title: 5A Counselling to Promote Physical Activity to Adults with Noncommunicable Diseases
Creators: name: Harpour, Felicity H
Publisher: name: Griffith University
Year: 2024
Subjects: subject: noncommunicable disease (NCD)
subject: physical activity
subject: 5A counselling framework

description: Background: Noncommunicable diseases (NCDs) are the leading cause of fatal and non-fatal burden of disease and disability-adjusted life years (DALYs) worldwide. Physical activity is an essential component of managing NCDs, however many adults with NCDs are insufficiently active. The 5A counselling framework is endorsed by the World Health Organisation and can be used to promote lifestyle behaviour change. The aim of this PhD was to examine the 5A counselling framework to promote physical activity to people with NCDs. Methods: This PhD comprised three studies. Study one was a randomised controlled trial that compared individual 5A physical activity counselling with group supervised exercise training among adults with mental illness. A convenience sample of 25 adults (mean age = 37.8 years, SD = 9.09, 68% female) was recruited from a community nonprofit organisation and randomly assigned to one of two 10-week interventions. Self-administered questionnaires were used to assess physical activity behaviour, perceived competence, and autonomous motivation at pre- and post-intervention and one-month follow-up, and participant feedback. Attendance records were also kept. Between and within group differences were assessed using Mann Whitney U and Friedman tests. Study two was a randomised controlled trial that compared group 5A physical activity counselling as an adjunct to standard pulmonary rehabilitation to standard pulmonary rehabilitation-only in people with chronic obstructive pulmonary disease (COPD). Participants were 50 adults (mean age = 67.08 years, SD = 10.02, 60% female) recruited from a community health clinic with sites assigned to one of two 8-week interventions. Physical activity data were collected via self-report questionnaires and ActiGraph wGT3X-BT accelerometers, and exercise capacity was assessed using the six-minute walk test at pre- and post-intervention with 12-month follow-up. Self-report questionnaires were used to assess perceived competence, autonomous motivation, and well-being at pre- and post-intervention with 12-month follow-up. Feedback was obtained at post-intervention using participant questionnaires and interviews with agency staff. Attendance records were also kept. Between-group differences were assessed using 2 x 2 ANOVA. The reliable change index and clinically significant scores were also calculated. Study three was a scoping review of intervention studies using 5A counselling to promote physical activity in people with NCDs. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Metaanalyses extension for Scoping Reviews (PRISMA-ScR). Five databases were systematically searched for studies published between January 2000 and December 2022, and with NCDs including cardiovascular disease, cancer, diabetes, musculoskeletal disorders, respiratory diseases, and mental illness. Data on participants, counselling implementation, interventionists and physical activity assessment and outcomes were extracted. [...]