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Physical activity and behaviour change Esther van Sluijs East on the Move Workshop, 30 th June 2015 Changing behaviour what is the target? X = Developing effective interventions Behaviour Determinants Implementation Key


  1. Physical activity and behaviour change Esther van Sluijs East on the Move – Workshop, 30 th June 2015

  2. Changing behaviour – what is the target? X = ↓ ↑

  3. Developing effective interventions Behaviour Determinants Implementation

  4. Key points • People change behaviours, not Behaviour energy expenditure • Behaviours are influenced at multiple Determinants levels • Implementation depends on the Implementation intervention level

  5. Physical activity Term Definition Physical Activity Any bodily movement produced by the skeletal muscles that expends energy beyond resting levels. Exercise Physical activity that is planned, structured, repetitive, purposeful, and intended to maintain or improve health or fitness. Physical Fitness A set of attributes related to a person’s ability to perform physical activity and includes cardiorespiratory fitness, strength, flexibility and body composition.

  6. Physical activity behaviour

  7. Activity behaviours between 10 and 14 yr Taken up Continued Dropped Brooke et al., PlosOne 2014

  8. Behaviour Determinants Implementation

  9. Socio-ecological model Collective Individual

  10. Example – cycling to school

  11. Example – cycling to school Traffic speed Cycle lanes Bikeability School support Convenience Risk perception Having bike Cycling skills

  12. Behaviour Determinants Implementation

  13. Delivery methods

  14. Who is your agent of change? ? ? ? ? ?

  15. Key points • People change behaviours, not Behaviour energy expenditure • Behaviours are influenced at multiple Determinants levels • Implementation depends on the Implementation intervention level

  16. Questions / discussion Esther.vanSluijs@mrc-epid.cam.ac.uk www.mrc-epid.cam.ac.uk @MRC_Epid http://www.cedar.iph.cam.ac.uk @CedarUK

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