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Published on Authors of this article:. Background: Insufficient physical activity PA and excess weight increase illness risk for women. Face-to-face interventions can increase PA levels; however, they are often inaccessible. With growing interest in digital interventions, a Self-Determination Theory SDT βdriven intervention was developed and delivered via email to promote PA in women who were insufficiently active and overweight or obese.
Methods: A 3-arm, parallel group, randomized controlled trial unblinded was conducted in Ontario, Canada. Recruitment occurred from September to March via advertising through social media, web-based boards, and posters in publicly accessible areas.
This substudy focused on the 15 participants allocated to the main intervention arm. Participants received an automated intervention consisting of 1 6 weekly emails, 2 a Polar Electro Inc A activity monitor with access to the Polar Flow website and companion smartphone app , and 3 a copy of the Canadian PA guidelines for adults. Emails were developed using SDT and designed to enhance autonomous motivation by fostering the psychological needs of competence, autonomy, and relatedness.
Well-established motivational and behavior change techniques were embedded in the emails to promote needs satisfaction. After the intervention ie, 7 weeks after randomization , participants were invited to complete a web-based acceptability and usability survey containing open-ended and closed-ended questions; responses were analyzed using descriptive and content analyses, respectively.
Open-ended responses indicated that participants were generally satisfied with the intervention and appreciated that emails prompted self-reflection, kept them on track and accountable, provided informational support, and were nonpressuring. Conclusions: Results suggest that this SDT-driven, email-delivered intervention may be an acceptable low-contact approach to promote PA in women who are overweight or obese and insufficiently active; however, improvements are warranted and studies ascertaining its effectiveness are needed.