Enhancing Theoretical Fidelity: An E-mail—Based Walking Program Demonstration
Abstract
Purpose.: To examine the extent to which theoretical fidelity, or precision in replicating theory-based recommendations, influenced the effectiveness of two walking programs based on social cognitive theory (SCT). Design.: Two-group randomized controlled trial. Setting.: College town in Virginia. Subjects.: Sixty-one sedentary adult women. Intervention.: Two 12-week e-mail–based walking programs were compared. The high fidelity program was designed to more precisely follow SCT recommendations for operationalizing mastery procedures than the low fidelity program, which was designed to simulate how mastery procedures were operationalized in most existing SCT-based physical activity programs. Treatment contact and walking prescription were controlled across groups. Measures.: The 1-mile walk test of physical fitness and SCT measures were completed at baseline and posttest. Self-reported walking quantity was assessed at baseline, posttest, and 1-year follow-up. Walking logs were completed during the program. Process evaluation measures were completed at posttest. Results.: Fifty women completed the study. The high fidelity group improved more than twice as much as the low fidelity group on 1-mile walk test time (86 vs. 32 seconds, p < .05), goal setting (p < .05), and positive outcome expectations (p < .05) and reported greater program satisfaction (p < .01). Conclusion.: Theoretical fidelity could advance the quality of physical activity interventions, which have often shown small effects.
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Five of the 10 eligible studies met at least nine out of 13 general methodological criteria.
“The literature search resulted in 10 eligible studies of which five met at least nine out of 13 general methodological criteria.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
Six studies used one or more theoretical models to compose the contents of the interventions.
“Six studies used one or more theoretical models to compose the contents of the interventions.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
Half of the studies employed measures of physical fitness other than physical activity.
“Furthermore, half of the studies employed measures of physical fitness other than physical activity.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
The number of physical activity outcome parameters varied: four studies included one, five included two, and one reported more than two.
“Four studies included one physical activity outcome parameter [32,35,36,41], five studies included two physical activity parameters [34,39,40,42,43], and one study reported more than two physical activity parameters [37].”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
In three studies, changes in physical activity level were considered a secondary outcome.
“Our review included three studies in which the changes in physical activity level were considered secondary outcomes; these interventions were not primarily aimed at changing physical activity behavior.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
Six of the 10 studies were specifically targeted at adults who were sedentary at baseline; the other four did not employ any inclusion criteria regarding baseline physical activity level.
“Six of the 10 studies were specifically targeted at adults who were sedentary at baseline [32,37,39-41,43]; the other four studies did not employ any inclusion criteria regarding baseline physical activity level [34-36,42].”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
The theoretical models used included the Transtheoretical Model, Protection Motivation Theory, Theory of Planned Behavior, Social Cognitive Theory, and a social-ecological model.
“These models were the Transtheoretical Model [34,39,41,42], the Protection Motivation Theory [42], the Theory of Planned Behavior [42], the Social Cognitive Theory [32,39,42], and a social-ecological model [40].”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
Six of the 10 studies compared the characteristics of dropouts with the subjects that completed all outcome measurements.
“All studies reported a dropout rate, with six of the 10 studies comparing the characteristics of these dropouts with the subjects that completed all outcome measurements [32,35,36,39-41].”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [32]
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InfluentialCritical Measurement Issues in Translational Research
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- Authors
- Rovniak, L. S., Hovell, M. F., Wojcik, J. R., Winett, R. A., & Martinez-Donate, A. P.
- Affiliations
- San Diego State University (US)
- Liza S. Rovniak, PhD; Melbourne F. Hovell, PhD, MPH; and Ana P. Martinez-Donate, PhD, are with the Center for Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, California. Janet R. Wojcik, PhD; and Richard A. Winett, PhD, are with the Center for Research in Health Behavior, Department of Psychology, Virginia Tech, Blacksburg, Virginia
- Corresponding author
- Rovniak, Liza S.
- Venue
- American Journal of Health Promotion
- Publisher
- SAGE Publications
- Published
- 2005-11
- Volume
- 20
- Issue
- 2
- Pages
- 85-95
- ISSN
- 0890-1171 (ISSN-L)
- 2168-6602
- OpenAlex
- W2175835050
- Cited by
- 90
- References
- 86
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 5 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 3 · 2016: 2 · 2015: 7 · 2014: 5 · 2013: 15 · 2012: 2
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health Promotion (publishedVersion)
- PubMed (publishedVersion)
- 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
- social cognitive theory, walking program, sedentary women, physical activity interventions, mastery orientation, goal setting, outcome expectations, program satisfaction
- MeSH terms
- Adult, Female, Health Promotion, Humans, Middle Aged, Self Disclosure, Virginia, Walking, Self Efficacy, Electronic Mail
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