Abstract
Objective
To use the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework
to evaluate and understand key implementation and context factors of a diet and physical
activity (PA) workplace intervention for nurses.
Methods
A 3-month pilot intervention was developed to promote diet and PA behavior through
self-monitoring, goal setting, and social support using pedometers, a smartphone app,
and a dedicated Facebook group. Measures included diet quality, daily PA, adoption,
and implementation (including qualitative data). Maintenance was assessed at 6-month
follow-up.
Results
Forty-seven nurses participated in the study. At 3 months, fruit and vegetable intake
significantly increased (P = .04) whereas PA significantly decreased (P = .01). The intervention was partially adopted as planned, with low reach and efficacy.
Participants reported that changing 2 behaviors at the same time was difficult, with
the majority feeling it was easier to change diet than to become more physically active.
Conclusions and Implications
The ability to change diet and PA behaviors at the same time was challenging in nurses.
Future studies examining whether similar occupational groups with high stress, fatigue,
and lack of time face the same challenges would contribute to understanding these
results.
Key Words
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Article info
Publication history
Published online: April 09, 2018
Accepted:
December 7,
2017
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2017 Society for Nutrition Education and Behavior. Published by Elsevier, Inc. All rights reserved.
