Two-year follow-up of sequential and simultaneous interactive computer-tailored interventions for increasing physical activity and decreasing fat intake
Open accessAbstract
BACKGROUND: Limited evidence exists on long-term efficacy of interactive computer-tailored interventions for increasing physical activity and decreasing fat intake, and even more so when they are implemented simultaneously or sequentially. PURPOSE: This study aims to examine long-term efficacy of interactive computer-tailored physical activity and fat intake interventions, and evaluate their efficacy in a simultaneous or sequential implementation over 2 years. METHODS: Participants (392) were randomly assigned to a simultaneous group receiving both interventions at baseline; a sequential group first receiving the physical activity intervention and 3 months later the fat intake intervention; and a sequential group first receiving the fat intake intervention and 3 months later the physical activity intervention. RESULTS: Strong time effects were seen for total physical activity (F = 38.7, p < .001) and fat intake (F = 103.9, p < .001), indicating that intervention effects remained over 2 years for those participants that were still available for the 2-year follow-up. At 2-year follow-up the interventions resulted in a 10% and a 27% increase of participants that met public health recommendations for physical activity and fat intake, respectively. Overall the interventions were more effective for participants not meeting the public health recommendations at baseline. The sequential intervention mode was overall slightly more effective than the simultaneous mode in maintaining intervention effects. CONCLUSIONS: Both interventions showed efficacy in maintaining long-term health behavior changes. More research is needed on sequential and simultaneous intervening modes.
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In that trial, the sequential intervention resulted in better maintenance of intervention effects at 2 years.
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- Authors
- Vandelanotte, C., De Bourdeaudhuij, I., & Brug, J.
- Affiliations
- The University of Queensland (AU)
- Erasmus MC (NL)
- Corresponding author
- Vandelanotte, Corneel
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-06
- Volume
- 33
- Issue
- 2
- Pages
- 213-219
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2081501453
- Cited by
- 62
- References
- 13
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 7 · 2016: 2 · 2014: 5 · 2013: 3 · 2012: 5
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- Acquire (CQUniversity) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- physical activity, dietary fat intake, dietary fat reduction, long-term efficacy, maintenance of behavior change, public health recommendations, health behavior change
- MeSH terms
- Adult, Behavior Therapy, Expert Systems, Female, Follow-Up Studies, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Compliance, Patient Dropouts, Surveys and Questionnaires, Sex Factors, Socioeconomic Factors, Therapy, Computer-Assisted, Health Behavior, Exercise, Treatment Outcome, Diet, Fat-Restricted, Feedback, Psychological
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