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dc.contributor.authorBuckingham, Sarah Ann
dc.contributor.authorMorrissey, Karyn
dc.contributor.authorWilliams, Andrew James
dc.contributor.authorPrice, Lisa
dc.contributor.authorHarrison, John
dc.identifier.citationBuckingham , S A , Morrissey , K , Williams , A J , Price , L & Harrison , J 2020 , ' The Physical Activity Wearables in the Police Force (PAW-Force) study : acceptability and impact ' , BMC Public Health , vol. 20 , 1645 .
dc.identifier.otherPURE: 271084008
dc.identifier.otherPURE UUID: f0da5c98-9083-467e-bc22-7fe78c730ca2
dc.identifier.otherRIS: urn:D29747C5B2ABF6CF08420F386D628B1F
dc.identifier.otherRIS: Buckingham2020
dc.identifier.otherORCID: /0000-0002-2175-8836/work/83086168
dc.identifier.otherScopus: 85094928154
dc.identifier.otherWOS: 000589614800006
dc.descriptionFunding: SAB is supported by a PhD studentship from the University of Exeter Medical School and Devon and Cornwall Police.en
dc.description.abstractBackground: Policing is a highly stressful and increasingly sedentary occupation. The study aim was to assess the acceptability and impact of a mobile health (mHealth) technology intervention (Fitbit® activity monitor and ‘Bupa Boost’ smartphone app) to promote physical activity (PA) and reduce sedentary time in the police force. Methods: Single-group, pre-post, mixed methods pilot study. Police officers and staff (n = 180) were recruited from two police forces in South West England. Participants used the technology for 12 weeks (an ‘individual’ then ‘social’ phase) followed by 5 months of optional use. Data sources included Fitbit®-recorded objective step count, questionnaire surveys and semi-structured interviews (n = 32). Outcome assessment points were baseline (week 0), mid-intervention (week 6), post-intervention (week 12) and follow-up (month 8). Paired t-tests were used to investigate changes in quantitative outcomes. Qualitative analysis involved framework and thematic analysis. Results: Changes in mean daily step count were non-significant (p > 0.05), but self-reported PA increased in the short term (e.g. + 465.4 MET-minutes/week total PA baseline to week 12, p = 0.011) and longer term (e.g. + 420.5 MET-minutes/week moderate-to-vigorous PA baseline to month 8, p = 0.024). The greatest impact on behaviour was perceived by less active officers and staff. There were no significant changes in sedentary time; the qualitative findings highlighted the importance of context and external influences on behaviour. There were no statistically significant changes (all p-values > 0.05) in any secondary outcomes (physical and mental health-related quality of life, perceived stress and perceived productivity), with the exception of an improvement in mental health-related quality of life (SF-12 mental component score + 1.75 points, p = 0.020) from baseline to month 8. Engagement with and perceived acceptability of the intervention was high overall, but a small number of participants reported negative physical (skin irritation) and psychological (feelings of guilt and anxiety) consequences of technology use. Individual app features (such as goal-setting and self-monitoring) were generally preferred to social components (social comparison, competitions and support). Conclusions: mHealth technology is an acceptable and potentially impactful intervention for increasing PA in the police force. The intervention was less useful for reducing sedentary time and the impact on secondary outcomes is unclear.
dc.relation.ispartofBMC Public Healthen
dc.rightsCopyright © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.en
dc.subjectMobile healthen
dc.subjectPhysical activiyen
dc.subjectSedentary behaviouren
dc.subjectPolice forceen
dc.subjectBehaviour changeen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.titleThe Physical Activity Wearables in the Police Force (PAW-Force) study : acceptability and impacten
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.description.statusPeer revieweden

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