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Jeff David Breckon, Lynne Halley Johnston, and Andrew Hutchison


Physical activity (PA) counseling is becoming commonplace in primary care settings, although there is a high degree of variation in the quality and quantity of this intervention. The purpose of this review was to examine the theory on which the intervention is based and the level of treatment fidelity applied at all stages of the intervention.


A systematic review was carried out for interventions that reported an element of PA counseling. Results were mapped according to a treatment fidelity framework of intervention design, training, delivery, receipt, and enactment.


Most studies were underpinned by the transtheoretical model. Few studies described the frequency or duration of PA counseling training or competence level of the interventionist. The most common outcome measures were behavioral and physiological, with few studies including a cognitive outcome measure.


Most research focuses on outcome and significance rather than intervention processes, with limited consideration of treatment fidelity. The design, training, delivery, and receipt of PA counseling should be reported more thoroughly.

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Christopher C. Imes, Yaguang Zheng, Dara D. Mendez, Bonny J. Rockette-Wagner, Meghan K. Mattos, Rachel W. Goode, Susan M. Sereika, and Lora E. Burke

Background: The obesity epidemic is a global concern. Standard behavioral treatment including increased physical activity, reduced energy intake, and behavioral change counseling is an effective lifestyle intervention for weight loss. Purpose: To identify distinct step count patterns among weight loss intervention participants, examine weight loss differences by trajectory group, and examine baseline factors associated with trajectory group membership. Methods: Both groups received group-based standard behavioral treatment while the experimental group received up to 30 additional, one-on-one self-efficacy enhancement sessions. Data were analyzed using group-based trajectory modeling, analysis of variance, chi-square tests, and multinomial logistic regression. Results: Participants (N = 120) were mostly female (81.8%) and white (73.6%) with a mean (SD) body mass index of 33.2 (3.8) kg/m2. Four step count trajectory groups were identified: active (>10,000 steps/day; 11.7%), somewhat active (7500–10,000 steps/day; 28.3%), low active (5000–7500 steps/day; 27.5%), and sedentary (<5000 steps/day; 32.5%). Percent weight loss at 12 months increased incrementally by trajectory group (5.1% [5.7%], 7.8% [6.9%], 8.0% [7.4%], and 13.63% [7.0%], respectively; P = .001). At baseline, lower body mass index and higher perceived health predicted membership in the better performing trajectory groups. Conclusions: Within a larger group of adults in a weight loss intervention, 4 distinct trajectory groups were identified and group membership was associated with differential weight loss.

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Dominika Bhatia, Nancy M. Salbach, Olayinka Akinrolie, Kyla Alsbury-Nealy, Renato Barbosa dos Santos, Parvin Eftekhar, Hal Loewen, Erica Nekolaichuk, Chelsea Scheller, Rebecca Schorr, Stephanie Scodras, and Ruth Barclay

walking poles (e.g., Nordic Walking) or walkers. We also did not exclude complex interventions where community ambulation may have been one of several components (e.g., behavior change counseling, use of technology). We considered supervised and unsupervised individual and group-based interventions

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L. Jayne Beselt, Michelle C. Patterson, Meghan H. McDonough, Jennifer Hewson, and Scott MacKay

; M age  = 72; 48% married PA behavior change counseling by health educator Cross-sectional; mixed methods Structured interview at 1 month Social cognitive theory used to develop intervention 14 Halaweh, Svantesson, and Willén ( 2016 ) West Bank (Palestine) Explore the experiences of habitual PA in