Maintaining Physical Activity Level Through Team-Based Walking With a Mobile Health Intervention: Cross-Sectional Observational Study.
Study Goal
The researchers aimed to identify elements that maintain high physical activity levels and prevent a decrease in walking steps during a 9-week mHealth intervention for Japanese salespersons.
Results Summary
The study found that behavioral characteristics (e.g., consistent step recording) positively correlated with average walking steps, while team characteristics (e.g., regular communication and smaller team size) helped prevent a decrease in walking steps over time.
Population
Japanese salespersons from 11 companies.
Effective Dosage
Not specified (step data recorded via smartphone apps).
Duration
9 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
team-based walking intervention using smartphone apps | increase | log-transformed average walking steps | Japanese salespersons | β=.01, P<.001 | was positively correlated with | #1 |
belonging to the same company | increase | an individual's average walking steps | Japanese salespersons | intraclass correlation coefficient was 37% | largely affected | #2 |
communication with team members once or twice a week | no change | walking steps from the initial to the final week | Japanese salespersons | β=1539.4, P=.03 | correlated with preventing a decrease in | #3 |
being on a larger team | decrease | walking steps from the initial to the final week | Japanese salespersons | β=-328.4, P=.01 | correlated with a decrease in | #4 |
BACKGROUND: The health conditions of Japanese salespersons may be adversely affected by their lifestyle. Face-to-face or on-site health interventions are not convenient for salespersons because of their tendency for out-of-office sales. Previous studies showed that mobile health (mHealth) interventions (compared to usual practice) have great potential to promote physical activity. For Japanese salespersons, mHealth can offer additional convenience to change their physical activity habits because they can access the mHealth contents anytime and anywhere. However, the specific elements that are most important to maintain physical activity levels using an mHealth approach remain unclear. OBJECTIVE: We aimed to identify elements that account for both a high average physical activity level and can help to prevent a decrease in physical activity during a 9-week intervention period. METHODS: Salespersons were recruited from 11 Japanese companies. A team-based walking intervention was held from October to December 2018 (for a total of 9 weeks), during which the walking step data were recorded by smartphone apps. Average walking steps of each participant during the intervention and the difference in walking steps between the initial and the final week were respectively used as dependent variables. The effects of team characteristics (ie, frequency of communication with team members and team size) and behavioral characteristics (ie, number of days with recorded steps on the apps) on the average walking steps, and the difference in walking steps between the initial and the final week were estimated using multiple and multilevel regression analyses. RESULTS: Of the 416 participants, walking step data of 203 participants who completed postintervention assessments were included in the analyses. Multiple regression analysis of the average walking steps showed that the number of days with recorded steps was positively correlated with the log-transformed average walking steps (β=.01, P<.001). Multilevel analysis of the average walking steps considering the company level estimated that the intraclass correlation coefficient was 37%. This means that belonging to the same company largely affected an individual's average walking steps. Multiple regression analysis of the difference in walking steps showed that communication with team members once or twice a week correlated with preventing a decrease in walking steps from the initial to the final week (β=1539.4, P=.03), and being on a larger team correlated with a decrease in walking steps from the initial to the final week (β=-328.4, P=.01). CONCLUSIONS: This study showed that the elements accounting for high average walking steps and those preventing the decrease in walking steps from the initial to the final week differed. Behavioral characteristics correlated positively with average walking steps. Team characteristics (ie, regular communication and a smaller team size) significantly correlated with preventing a decrease in walking steps.