Effect and process evaluation of a smartphone app to promote an active lifestyle in lower educated working young adults: cluster randomized controlled trial

Article


Simons, Dorien, De Bourdeaudhuij, Ilse, Clarys, Peter, De Cocker, Katrien, Vandelanotte, Corneel and Deforche, Benedicte. 2018. "Effect and process evaluation of a smartphone app to promote an active lifestyle in lower educated working young adults: cluster randomized controlled trial." JMIR mHealth and uHealth. 6 (8), pp. 1-18. https://doi.org/10.2196/10003
Article Title

Effect and process evaluation of a smartphone app to promote an active lifestyle in lower educated working young adults: cluster randomized controlled trial

ERA Journal ID200877
Article CategoryArticle
AuthorsSimons, Dorien (Author), De Bourdeaudhuij, Ilse (Author), Clarys, Peter (Author), De Cocker, Katrien (Author), Vandelanotte, Corneel (Author) and Deforche, Benedicte (Author)
Journal TitleJMIR mHealth and uHealth
Journal Citation6 (8), pp. 1-18
Article Numbere10003
Number of Pages18
Year2018
Place of PublicationCanada
ISSN2291-5222
Digital Object Identifier (DOI)https://doi.org/10.2196/10003
Web Address (URL)https://mhealth.jmir.org/2018/8/e10003/
Abstract

BACKGROUND: Mobile technologies have great potential to promote an active lifestyle in lower educated working young adults, an underresearched target group at a high risk of low activity levels.

OBJECTIVE: The objective of our study was to examine the effect and process evaluation of the newly developed evidence- and theory-based smartphone app 'Active Coach' on the objectively measured total daily physical activity; self-reported, context-specific physical activity; and self-reported psychosocial variables among lower educated working young adults.

METHODS: We recruited 130 lower educated working young adults in this 2-group cluster randomized controlled trial and assessed outcomes at baseline, posttest (baseline+9 weeks), and follow-up (posttest+3 months). Intervention participants (n=60) used the Active Coach app (for 9 weeks) combined with a Fitbit activity tracker. Personal goals, practical tips, and educational facts were provided to encourage physical activity. The control group received print-based generic physical activity information. Both groups wore accelerometers for objective measurement of physical activity, and individual interviews were conducted to assess the psychosocial variables and context-specific physical activity. Furthermore, intervention participants were asked process evaluation questions and generalized linear mixed models and descriptive statistics were applied.

RESULTS: No significant intervention effects were found for objectively measured physical activity, self-reported physical activity, and self-reported psychosocial variables (all P>.05). Intervention participants evaluated the Active Coach app and the combined use with the Fitbit wearable as self-explanatory (36/51, 70.6%), user friendly (40/51, 78.4%), and interesting (34/51, 66.7%). Throughout the intervention, we observed a decrease in the frequency of viewing graphical displays in the app (P<.001); reading the tips, facts, and goals (P<.05); and wearing the Fitbit wearable (P<.001). Few intervention participants found the tips and facts motivating (10/41, 24.4%), used them to be physically active (8/41, 19.6%), and thought they were tailored to their lifestyle (7/41, 17.1%).

CONCLUSIONS: The lack of significant intervention effects might be due to low continuous user engagement. Advice or feedback that was not perceived as adequately tailored and the difficulty to compete with many popular commercial apps on young people's smartphones may be responsible for a decrease in the engagement. A stand-alone app does not seem sufficient to promote an active lifestyle among lower educated working young adults; therefore, multicomponent interventions (using both technological and human support), as well as context-specific sensing to provide tailored advice, might be needed in this population.

TRIAL REGISTRATION: ClinicalTrials.gov NCT02948803; https://clinicaltrials.gov/ct2/show/results/NCT02948803 (Archived by WebCite at http://www.webcitation.org/71OPFwaoA).

KeywordsFitbit; accelerometers; active transport; emerging adulthood; health promotion; mHealth; mobile apps; mobile phone; physical activity intervention
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
420799. Sports science and exercise not elsewhere classified
Public Notes

©Dorien Simons, Ilse De Bourdeaudhuij, Peter Clarys, Katrien De Cocker, Corneel Vandelanotte, Benedicte Deforche. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 24.08.2018.

Byline AffiliationsGhent University, Belgium
Vrije University Brussels, Belgium
Central Queensland University
Open access urlhttps://mhealth.jmir.org/2018/8/e10003/
Institution of OriginUniversity of Southern Queensland
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De Cocker, Katrien, Cardon, Greet and De Bourdeaudhuij, Ilse. 2007. "Pedometer-determined physical activity and its comparison with the International Physical Activity Questionnaire in a sample of Belgian adults." Research Quarterly for Exercise and Sport. 78 (5), pp. 429-437. https://doi.org/10.1080/02701367.2007.10599443
Can differences in physical activity by socio-economic status in European adolescents be explained by differences in psychosocial correlates? A mediation analysis within the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study
De Cocker, Katrien, Artero, Enrique G., De Henauw, Stefaan, Dietrich, Sabine, Gottrand, Frederic, Beghin, Laurent, Hagstromer, Maria, Sjostrom, Michael, Plada, Maria, Manios, Yannis, Mauro, Beatrice, Molnar, Denes, Moreno, Luis A., Ottevaere, Charlene, Valtuena, Jara, Maes, Lea and De Bourdeaudhuij, Ilse. 2012. "Can differences in physical activity by socio-economic status in European adolescents be explained by differences in psychosocial correlates? A mediation analysis within the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study." Public Health Nutrition. 15 (11), pp. 2100-2109. https://doi.org/10.1017/s1368980012001036
Mediating role of energy-balance related behaviors in the association of neighborhood socio-economic status and residential area density with BMI: the SPOTLIGHT study
Compernolle, Sofie, Oppert, Jean-Michel, Mackenbach, Joreintje D., Lakerveld, Jeroen, Charreire, Helene, Glonti, Ketevan, Bardos, Helga, Rutter, Harry, De Cocker, Katrien, Cardon, Greet and De Bourdeaudhuij, Ilse. 2016. "Mediating role of energy-balance related behaviors in the association of neighborhood socio-economic status and residential area density with BMI: the SPOTLIGHT study." Preventive Medicine. 86, pp. 84-91. https://doi.org/10.1016/j.ypmed.2016.01.005
The associations between domain-specific sedentary behaviours and dietary habits in European adults: a cross-sectional analysis of the SPOTLIGHT survey
Compernolle, Sofie, De Cocker, Katrien, Teixeira, Pedro J., Oppert, Jean-Michel, Roda, Celina, Mackenbach, Joreintje D., Lakerveld, Jeroen, McKee, Martin, Glonti, Ketevan, Rutter, Harry, Bardos, Helga, Cardon, Greet and De Bourdeaudhuij, Ilse. 2016. "The associations between domain-specific sedentary behaviours and dietary habits in European adults: a cross-sectional analysis of the SPOTLIGHT survey." BMC Public Health. 16 (1). https://doi.org/10.1186/s12889-016-3708-3
Objectively measured physical environmental neighbourhood factors are not associated with accelerometer-determined total sedentary time in adults
Compernolle, Sofie, De Cocker, Katrien, Mackenbach, Joreintje D., Van Nassau, Femke, Lakerveld, Jeroen, Cardon, Greet and De Bourdeaudhuij, Ilse. 2017. "Objectively measured physical environmental neighbourhood factors are not associated with accelerometer-determined total sedentary time in adults." International Journal of Behavioral Nutrition and Physical Activity. 14, pp. 1-6. https://doi.org/10.1186/s12966-017-0551-6
A RE-AIM evaluation of evidence-based multi-level interventions to improve obesity-related behaviours in adults: a systematic review (the SPOTLIGHT project)
Compernolle, Sofie, De Cocker, Katrien, Lakerveld, Jeroen, Mackenbach, Joreintje D., Nijpels, Giel, Oppert, Jean-Michel, Rutter, Harry, Teixeira, Pedro J., Cardon, Greet and De Bourdeaudhuij, Ilse. 2014. "A RE-AIM evaluation of evidence-based multi-level interventions to improve obesity-related behaviours in adults: a systematic review (the SPOTLIGHT project)." International Journal of Behavioral Nutrition and Physical Activity. 11 (1), pp. 1-13. https://doi.org/10.1186/s12966-014-0147-3
Tracking and predictors of screen time from early adolescence to early adulthood: a 10-year follow-up study
Busschaert, Cedric, Cardon, Greet, Van Cauwenberg, Jelle, Maes, Lea, Van Damme, Joris, Hublet, Anne, De Bourdeaudhuij, Ilse and De Cocker, Katrien. 2015. "Tracking and predictors of screen time from early adolescence to early adulthood: a 10-year follow-up study." Journal of Adolescent Health. 56 (4), pp. 440-448. https://doi.org/10.1016/j.jadohealth.2014.11.016
A smartphone app to promote an active lifestyle in lower-educated working young adults: development, usability, acceptability, and feasibility study
Simons, Dorien, De Bourdeaudhuij, Ilse, Clarys, Peter, De Cocker, Katrien, Vandelanotte, Corneel and Deforche, Benedicte. 2018. "A smartphone app to promote an active lifestyle in lower-educated working young adults: development, usability, acceptability, and feasibility study." Journal of Medical Internet Research Mhealth Uhealth. 6 (2 (e44)), pp. 1-18. https://doi.org/10.2196/mhealth.8287
Development and usability of a computer-tailored pedometer-based physical activity advice for breast cancer survivors
De Cocker, K., Charlier, C., Van Hoof, E., Pauwels, E., Lechner, L., Bourgois, J., Spittaels, H., Vandelanotte, C. and De Bourdeaudhuij, I.. 2015. "Development and usability of a computer-tailored pedometer-based physical activity advice for breast cancer survivors." European Journal of Cancer Care. 24 (5), pp. 673-682. https://doi.org/10.1111/ecc.12225
Validation study of Polar V800 accelerometer
Hernandez-Vicente, Adrian, Santos-Lozano, Alejandro, De Cocker, Katrien and Garatachea, Nuria. 2016. "Validation study of Polar V800 accelerometer." Annals of Translational Medicine & Epidemiology. 4 (15), pp. 1-12. https://doi.org/10.21037/atm.2016.07.16
A cost-effectiveness study of the community-based intervention '10 000 Steps Ghent'
De Smedt, Delphine, De Cocker, Katrien, Annemans, Lieven, De Bourdeaudhuij, Ilse and Cardon, Greet. 2012. "A cost-effectiveness study of the community-based intervention '10 000 Steps Ghent'." Public Health Nutrition. 15 (3), pp. 442-451. https://doi.org/10.1017/s1368980011001716
How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies
Chastin, Sebastien F. M., De Craemer, Marieke, De Cocker, Katrien, Powell, Lauren, Van Cauwenberg, Jelle, Dall, Philippa, Hamer, Mark and Stamatakis, Emmanuel. 2019. "How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies." British Journal of Sports Medicine. 53 (6), pp. 370-376. https://doi.org/10.1136/bjsports-2017-097563
Reliability and validity of three questionnaires measuring context-specific sedentary behaviour and associated correlates in adolescents, adults and older adults
Busschaert, Cedric, De Bourdeaudhuij, Ilse, Van Holle, Veerle, Chastin, Sebastien F. M., Cardon, Greet and De Cocker, Katrien. 2015. "Reliability and validity of three questionnaires measuring context-specific sedentary behaviour and associated correlates in adolescents, adults and older adults." International Journal of Behavioral Nutrition and Physical Activity. 12 (1), pp. 1-13. https://doi.org/10.1186/s12966-015-0277-2
Cross-sectional associations between sitting time and several aspects of mental health in Belgian adults
Asztalos, Melinda, Cardon, Greet, De Bourdeaudhuij, Ilse and De Cocker, Katrien. 2015. "Cross-sectional associations between sitting time and several aspects of mental health in Belgian adults." Journal of Physical Activity and Health. 12, pp. 1112-1118. https://doi.org/10.1123/jpah.2013-0513
Sustainability of the whole-community project '10,000 Steps': a longitudinal study
Van Acker, Ragnar, De Bourdeaudhuij, Ilse, De Cocker, Katrien, Klesges, Lisa. M., Willem, Annick and Cardon, Greet. 2012. "Sustainability of the whole-community project '10,000 Steps': a longitudinal study." BMC Public Health. 12 (155), pp. 1-11. https://doi.org/10.1186/1471-2458-12-155
Associations between sitting time and weight in young adult Australian women
De Cocker, Katrien. A., van Uffelen, Jannique G. Z. and Brown, Wendy J.. 2010. "Associations between sitting time and weight in young adult Australian women." Preventive Medicine. 51 (5), pp. 361-367. https://doi.org/10.1016/j.ypmed.2010.07.009
What do pedometer counts represent? A comparison between pedometer data and data from four different questionnaires
De Cocker, Katrien A., De Bourdeaudhuij, Ilse M. and Cardon, Greet M.. 2008. "What do pedometer counts represent? A comparison between pedometer data and data from four different questionnaires." Public Health Nutrition. 12 (1), pp. 74-81. https://doi.org/10.1017/s1368980008001973
The effect of a pedometer-based physical activity intervention on sitting time
De Cocker, Katrien. A., De Bourdeaudhuij, Ilse. M., Brown, Wendy. J. and Cardon, Greet. M.. 2008. "The effect of a pedometer-based physical activity intervention on sitting time." Preventive Medicine. 47 (2), pp. 179-181. https://doi.org/10.1016/j.ypmed.2008.05.012
Effects of '10,000 steps Ghent': a whole-community intervention
De Cocker, Katrien. A., De Bourdeaudhuij, Ilse. M., Brown, Wendy. J. and Cardon, Greet. M.. 2007. "Effects of '10,000 steps Ghent': a whole-community intervention." American Journal of Preventive Medicine. 33 (6), pp. 455-463. https://doi.org/10.1016/j.amepre.2007.07.037
Understanding occupational sitting: prevalence, correlates and moderating effects in Australian employees
De Cocker, Katrien, Duncan, Mitch J., Short, Camille, van Uffelen, Jannique G. Z. and Vandelanotte, Corneel. 2014. "Understanding occupational sitting: prevalence, correlates and moderating effects in Australian employees." Preventive Medicine. 67, pp. 288-94. https://doi.org/10.1016/j.ypmed.2014.07.031
Effectiveness of a web-based, computer-tailored, pedometer-based physical activity intervention for adults: a cluster randomized controlled trial
Compernolle, Sofie, Vandelanotte, Corneel, Cardon, Greet, De Bourdeaudhuij, Ilse and De Cocker, Katrien. 2015. "Effectiveness of a web-based, computer-tailored, pedometer-based physical activity intervention for adults: a cluster randomized controlled trial." Journal of Medical Internet Research. 17 (2 (e38)), pp. 1-15. https://doi.org/10.2196/jmir.3402
Differences in context-specific sedentary behaviors according to weight status in adolescents, adults and seniors: a compositional data analysis
Compernolle, Sofie, Van Dyck, Delfien, De Cocker, Katrien, Palarea-Albaladejo, Javier, De Bourdeaudhuij, Ilse, Cardon, Greet and Chastin, Sebastien F. M.. 2018. "Differences in context-specific sedentary behaviors according to weight status in adolescents, adults and seniors: a compositional data analysis." International Journal of Environmental Research and Public Health. 15 (9), pp. 1-12. https://doi.org/10.3390/ijerph15091916
Do sedentary behaviors mediate associations between socio-demographic characteristics and BMI in women living in socio-economically disadvantaged neighborhoods?
Compernolle, Sofie, De Cocker, Katrien, Abbott, Gavin, Verloigne, Maite, Cardon, Greet, De Bourdeaudhuij, Ilse and Ball, Kylie. 2015. "Do sedentary behaviors mediate associations between socio-demographic characteristics and BMI in women living in socio-economically disadvantaged neighborhoods?" International Journal of Behavioral Nutrition and Physical Activity. 12 (48), pp. 1-9. https://doi.org/10.1186/s12966-015-0209-1
Cross-sectional associations between home environmental factors and domain-specific sedentary behaviors in adults: the moderating role of socio-demographic variables and BMI
Compernolle, Sofie, Busschaert, Cedric, De Bourdeaudhuij, Ilse, Cardon, Greet, Chastin, Sebastien F. M., Van Cauwenberg, Jelle and De Cocker, Katrien. 2017. "Cross-sectional associations between home environmental factors and domain-specific sedentary behaviors in adults: the moderating role of socio-demographic variables and BMI." International Journal of Environmental Research and Public Health. 14 (11 (1329)), pp. 1-12. https://doi.org/10.3390/ijerph14111329
The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928 U.S. adults
Bennie, Jason A., De Cocker, Katien, Teychenne, Megan J., Brown, Wendy J. and Biddle, Stuart J. H.. 2019. "The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928 U.S. adults." International Journal of Behavioral Nutrition and Physical Activity. 16, pp. 1-11. https://doi.org/10.1186/s12966-019-0797-2
The effect of pedometer use in combination with cognitive and behavioral support materials to promote physical activity
De Cocker, Katrien A., De Bourdeaudhuij, Ilse M. and Cardon, Greet M.. 2008. "The effect of pedometer use in combination with cognitive and behavioral support materials to promote physical activity." Patient Education and Counseling. 70 (2), pp. 209-214. https://doi.org/10.1016/j.pec.2007.10.008
Web-based, computer-tailored, pedometer-based physical activity advice: development, dissemination through general practice, acceptability, and preliminary efficacy in a randomized controlled trial
De Cocker, Katrien, Spittaels, Heleen, Cardon, Greet, De Bourdeaudhuij, Ilse and Vandelanotte, Corneel. 2012. "Web-based, computer-tailored, pedometer-based physical activity advice: development, dissemination through general practice, acceptability, and preliminary efficacy in a randomized controlled trial." Journal of Medical Internet Research. 14 (2 (e53)), pp. 1-13. https://doi.org/10.2196/jmir.1959
What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?
De Cocker, Katrien, De Bourdeaudhuij, Ilse, Cardon, Greet and Vandelanotte, Corneel. 2017. "What are the working mechanisms of a web-based workplace sitting intervention targeting psychosocial factors and action planning?" BMC Public Health. 17 (382), pp. 1-10. https://doi.org/10.1186/s12889-017-4325-5
The effectiveness of a Web-based computer-tailored intervention on workplace sitting: a randomized controlled trial
De Cocker, Katrien, De Bourdeaudhuij, Ilse, Cardon, Greet and Vandelanotte, Corneel. 2016. "The effectiveness of a Web-based computer-tailored intervention on workplace sitting: a randomized controlled trial." Journal of Medical Internet Research. 18 (5), pp. 1-14. https://doi.org/10.2196/jmir.5266
Theory-driven, web-based, computer-tailored advice to reduce and interrupt sitting at work: development, feasibility and acceptability testing among employees
De Cocker, Katrien, De Bourdeaudhuij, Ilse, Cardon, Greet and Vandelanotte, Corneel. 2015. "Theory-driven, web-based, computer-tailored advice to reduce and interrupt sitting at work: development, feasibility and acceptability testing among employees." BMC Public Health. 15 (959), pp. 1-17. https://doi.org/10.1186/s12889-015-2288-y
Moderators and mediators of pedometer use and step count increase in the '10,000 Steps Ghent' intervention
De Cocker, Katrien, De Bourdeaudhuij, Ilse, Brown, Wendy and Cardon, Greet. 2009. "Moderators and mediators of pedometer use and step count increase in the '10,000 Steps Ghent' intervention." International Journal of Behavioral Nutrition and Physical Activity. 6 (3), pp. 1-7. https://doi.org/10.1186/1479-5868-6-3
Opinions toward physical activity, sedentary behavior, and interventions to stimulate active living during early retirement: a qualitative study in recently retired adults
Van Dyck, Delfien, Mertens, Lieze, Cardon, Greet, De Cocker, Katrien and De Bourdeaudhuij, Ilse. 2017. "Opinions toward physical activity, sedentary behavior, and interventions to stimulate active living during early retirement: a qualitative study in recently retired adults." Journal of Aging and Physical Activity. 25 (2), pp. 277-286. https://doi.org/10.1123/japa.2015-0295
The association between socio-ecological factors and having an after-school physical activity program
Van Acker, Ragnar, De Bourdeaudhuij, Ilse, De Martelaer, Kristine, Seghers, Jan, De Cocker, Katrien and Cardon, Greet. 2012. "The association between socio-ecological factors and having an after-school physical activity program." Journal of School Health. 82 (9), pp. 395-403. https://doi.org/10.1111/j.1746-1561.2012.00711.x
The impact of disseminating the whole-community project '10,000 Steps': a RE-AIM analysis
Van Acker, Ragnar, De Bourdeaudhuij, Ilse, De Cocker, Katrien, Klesges, Lisa M. and Cardon, Greet. 2011. "The impact of disseminating the whole-community project '10,000 Steps': a RE-AIM analysis." BMC Public Health. 11, pp. 3-13. https://doi.org/10.1186/1471-2458-11-3
How many steps/day are enough? For adults
Tudor-Locke, Catrine, Craig, Cora L., Brown, Wendy J., Clemes, Stacey A., De Cocker, Katrien, Giles-Corti, Billie, Hatano, Yoshiro, Inoue, Shigeru, Matsudo, Sandra M., Mutrie, Nanette, Oppert, Jean-Michel, Rowe, David A., Schmidt, Michael D., Schofield, Grant M., Spence, John C., Teixeira, Pedro J., Tully, Mart A. and Blair, Steven N.. 2011. "How many steps/day are enough? For adults." International Journal of Behavioral Nutrition and Physical Activity. 8, pp. 79-95. https://doi.org/10.1186/1479-5868-8-79
Psychosocial and environmental correlates of active and passive transport behaviors in college educated and non-college educated working young adults
Simons, Dorien, De Bourdeaudhuij, Ilse, Clarys, Peter, De Cocker, Katrien, de Geus, Bas, Vandelanotte, Corneel, Van Cauwenberg, Jelle and Deforche, Benedicte. 2017. "Psychosocial and environmental correlates of active and passive transport behaviors in college educated and non-college educated working young adults." PLoS One. 12 (3), pp. 1-22. https://doi.org/10.1371/journal.pone.0174263
Physical activity recommendations from general practitioners in Australia. Results from a national survey
Short, Camille E., Hayman, Mel, Rebar, Amanda L., Gunn, Kate M., De Cocker, Katrien, Duncan, Mitch J., Turnbull, Deborah, Dollman, James, van Uffelen, Jannique G .Z. and Vandelanotte, Corneel. 2016. "Physical activity recommendations from general practitioners in Australia. Results from a national survey." Australian and New Zealand Journal of Public Health. 40 (1), pp. 83-90. https://doi.org/10.1111/1753-6405.12455
Socio-Ecological Variables Associated with Context-Specific Sitting Time in Belgian Older Adults: A One-Year Follow-Up Study
Busschaert, Cedric, Scherrens, Anne-Lore, De Bourdeaudhuij, Ilse, Cardon, Greet, Van Cauwenberg, Jelle and De Cocker, Katrien. 2016. "Socio-Ecological Variables Associated with Context-Specific Sitting Time in Belgian Older Adults: A One-Year Follow-Up Study." PLoS One. 11 (12), pp. 1-21. https://doi.org/10.1371/journal.pone.0167881
Socio-Demographic, Social-Cognitive, Health-Related and Physical Environmental Variables Associated with Context-Specific Sitting Time in Belgian Adolescents: A One-Year Follow-Up Study
Busschaert, Cedric, Ridgers, Nicola D., De Bourdeaudhuij, Ilse, Cardon, Greet, Van Cauwenberg, Jelle and De Cocker, Katrien. 2016. "Socio-Demographic, Social-Cognitive, Health-Related and Physical Environmental Variables Associated with Context-Specific Sitting Time in Belgian Adolescents: A One-Year Follow-Up Study." PLoS One. 11 (12), pp. 1-23. https://doi.org/10.1371/journal.pone.0167553
Intrapersonal, social-cognitive and physical environmental variables related to context-specific sitting time in adults: a one-year follow-up study
Busschaert, Cedric, De Bourdeaudhuij, Ilse, Van Cauwenberg, Jelle, Cardon, Greet and De Cocker, Katrien. 2016. "Intrapersonal, social-cognitive and physical environmental variables related to context-specific sitting time in adults: a one-year follow-up study." International Journal of Behavioral Nutrition and Physical Activity. 13, pp. 1-16. https://doi.org/10.1186/s12966-016-0354-1
Associations between aerobic and muscle-strengthening exercise with depressive symptom severity among 17,839 U.S. adults
Bennie, Jason A., Teychenne, Megan J., De Cocker, Katrien and Biddle, Stuart J. H.. 2019. "Associations between aerobic and muscle-strengthening exercise with depressive symptom severity among 17,839 U.S. adults." Preventive Medicine. 121, pp. 121-127. https://doi.org/10.1016/j.ypmed.2019.02.022
Educational inequalities in TV viewing among older adults: a mediation analysis of ecological factors
De Cocker, Katrien, De Bourdeaudhuij, Ilse, Teychenne, Megan, McNaughton, Sarah and Salmon, Jo. 2013. "Educational inequalities in TV viewing among older adults: a mediation analysis of ecological factors." International Journal of Behavioral Nutrition and Physical Activity. 10, pp. 1-10. https://doi.org/10.1186/1479-5868-10-138
Validity of the inexpensive Stepping Meter in counting steps in free living conditions: a pilot study
De Cocker, K., Cardon, G. and De Bourdeaudhuij, I.. 2006. "Validity of the inexpensive Stepping Meter in counting steps in free living conditions: a pilot study." British Journal of Sports Medicine. 40 (8), pp. 714-716. https://doi.org/10.1136/bjsm.2005.025296
Views of policy makers and health promotion professionals on factors facilitating implementation and maintenance of interventions and policies promoting physical activity and healthy eating: results of the DEDIPAC project
Muellmann, Saskia, Steenbock, Berit, De Cocker, Katrien, De Craemer, Marieke, Hayes, Catherine, O'Shea, Miriam P., Horodyska, Karolina, Bell, Justyna, Luszczynska, Aleksandra, Roos, Gun, Langoien, Lars Jorun, Rugseth, Gro, Terragni, Laura, De Bourdeaudhuij, Ilse, Brug, Johannes and Pischke, Claudia R.. 2017. "Views of policy makers and health promotion professionals on factors facilitating implementation and maintenance of interventions and policies promoting physical activity and healthy eating: results of the DEDIPAC project." BMC Public Health. 17, pp. 1-17. https://doi.org/10.1186/s12889-017-4929-9
A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000
Thomas, George, Bennie, Jason A., De Cocker, Katrien, Castro, Oscar and Biddle, Stuart J. H.. 2020. "A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000." Child Indicators Research. 13 (3), pp. 935-950. https://doi.org/10.1007/s12187-019-09663-1
Feasibility for the use of a standardized fitness testing protocol among Australian fitness industry professionals
Bennie, Jason A., Wiesner, Glen H., Vergeer, Ineke, Kolbe-Alexander, Tracy, De Cocker, Katrien, Alexander, Chris and Biddle, Stuart J. H.. 2018. "Feasibility for the use of a standardized fitness testing protocol among Australian fitness industry professionals." Research Quarterly for Exercise and Sport. 89 (3), pp. 380-385. https://doi.org/10.1080/02701367.2018.1486965
From evidence-based research to practice-based evidence: disseminating a web-based computer-tailored workplace sitting intervention through a Health Promotion Organisation
De Cocker, Katrien, Cardon, Greet, Bennie, Jason A., Kolbe-Alexander, Tracy, De Meester, Femke and Vandelanotte, Corneel. 2018. "From evidence-based research to practice-based evidence: disseminating a web-based computer-tailored workplace sitting intervention through a Health Promotion Organisation." International Journal of Environmental Research and Public Health. 15 (5). https://doi.org/10.3390/ijerph15051049
'10000 Steps Flanders': evaluation of the state-wide dissemination of a physical activity intervention in Flanders
Dubuy, Veerle, De Cocker, Katrien A., De Bourdeaudhuij, Ilse M., Maes, Lea, Metsu, Pieter, Van Acker, Ragnar and Cardon, Greet M.. 2013. "'10000 Steps Flanders': evaluation of the state-wide dissemination of a physical activity intervention in Flanders." Health Education Research. 28 (3), pp. 546-551. https://doi.org/10.1093/her/cyt039
Socio-demographic, psychosocial and home-environmental attributes associated with adults' domestic screen time
Van Dyck, Delfien, Cardon, Greet, Deforche, Benedicte, Owen, Neville, De Cocker, Katrien, Wijndaele, Katrien and De Bourdeaudhuij, Ilse. 2011. "Socio-demographic, psychosocial and home-environmental attributes associated with adults' domestic screen time." BMC Public Health. 11, pp. 668-677. https://doi.org/10.1186/1471-2458-11-668