial. J Med Internet Res. 2005, 7: e2-10.2196/jmir.7.1.e2.CrossRefPubMedPubMedCentral
Metadata
Title
Evaluating Active U: an internet-mediated physical activity program
Authors
Lorraine R Buis
Timothy A Poulton
Robert G Holleman
Ananda Sen
Paul J Resnick
David E Goodrich
LaVaughn Palma-Davis
Caroline R Richardson
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-331

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