Active 10 – A new approach to increase physical activity in inactive people in England☆
Section snippets
PA guidelines and PA levels in England
In common with most high income countries, England has seen declining levels of PA since the 1960s as a consequence of economic, social and cultural changes.10 Lack of physical activity is estimated to cost the UK at least £7.6 billion each year (including £0.9 billion to the National Health System in England) and contributes to 1 in 6 deaths.11 National PA for health guidelines were published by the UK Chief Medical Officers in 2011, including a recommendation for 150 min of moderate intensity
Understanding the inactive population with the greatest potential of getting active
National guidelines in England prioritise “targeting those adults who are significantly inactive (i.e. engaging in less than 30 min of PA per week) [to] produce the greatest reduction in chronic disease”12. The Health Survey for England reports that 62% of the adult population achieve the national guidelines on moderate intensity physical activity,13 but almost one in four (23%) of the population are within the category of doing less than 30 min moderate intensity PA per week;19 Fig. 1
Walking as a health-enhancing PA intervention
Brisk walking at 3 mph is estimated to be 3.3 metabolic equivalents (METS)22 and therefore a ‘moderate intensity’ PA. Walking is recommended in the UK guidelines as one of “the easiest and most acceptable forms of physical activity…that can be incorporated into everyday life”.12 For adults not achieving recommended levels of activity, the relative contribution of walking is similar across genders and has limited age-related decline compared to exercise, cycling or swimming.23
In addition to
Health benefits of 10 min of brisk walking per day
Although the evidence for 10 min bouts of walking is limited, it is clear that 70–90 min per week of brisk walking can improve fitness with a significant weighted mean treatment effect of 3.04 ml·kg−1·min−1 of oxygen uptake.26 The benefits of such an improvement in aerobic capacity include greater ease of performance of everyday PA and improved quality of life.27 From a population perspective, an improvement of this magnitude (approximately 10%) is likely to result in a 15% reduction in
Developing a marketing message
The role of marketing is to make change easier, more desirable and more achievable. Insight research was undertaken with the target audience to understand: i) how they engage with PA, particularly walking, in their day to day lives; and ii) how they respond to messages/propositions aimed to engage them and trigger behaviour change to undertake PA. Focus groups were undertaken in five geographic areas with 48 individuals between the ages of 40 and 60 years of age of a lower socioeconomic group
Creating an integrated behaviour change approach
Behaviour change models help understand the factors behind behavioural decisions and can shape interventions to influence those decisions and behaviours. The Behaviour Change Wheel is a popular approach that was developed from 19 frameworks of behaviour change and is based on the COM-B (Capability, Opportunity, Motivation and Behaviour) model whereby effective interventions impact on one of the three factors to change behaviour.37 In 2016, Public Health England launched a national social
Mobile phone app
Brisk walking, like other PAs of moderate intensity, causes an individual to breathe faster, experience an increase in heart rate and feel warmer12; which is not the normal or sustained walking pace for most people, especially those who are inactive. Work was undertaken with the University of Sheffield and Sheffield Hallam University to develop a mobile phone app to measure time and intensity (i.e. the two dimensions that determine health-enhancing activity) and present the information in an
Communications campaign
A communications strategy was developed for the inaugural 2017 campaign, consisting of media activities (advertising and public relations) and partnerships with national and local organisations to raise awareness, change perceptions and encourage people to take up brisk walking. All activities directed people to download the mobile phone app.
The media campaign focussed on media known to be popular with the target lower socioeconomic, 40–60 year old demographic. Advertising included TV and
Campaign outcomes
The campaign was launched in the summer of 2017, with over 300 pieces of positive coverage in the popular media and #Active10 trending in the top five on Twitter. There were over 379,000 downloads of the app over five weeks in August–September 2017, which was rated four stars on the app store and was the number one health and fitness download, and number seven overall download. Online pre and post tracking research were undertaken with 1800 adults aged 18+ with a boost of the key target
Conclusions
Walking is prevalent, has no skill, facility or equipment requirement and is more accessible and acceptable to an inactive audience than other forms of PA. An integrated marketing campaign was developed based on behaviour change principles to encourage inactive people to become more active. Ethnographic insight research was undertaken with the target lower socioeconomic, 40 to 60 year old demographic to develop the underpinning evidence-based messages. The programme consisted of a media
Acknowledgements
Thanks to Fabio Ciravegna (University of Sheffield) and Rob Copeland (National Centre for Sport and Exercise Medicine and Sheffield Hallam University) who developed the Active 10 app and the original Move More app upon which it was based.
References (38)
- et al.
Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants
Lancet Glob Health
(2018) - et al.
Knowledge of UK physical activity guidelines: implications for better targeted health promotion
Prev Med
(2014) - et al.
The influence of fathers on children's physical activity: a review of the literature from 2009 to 2015
Prev Med
(2017) - et al.
The effect of walking on fitness, fatness and resting blood pressure: a meta-analysis of randomised, controlled trials
Prev Med
(2007) - Hippocrates, Regimen, ca 400...
Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine
JAMA
(1995)- Centre for Disease Control. Physical Activity and Health. A report of the Surgeon General....
- US Department of Health and Human Services. 2008 Physical Activity Guidelines for...
Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep
Appl Physiol Nutr Metab
(2016)- Australian Government Department of Health. Australia's Physical Activity and Sedentary Behaviour Guidelines....
Time use and physical activity: a shift away from movement across the globe
Obes Rev
Knowledge of physical activity recommendations in adults employed in England: associations with individual and workplace-related predictors
Int J Behav Nutr Phys Act
GPs' knowledge, use, and confidence in national physical activity and health guidelines and tools: a questionnaire-based survey of general practice in England
Br J Gen Pract
Physiotherapy and physical activity: a cross-sectional survey exploring physical activity promotion, knowledge of physical activity guidelines and the physical activity habits of UK physiotherapists
Open Sport Exerc Med
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Conflict of Interest/Disclosures: None