Evidence map›Paper›PMID 39438094›Full record

Trial reportBMJ open2024

Making Every Contact Count: health professionals' experiences of integrating conversations about Snacktivity to promote physical activity within routine consultations - a qualitative study.

Matthew Krouwel, Sheila Greenfield, James P Sanders, Kajal Gokal, Anna Chalkley, Ryan A Griffin, Helen Parretti, Kate Jolly, Magdalena Skrybant, Stuart Biddle and 11 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Matthew KrouwelCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.ORCID 0000-0001-7586-1321
Sheila GreenfieldInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8796-4114
James P SandersCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Kajal GokalCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Anna ChalkleyFaculty of Life Sciences and Health Studies, University of Bradford, Bradford, UK.
Ryan A GriffinBCTU, University of Birmingham, Birmingham, UK.
Helen ParrettiNorwich Medical School, University of East Anglia, Norwich, UK.
Kate JollyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-6224-2115
Magdalena SkrybantInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Stuart BiddleUniversity of Southern Queensland, Toowoomba, Queensland, Australia.
Colin GreavesSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Dale W EsligerSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Lauren B SherarSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Charlotte EdwardsonDiabetes Research Centre, College of Life Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre, Leicester, UK.
Thomas YatesDiabetes Research Centre, College of Life Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre, Leicester, UK.
Ralph MaddisonInstitute for Physical Activity and Nutrition, Deakin University, Melbourne, UK.
Emma FrewInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Nanette MutriePhysical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK.
Natalie IvesBCTU, University of Birmingham, Birmingham, UK.
Sarah TearneBCTU, University of Birmingham, Birmingham, UK.
Amanda J DaleyCentre for Lifestyle Medicine and Behaviour, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK a.daley@lboro.ac.uk.ORCID 0000-0002-4866-8726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHelping people to change their health behaviours is becoming a greater feature within the role of health professionals, including through whole system initiatives such as Making Every Contact Count. Health services provide an ideal setting to routinely promote health behaviours, including physical activity. Snacktivity is a novel approach that promotes small bouts of physical activity (activity snacks) throughout the day. This study explored health professionals' initial experiences of delivering a Snacktivity intervention to promote physical activity within routine health consultations. A further aim was to investigate health professionals' ability/fidelity in delivering the Snacktivity intervention to their patients.

designSemistructured interviews (n=11) and audio recording of consultations (n=46). SETTING AND

participantsHealthcare professionals from a variety of specialisms who delivered the Snacktivity intervention within patient consultations.

resultsAnalyses revealed two higher-level themes of interest: (1) health professionals' conceptualisation of Snacktivity (subthemes: observations/reflections about patients' understanding, engagement and enthusiasm for delivering the Snacktivity intervention) and (2) health professionals' understanding of Snacktivity and experience in delivering the intervention (subthemes: delivering Snacktivity; limitations, challenges and possible improvements). Consultation audio recordings demonstrated health professionals delivered the Snacktivity intervention with high levels of fidelity. Health professionals were proficient and supportive of delivering the Snacktivity intervention within consultations although practical barriers to implementation such as time constraints were raised, and confidence in doing so was mixed.

conclusionsHealth professionals were proficient and supportive of delivering the Snacktivity intervention within consultations. The primary barrier to implementation was the time to deliver it, however, gaining greater experience in the intervention and improving behaviour change counselling skills may reduce this barrier. TRIAL REGISTRATION NUMBER: ISRCTN64851242.

Indexed as

Activities of Daily LivingAttitude of Health PersonnelExerciseHealth PersonnelHealth PromotionFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansMaleReferral and ConsultationTimeHealth EducationMEDICAL EDUCATION & TRAININGPrimary PreventionQUALITATIVE RESEARCH

Identifiers

PMID39438094
PMCPMC11499785

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.