IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0150025.html

Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study

Author

Listed:
  • Marion Herens
  • Evert Jan Bakker
  • Johan van Ophem
  • Annemarie Wagemakers
  • Maria Koelen

Abstract

Physical inactivity is most commonly found in socially vulnerable groups. Dutch policies target these groups through community-based health-enhancing physical activity (CBHEPA) programs. As robust evidence on the effectiveness of this approach is limited, this study investigated whether CBHEPA programs contribute to an increase in and the maintenance of physical activity in socially vulnerable groups. In four successive cohorts, starting at a six-month interval, 268 participants from 19 groups were monitored for twelve months in seven CBHEPA programs. Data collection was based on repeated questionnaires. Socio-economic indicators, program participation and coping ability were measured at baseline. Physical activity, health-related quality of life and on-going program participation were measured three times. Self-efficacy and enjoyment were measured at baseline and at twelve months. Statistical analyses were based on a quasi-RCT design (independent t-tests), a comparison of participants and dropouts (Mann-Whitney test), and multilevel modelling to assess change in individual physical activity, including group level characteristics. Participants of CBHEPA programs are socially vulnerable in terms of low education (48.6%), low income (52.4%), non-Dutch origin (64.6%) and health-related quality of life outcomes. Physical activity levels were not below the Dutch average. No increase in physical activity levels over time was observed. The multilevel models showed significant positive associations between health-related quality of life, self-efficacy and enjoyment, and leisure-time physical activity over time. Short CBHEPA programs (10–13 weeks) with multiple trainers and gender-homogeneous groups were associated with lower physical activity levels over time. At twelve months, dropouts' leisure-time physical activity levels were significantly lower compared to continuing participants, as were health-related quality of life, self-efficacy and enjoyment outcomes. BMI and care consumption scored significantly higher among dropouts. In conclusion, Dutch CBHEPA programs reach socially vulnerable, but not necessarily inactive, groups in terms of socio-economic and health-related quality of life outcomes. Our findings suggest that CBHEPA programs particularly contribute to physical activity maintenance in socially vulnerable groups, rather than to an increase in physical activity behaviour over time.

Suggested Citation

  • Marion Herens & Evert Jan Bakker & Johan van Ophem & Annemarie Wagemakers & Maria Koelen, 2016. "Health-Related Quality of Life, Self-Efficacy and Enjoyment Keep the Socially Vulnerable Physically Active in Community-Based Physical Activity Programs: A Sequential Cohort Study," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-29, February.
    • Handle: RePEc:plo:pone00:0150025
    DOI: 10.1371/journal.pone.0150025
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150025
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0150025&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0150025?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Wagemakers, Annemarie & Vaandrager, Lenneke & Koelen, Maria A. & Saan, Hans & Leeuwis, Cees, 2010. "Community health promotion: A framework to facilitate and evaluate supportive social environments for health," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 428-435, November.
    2. Ben D. MacArthur & Richard O. C. Oreffo, 2005. "Bridging the gap," Nature, Nature, vol. 433(7021), pages 19-19, January.
    3. Cora Maas & Tom Snijders, 2003. "The Multilevel Approach to Repeated Measures for Complete and Incomplete Data," Quality & Quantity: International Journal of Methodology, Springer, vol. 37(1), pages 71-89, February.
    4. Claes, Claudia & van Loon, Jos & Vandevelde, Stijn & Schalock, Robert, 2015. "An integrative approach to evidence based practices," Evaluation and Program Planning, Elsevier, vol. 48(C), pages 132-136.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Herens, Marion & Wagemakers, Annemarie, 2017. "Assessing participants’ perceptions on group-based principles for action in community-based health enhancing physical activity programmes: The APEF tool," Evaluation and Program Planning, Elsevier, vol. 65(C), pages 54-68.
    2. Lisa Wilderink & Annemijn Visscher & Ingrid Bakker & Albertine J Schuit & Jacob C Seidell & Carry M Renders, 2023. "Mechanisms and contextual factors related to key elements of a successful integrated community-based approach aimed at reducing socioeconomic health inequalities in the Netherlands: A realist evaluation perspective," PLOS ONE, Public Library of Science, vol. 18(5), pages 1-16, May.
    3. Yang Zhai & Kankan Li & Jianjun Liu, 2018. "A Conceptual Guideline to Age-Friendly Outdoor Space Development in China: How Do Chinese Seniors Use the Urban Comprehensive Park? A Focus on Time, Place, and Activities," Sustainability, MDPI, vol. 10(10), pages 1-13, October.
    4. Hermens, Niels & Verkooijen, Kirsten T. & Koelen, Maria A., 2019. "Associations between partnership characteristics and perceived success in Dutch sport-for-health partnerships," Sport Management Review, Elsevier, vol. 22(1), pages 142-152.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ercan Tomakin, 2014. "Teaching English Tenses (grammar) in the Turkish Texts; A Case of Simple Present Tense: Is?l Maketi Iter," International Journal of Learning and Development, Macrothink Institute, vol. 4(1), pages 115-131, March.
    2. Peter Viggo Jakobsen, 2009. "Small States, Big Influence: The Overlooked Nordic Influence on the Civilian ESDP," Journal of Common Market Studies, Wiley Blackwell, vol. 47(1), pages 81-102, January.
    3. Grace Kite, 2014. "Linked in? Software and Information Technology Services in India’s Economic Development," Journal of South Asian Development, , vol. 9(2), pages 99-119, August.
    4. Spyros Arvanitis & Ursina Kubli & Martin Woerter, 2006. "University-Industry Knowledge Interaction in Switzerland: What University Scientists Think about Co-operation with Private Enterprises," KOF Working papers 06-132, KOF Swiss Economic Institute, ETH Zurich.
    5. Falco, Paolo & Zaccagni, Sarah, 2020. "Promoting social distancing in a pandemic: Beyond the good intentions," OSF Preprints a2nys, Center for Open Science.
    6. Stylos, Nikolaos & Vassiliadis, Chris A. & Bellou, Victoria & Andronikidis, Andreas, 2016. "Destination images, holistic images and personal normative beliefs: Predictors of intention to revisit a destination," Tourism Management, Elsevier, vol. 53(C), pages 40-60.
    7. Jaime Thomas & Pia Caronongan & Bethany Simard & Cheri A. Vogel & Kimberly Boller, "undated". "Imputing Attendance Data in a Longitudinal Multilevel Panel Data Set," Mathematica Policy Research Reports fb87ee53f56548aba82908308, Mathematica Policy Research.
    8. Anesi, Vincent, 2012. "Secessionism and minority protection in an uncertain world," Journal of Public Economics, Elsevier, vol. 96(1), pages 53-61.
    9. Anesi, Vincent, 2012. "Secessionism and minority protection in an uncertain world," Journal of Public Economics, Elsevier, vol. 96(1), pages 53-61.
    10. Deribe Assefa Aga & N. Noorderhaven & B. Vallejo, 2018. "Project beneficiary participation and behavioural intentions promoting project sustainability: The mediating role of psychological ownership," Development Policy Review, Overseas Development Institute, vol. 36(5), pages 527-546, September.
    11. Whyte, Sarah & Cartmill, Carrie & Gardezi, Fauzia & Reznick, Richard & Orser, Beverley A. & Doran, Diane & Lingard, Lorelei, 2009. "Uptake of a team briefing in the operating theatre: A Burkean dramatistic analysis," Social Science & Medicine, Elsevier, vol. 69(12), pages 1757-1766, December.
    12. Alistair Ross, 2018. "Young Europeans: A New Political Generation?," Societies, MDPI, vol. 8(3), pages 1-24, August.
    13. Rohner, Dominic & Esteban, Joan & Flamand, Sabine & Morelli, Massimo, 2018. "A Dynamic Theory of Secession," CEPR Discussion Papers 12398, C.E.P.R. Discussion Papers.
    14. Manel Jmal Derbel & Mohamed Ali Boujelbene, 2015. "La Conformite Comptabilite-Fiscalite Et La Gestion Des Resultats : Cas Des Entreprises Tunisiennes," Post-Print hal-01188533, HAL.
    15. Nenonen, Suvi & Storbacka, Kaj, 2013. "Finding market focus for solution business development," jbm - Journal of Business Market Management, Free University Berlin, Marketing Department, vol. 6(3), pages 123-142.
    16. Colatat, Phech, 2015. "An organizational perspective to funding science: Collaborator novelty at DARPA," Research Policy, Elsevier, vol. 44(4), pages 874-887.
    17. Forrester, Juanita Kimiyo & Neville, François, 2021. "An institutional perspective on borrowing discouragement among female-owned enterprises and the role of regional female empowerment," Journal of Business Venturing, Elsevier, vol. 36(6).
    18. Song, Xiaodong & Bryan, Brett A. & Almeida, Auro C. & Paul, Keryn I. & Zhao, Gang & Ren, Yin, 2013. "Time-dependent sensitivity of a process-based ecological model," Ecological Modelling, Elsevier, vol. 265(C), pages 114-123.
    19. Hjelkrem, Anne-Grete Roer & Eikemo, Håvard & Le, Vinh Hong & Hermansen, Arne & Nærstad, Ragnhild, 2021. "A process-based model to forecast risk of potato late blight in Norway (The Nærstad model): model development, sensitivity analysis and Bayesian calibration," Ecological Modelling, Elsevier, vol. 450(C).
    20. repec:oup:beheco:v:23:y:2012:i:1:p:93-100. is not listed on IDEAS
    21. Joana dos Santos Gonçalves & Ricardo Mateus & José Dinis Silvestre & Ana R. Pereira Roders, 2021. "Beyond Good Intentions: The Role of the Building Passport for the Sustainable Conservation of Built Heritage to Behavioural Change," Sustainability, MDPI, vol. 13(15), pages 1-19, July.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0150025. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.