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Title: Physical activity interventions in socio-economically disadvantaged communities
Author: Cleland, Claire Lyne
Awarding Body: Queen's University Belfast
Current Institution: Queen's University Belfast
Date of Award: 2013
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Physical activity (PA) is a determinant of health and a modifiable lifestyle factor; with an inverse relationship existing between PA and mortality. However, levels of PA remain low, particularly among those who are socio-economically disadvantaged (SED). Reasons for this are not clear. Therefore, this thesis aims to address this gap in knowledge and elucidate effective methods of PA intervention for the SED. The thesis includes four studies, The first was a systematic review of effectiveness of PA interventions implemented in SED communities. Results showed that multi-component adult group based interventions with theoretical frameworks are most effective. The second, using qualitative interviews, explored the development of PA interventions for the SED: evidence suggested better linkage and communication between all involved in interventions. The third analysed data from a household survey. Evidence highlighted that age, gender and employment status are associated with low levels of PA. The fourth study used accelerometers to assess the validity and reliability of two PA questionnaires and found that the Global Physical Activity Questionnaire (GPAQ) may be used to estimate and monitor levels of PA and assess the effectiveness of interventions on a community or population level. The Sport And Physical Activity Survey (SAPAS) maybe used to monitor trends in PA and to measure the extent of change at a community or population level. Thus in conclusion, PA interventions should be multi-factorial, underpinned by a theoretical framework of behaviour change, designed and implemented by a multi-disciplinary team and evaluated with care. Future research should aim to use standardised, valid and reliable measurement tools in its evaluation. To improve the effectiveness of interventions, practitioners should work in multi-sectoral teams and in partnership with researchers to obtain up to date research and evidence.
Supervisor: Not available Sponsor: Medical Research Council
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available