1 00:00:00,620 --> 00:00:05,120 Hello, my name is Bethany Love. I am an undergraduate student and Kinesiology major at Cal Poly 2 00:00:05,120 --> 00:00:09,280 in the department of Kinesiology and Public Health. This is a video summary of the study 3 00:00:09,280 --> 00:00:13,540 “How Credible Is Online Physical Activity Advice? The Accuracy of Free Adult Educational 4 00:00:13,540 --> 00:00:17,640 Materials” authored by Doctors Thomas and Cardinal, associated with Cal Poly San Luis 5 00:00:17,640 --> 00:00:22,121 Obispo and Oregon State University. The full study can be found by scanning the QR code 6 00:00:22,121 --> 00:00:27,260 in the bottom right-hand corner. This study included 139 physical activity articles from 7 00:00:27,260 --> 00:00:31,540 a variety of sources on the Internet that were assessed for having at least one message 8 00:00:31,540 --> 00:00:36,719 consistent with each guideline from the 2008 national physical activity guidelines. 9 00:00:36,719 --> 00:00:41,670 The national physical activity guidelines are widely accepted and grounded in research. 10 00:00:41,670 --> 00:00:47,089 However, many people find them hard to understand. According to the 2003 National Health Information 11 00:00:47,089 --> 00:00:51,489 Trends Survey, 75% felt overwhelmed by the amount of physical activity information that 12 00:00:51,489 --> 00:00:56,319 they didn’t know what to follow. Further, 80% did not take action towards change after 13 00:00:56,319 --> 00:01:01,949 hearing about a new physical activity recommendation. Confusion about guidelines is likely the cause 14 00:01:01,949 --> 00:01:06,730 of inaction towards implementing routines that align with recommendations. In a more 15 00:01:06,730 --> 00:01:12,340 recent article published in 2020 by Piercy et al., only 22% of respondents to an online 16 00:01:12,340 --> 00:01:17,110 survey were aware that guidelines existed and only 2% knew the recommended dose for 17 00:01:17,110 --> 00:01:21,280 moderate endurance activity, which is the kind of activity you can talk but not sing 18 00:01:21,280 --> 00:01:25,600 while doing. As confusion about guidelines has persisted over time, it is important to 19 00:01:25,600 --> 00:01:30,170 take action towards a solution. We as providers have an important part to play by providing 20 00:01:30,170 --> 00:01:35,720 accurate information to patients. This video aims to address a key source of confusion: 21 00:01:35,720 --> 00:01:39,310 advice that does not match with guidelines. 22 00:01:39,310 --> 00:01:43,791 The pie charts graphic represents the breakdown of articles with at least one consistent message 23 00:01:43,791 --> 00:01:49,160 versus those with none. The less orange, the less articles with a least one consistent 24 00:01:49,160 --> 00:01:53,920 message. Each pie chart summarizes the data for four areas of the guidelines. The 25 00:01:53,920 --> 00:01:58,120 turquoise running shoes represent health benefits from endurance physical activity. The purple 26 00:01:58,120 --> 00:02:02,270 running shoes with a plus sign are for additional health benefits from endurance exercise, 27 00:02:02,270 --> 00:02:06,450 the dumbbell for strength training, and the couch potato for adults with an inactive lifestyle. The 28 00:02:06,450 --> 00:02:11,870 less orange, the less consistent. The pie charts show most articles were blue—they 29 00:02:11,870 --> 00:02:15,799 did not provide advice consistent with the guidelines. Now, please direct your attention 30 00:02:15,799 --> 00:02:21,319 to the lower right pie chart. That pie chart has another key finding. It shows that adults 31 00:02:21,319 --> 00:02:26,170 with sedentary lifestyles would be least likely to receive credible advice about physical 32 00:02:26,170 --> 00:02:31,040 activity online. This puts them at a disadvantage when seeking out physical activity advice online and 33 00:02:31,040 --> 00:02:36,150 may hurt their progress towards a healthier and more active lifestyle. 34 00:02:36,150 --> 00:02:40,439 People use web articles to educate themselves on how to plan and structure their exercise 35 00:02:40,439 --> 00:02:45,019 routines. It is our responsibility to provide patients with credible resource material, 36 00:02:45,019 --> 00:02:49,450 as well as help them learn how to judge the credibility of material they locate online. 37 00:02:49,450 --> 00:02:53,840 Sometimes the advice given in an article may seem credible, but a closer look reveals key 38 00:02:53,840 --> 00:02:59,209 information is missing. The case example on the next slide demonstrates this point. This 39 00:02:59,209 --> 00:03:03,049 article focuses on adults looking to start a weight training routine and is purportedly 40 00:03:03,049 --> 00:03:07,049 for those looking to start with the basics. Given this, we will critique this article 41 00:03:07,049 --> 00:03:11,870 with guideline 16 in mind. Guideline 16 falls under the group of guidelines for inactive 42 00:03:11,870 --> 00:03:16,719 adults. It is recommended that inactive adults “start with 1 day a week of light to moderate 43 00:03:16,719 --> 00:03:20,840 level effort for muscle-strengthening activity”. “Light to moderate” can be defined as 44 00:03:20,840 --> 00:03:27,560 doing 1 set of 8-12 repetitions that is perceived as easy to somewhat difficult. 45 00:03:27,560 --> 00:03:32,060 Our case article is a real article. This excerpt instructs the reader how to get started with 46 00:03:32,060 --> 00:03:35,870 their weight training. The bold text provides information similar 47 00:03:35,870 --> 00:03:40,890 to Guideline 16, so we are going to judge how well the two matched. It relates to guideline 48 00:03:40,890 --> 00:03:45,140 16 because the phrase “first step” implies that this advice is for beginners or people 49 00:03:45,140 --> 00:03:50,780 who were not previously active in this capacity. Now recall the words of Guideline 16. What 50 00:03:50,780 --> 00:03:55,480 guidance did it contain for behavior and weekly routine? Okay, now state if the bold text 51 00:03:55,480 --> 00:03:59,930 matches Guideline 16 or not? If you would like more time, feel free to pause the video. 52 00:03:59,930 --> 00:04:04,700 Now let’s move on to the answer and suggested edits to make the message consistent with 53 00:04:04,700 --> 00:04:07,189 the guideline. 54 00:04:07,189 --> 00:04:12,880 So, to the question, “does the bold text match Guideline 16?” the answer is no. While 55 00:04:12,880 --> 00:04:17,289 close and persuasive, it lacks key information to give the reader a good start. For example, 56 00:04:17,289 --> 00:04:21,450 “a lot of weight” goes against the guideline’s recommendation to start with lighter weight. 57 00:04:21,450 --> 00:04:26,220 Additionally, the term “lifting heavy” is opposite of “light to moderate.” Specifically, 58 00:04:26,220 --> 00:04:30,550 heavy can be defined as something hard to do or difficult. 59 00:04:30,550 --> 00:04:35,099 Here is an example of a revised message that follows guideline 16. This exercise we did 60 00:04:35,099 --> 00:04:39,340 together is valuable. It helps us remember key information we should give our clients 61 00:04:39,340 --> 00:04:45,750 when advising them about exercise. It also helps us identify changes we could make to 62 00:04:45,750 --> 00:04:50,389 ensure material we select or provide matches national physical activity guidelines. There 63 00:04:50,389 --> 00:04:54,620 are other aspects of the excerpt we might critique. If you would like to see how, try 64 00:04:54,620 --> 00:05:01,670 our post-video practice material. It contains background information and more helpful exercises. 65 00:05:01,670 --> 00:05:05,680 The study summarized in this video showed that confusion about physical activity guidelines 66 00:05:05,680 --> 00:05:10,490 is a persistent issue. A large cause of this perpetual confusion lays in how guideline 67 00:05:10,490 --> 00:05:15,229 information is presented to the public. There is little consistency in the advice that end-users receive 68 00:05:15,229 --> 00:05:22,430 and what is in official physical activity guidelines. Confusion is a negative reaction. 69 00:05:22,430 --> 00:05:26,870 People unsure about what is safe or effective exercise for them are less motivated to 70 00:05:26,870 --> 00:05:34,730 be active in their daily life. Careful attention to the accuracy of advice is needed. Professionals 71 00:05:34,730 --> 00:05:40,330 have a responsibility to verify if materials they produce or select for clients match official 72 00:05:40,330 --> 00:05:44,990 physical activity guidelines. Therefore, practice in  recognizing  if content matches 73 00:05:44,990 --> 00:05:50,550 official physical activity guidelines is crucial. As an illustration on why professionals and students 74 00:05:50,550 --> 00:05:55,259 must practice consistent communication, we completed an activity together, which 75 00:05:55,259 --> 00:05:59,500 helped us learn to identify information that does not match with guidelines. This 76 00:05:59,500 --> 00:06:04,169 skill is essential because it is our responsibility to provide clients with credible sources and 77 00:06:04,169 --> 00:06:07,440 teach them how to judge sources for themselves.  78 00:06:07,440 --> 00:06:12,509 Finally, we have some QR codes to additional resources for you. First, we have the link 79 00:06:12,509 --> 00:06:16,360 to the full article, followed by a free quiz to test your knowledge and understanding of 80 00:06:16,360 --> 00:06:20,069 the material from this video. Then we have a link to the Department of Health and Human 81 00:06:20,069 --> 00:06:24,470 Services website containing a variety of infographics on physical activity guidelines that can be 82 00:06:24,470 --> 00:06:30,610 adapted for your use. And lastly the link for an inquiry form for any follow up questions. 83 00:06:30,610 --> 00:06:31,690 Thank you!