Efficacy of sequential or simultaneous interactive computer-tailored interventions for increasing physical activity and decreasing fat intake
Open accessAbstract
BACKGROUND: Little evidence exists about the effectiveness of "interactive" computer-tailored interventions and about the combined effectiveness of tailored interventions on physical activity and diet. Furthermore, it is unknown whether they should be executed sequentially or simultaneously. PURPOSE: The purpose of this study was to examine (a) the effectiveness of interactive computer-tailored interventions for increasing physical activity and decreasing fat intake and (b) which intervening mode, sequential or simultaneous, is most effective in behavior change. METHODS: Participants (N = 771) were randomly assigned to receive (a) the physical activity and fat intake interventions simultaneously at baseline, (b) the physical activity intervention at baseline and the fat intake intervention 3 months later, (c) the fat intake intervention at baseline and the physical activity intervention 3 months later, or (d) a place in the control group. RESULTS: Six months postbaseline, the results showed that the tailored interventions produced significantly higher physical activity scores, F(2, 573) = 11.4, p < .001, and lower fat intake scores, F(2, 565) = 31.4, p < .001, in the experimental groups when compared to the control group. CONCLUSIONS: For both behaviors, the sequential and simultaneous intervening modes showed to be effective; however, for the fat intake intervention and for the participants who did not meet the recommendation in the physical activity intervention, the simultaneous mode appeared to work better than the sequential mode.
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In one trial, at 6 months, the simultaneous strategy was superior for a fat intake intervention and for a subgroup of participants who did not meet physical activity recommendations at baseline.
“In 1 trial, at 6 months, the simultaneous strategy was superior for a fat intake intervention and for a subgroup of participants who did not meet physical activity recommendations at baseline.115”
Additional studies published later than the review's time window or performed outside the United States have also shown mixed results for superiority of sequential versus simultaneous intervention strategies.
“It is worth noting that additional studies published later than our time window or performed outside the United States have also shown mixed results for superiority of sequential versus simultaneous intervention strategies.115,116”
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- Authors
- Vandelanotte, C., De Bourdeaudhuij, I., Sallis, J. F., Spittaels, H., & Brug, J.
- Affiliations
- Ghent University (BE)
- Ghent University, Department of Movement and Sport Sciences,Watersportlaan 2, 9000, Ghent, Belgium
- San Diego State University (US)
- Erasmus MC (NL)
- Corresponding author
- Vandelanotte, Corneel
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-04-01
- Volume
- 29
- Issue
- 2
- Pages
- 138-146
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2020041848
- Cited by
- 152
- References
- 58
- Citations by year
- 2025: 2 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 4 · 2013: 6 · 2012: 12
- FWCI
- 23.25
- 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)
- Funders
- Universiteit Gent
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- computer-tailored intervention, interactive intervention, physical activity, dietary fat intake, dietary fat reduction, behavior change, health behavior change
- MeSH terms
- Adult, Demography, Dietary Fats, Female, Health Promotion, Humans, Male, Middle Aged, Motor Activity, Obesity, Surveys and Questionnaires, Therapy, Computer-Assisted, Time Factors, User-Computer Interface
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