Let's move with Leon: a qualitative evaluation of a UK digital intervention to improve physical activity in people with a musculoskeletal condition

Webb, Justin, Allison, Heather and Mprah, Michael (2023) Let's move with Leon: a qualitative evaluation of a UK digital intervention to improve physical activity in people with a musculoskeletal condition. Public health, 227. pp. 32-37. ISSN 1476-5616

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Official URL: https://doi.org/10.1016/j.puhe.2023.11.009

Abstract / Description

This article presents a qualitative evaluation of a 13-week digital intervention, 'Let's Move with Leon', designed to improve physical activity in people with a musculoskeletal condition. A qualitative evaluation embedded within a randomised controlled trial assessing the effectiveness of the intervention at improving self-reported physical activity. A total of 184 participants received the intervention and were asked each week for 13 weeks to provide comment on their use and the usefulness of the digital physical activity behaviour change intervention. In addition, after 13 weeks, 12 participants took part in a semistructured interview to understand their use and the usefulness of the intervention. A thematic analysis was conducted on the combined qualitative data set. A total of 128 of the 184 intervention participants (70.11%) provided at least one qualitative comment over the course of the evaluation (mean number of comments per participant = 5); in total, 674 comments were received. The thematic analysis identified three themes: (1) dipping in and out, (2) one size does not fit all and (3) monitoring and feedback. The qualitative data suggest that participants used the intervention sporadically, dipping in and out due to other commitments, and competing programmes, their changing physical ability, confidence and motivation. Not getting off to a good start was detrimental to use; many wanted to come back to the programme at a more appropriate time. A 'one size fits' approach catered for some but not all participants. Whilst not a predetermined intervention component the act of monitoring levels of activity as a data collection method seemed to encourage physical activity but may also result in negative social comparisons. Digital physical activity behaviour change interventions are not one-size-fits-all; personalisation is key. Monitoring of activity by a named person can create commitment. Many dip in and out. Digital physical activity behaviour change interventions could complement physiotherapy exercises for people with musculoskeletal conditions. Signposting to local activities should be considered.

Item Type: Article
Additional Information: [Abstract copyright: Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.]
Uncontrolled Keywords: physical activity; musculoskeletal conditions; digital behaviour change intervention; health improvement
Subjects: 300 Social sciences > 360 Social problems & services; associations
600 Technology > 610 Medicine & health
Department: School of Social Sciences and Professions
SWORD Depositor: Pub Router
Depositing User: Pub Router
Date Deposited: 01 Feb 2024 15:24
Last Modified: 01 Feb 2024 15:24
URI: https://repository.londonmet.ac.uk/id/eprint/9029

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