Corneel Vandelanotte

• Professor
• Professor at Central Queensland University

Fly-in fly-out (FIFO) work involves commuting long distances and living in provided accommodation for 1–4 weeks while on shift. Little is known about couple communication and relationship satisfaction of this population. Separate cohorts of FIFO workers and partners of FIFO workers completed daily surveys to self-report time spent communicating wit...

Purpose Little is known about the effectiveness of health behaviour intervention in improving health-related quality of life (HRQOL) despite HRQOL being an important outcome in Type 2 diabetes (T2DM) management. This study examined the effectiveness of a culturally appropriate health behavioural intervention in improving HRQOL of people with T2DM i...

Objectives: This study assessed the feasibility of Sleepfit, an app-based sleep intervention for shiftworkers, to evaluate participant reach, engagement, and interaction. Methods: The RE-AIM framework guided the feasibility assessment. Participants from various shiftwork industries (e.g. healthcare, mining) completed a 14-day trial of the Sleepf...

Background Long-term cost-effectiveness analyses of health behaviour interventions to effectively manage type 2 diabetes mellitus (T2DM) in low-income countries are crucial for minimising economic burden and optimising resource allocation. Therefore, this study aimed to estimate the long-term cost-effectiveness of implementing a health behaviour in...

Introduction Health behavioural interventions led by community health workers (CHWs) and peer supporters effectively promote self-care behaviours among people with type 2 diabetes mellitus (T2DM). Few such interventions have been conducted in low-income countries including in Nepal. This study assessed the effectiveness of a community-based behavio...

This study aims to assess the status of health-related quality of life (HRQOL) and its associated factors in people with Type 2 diabetes mellitus (T2DM) in Nepal. HRQOL of 481 participants with T2DM in Kavrepalanchok and Nuwakot was measured using European Quality of life Visual Analogue Scale (EQVAS) and European Quality of life 5 dimensions (EQ5D...

Background Physical activity is important for healthy ageing, however most older adults are inactive. Numerous reviews with a range of inclusion criteria have been conducted on digital interventions to promote physical activity in older adults, and a synthesis of these is needed. Therefore, the objective of this study is to conduct an umbrella revi...

This study explored measures of subjective and objective sleep health and the association with fall occurrence and falls risk for older adults. A longitudinal observational study was conducted with participants in residential aged care (n = 36) and community dwelling (n = 35) settings. At baseline, objective sleep data involved wearing wrist worn a...

Background: Exercise rehabilitation programmes are important for long-term health and wellbeing among people with cardiac and pulmonary diseases. Despite this, many people struggle to maintain their physical activity once rehabilitation ends. This repeated measures study tracked changes in physical activity behaviour and motivation during and after...

High dietary salt intake is a known risk factor for hypertension. However, Australians continue to consume excessive amounts of salt. The purpose of this study was to identify barriers, enablers and strategies to reduce salt in a sample of Australian adults with hypertension. This was a qualitative study. Participants were asked a set of open-ended...

Background : Poor health in passenger rail drivers, resulting from perceived highly sedentary work and leisure time, has implications for public safety. To date, no studies have described the physical behaviors of passenger rail drivers. This study aimed to characterize the physical behaviors of passenger rail drivers by investigating the volume, p...

Background Stress influences examination performance among Sri Lankan students. Validated tests are required to evaluate stress levels among elementary students in Sri Lanka. Therefore, the Perceived Stress Questionnaire 8–11 (PSQ8-11) was translated into a Sinhala version. The aim of this study was to examine the psychometric properties of the tra...

Artificially intelligent physical activity digital assistants that use the full spectrum of machine learning capabilities have not yet been developed and examined. This study aimed to explore potential users' perceptions and expectations of using such a digital assistant. Six 90‐min online focus group meetings ( n = 45 adults) were conducted. Meeti...

The aim of this study was to assess the prevalence and associated factors of depressive symptoms and perceived stress among people with Type 2 diabetes mellitus (T2DM) in Nepal. Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress...

Background: Exercise rehabilitation programs are important for long-term health and wellbeing among people with cardiac and pulmonary disease. De-spite this, many people struggle to maintain their physical activity once reha-bilitation ends. This repeated measures study tracked changes in physical ac-tivity behaviour and motivation during and after...

Background: Type 2 diabetes mellitus (T2DM) is a global public health problem, imposing significant financial burden on its’ management and care. Patients’ self-care behaviours can help to reduce the financial burden on healthcare resources. However, no studies have examined the distribution of healthcare costs related to self-care behaviours in lo...

The aim of this meta-meta-analysis was to systematically review randomised controlled trial (RCT) evidence examining the effectiveness of e- and m-Health interventions designed to improve physical activity, sedentary behaviour, healthy eating and sleep. Nine electronic databases were searched for eligible studies published from inception to 1 June...

Background: Prevention of type 2 diabetes is becoming an urgent public health concern in low and middle-income countries (LMICs). However, there is currently no evidence of a cost-effective approach of health behaviour interventions from community settings in low-income countries like Nepal. Therefore, this study aimed to assess the within-trial e...

Background: The Australian population aged 70 and above is increasing and imposing new challenges for policy makers and providers to deliver accessible, appropriate and affordable health care. We examine pre-COVID patterns of health loss between 1990 and 2019 to inform policies and practices. Methods: Using the standardised methodology framework an...

Introduction The relationship between intervention engagement and behaviour change may vary depending on the specific engagement metric being examined. To counter this composite engagement measures may provide a deeper understanding of the relationship between engagement and behaviour change, though few studies have applied such multidimensional en...

Aim This study aimed to investigate awareness of having hypertension, diabetes and dyslipidaemia and their associated factors among US adults. Methods Data from the National Health and Nutrition Examination Survey, including 21,399 adults aged ⩾20 years (pregnant women excluded) collected between 2011 and 2018, were used. Blood pressure was measur...

Background The problem of sedentary behavior among primary school children is alarming, with numbers gradually increasing worldwide, including Sri Lanka. Physical activity interventions within classroom settings have been acknowledged as a critical strategy to increase students’ movement behaviors while enhancing their academic achievement and heal...

This study aimed to assess the moderating effect of social support on the effectiveness of a web-based, computer-tailored physical activity intervention for older adults. In the Active for Life trial, 243 inactive adults aged 65+ years were randomised into: (1) tailoring + Fitbit ( n = 78), (2) tailoring-only ( n = 96) or (3) control ( n = 69). For...

This study aims to assess the utilization of health care services and its associated factors among people with type 2 diabetes mellitus (T2DM) in Nepal. Data on the utilization of health care services were assessed in 481 adults aged 30 to 70 years with T2DM in Nepal. Multiple logistic regression analysis was performed to determine the factors asso...

The development, evaluation, and implementation of digital health interventions requires contributions from scientists, healthcare professionals, and developers. Albeit exciting, interdisciplinary and cross-sectoral collaboration is challenging and so often slow and its impact limited. By outlining challenges and potential action-oriented solutions...

Background. This study aimed to estimate the health care expenditure for managing type 2 diabetes (T2D) in the community setting of Nepal. Methods: This is a baseline cross-sectional study of a heath behavior intervention that was conducted between September 2021 and February 2022 among patients with T2D (N = 481) in the Kavrepalanchok and Nuwak...

Background Chronic disease is the leading cause of death globally. Sleep, diet, and physical activity are modifiable health behaviours that are key for reducing the burden of chronic disease. These health behaviours are collectively termed ‘The 3 Pillars of Health’ and are critical for populations who are at risk of poor health. Shiftworkers are on...

Introduction The commute home from a nightshift is associated with increased accident risk. Driving performance strategies typically occur immediately before or during the commute, such as napping and caffeine. It is unknown whether strategies that target alertness throughout the nightshift could impact the commute home. Breaking up sitting with wa...

Background Increasing engagement with sleep, diet, and physical activity (PA) is critical for populations who are at higher risk of poor health, such as shiftworkers. To increase engagement in sleep, diet and PA, it is critical to first understand which of these behaviours Australians currently prioritise and whether this prioritisation relates to...

Introduction Addressing the urgent public health concern of sleep health among shiftworkers, our study examined the application and effectiveness of a tailored sleep intervention, the Sleepfit app. We assessed reach, effectiveness, adoption, and maintenance, while identifying potential implementation barriers across diverse shiftwork industries. M...

Introduction Sleep quality and quantity is impacted by age, with women more susceptible to these age-related changes. Poor sleep in older adults is linked to adverse health outcomes and a greater risk of all-cause mortality. Given the ageing population in Australia, strategies to improve sleep in older adults is critical. Diet is a modifiable lifes...

Background Behavioral interventions targeted at managing Type 2 diabetes mellitus (T2DM) may have a positive effect on quality of life (QOL). Limited reviews have synthesized this effect in low- and middle-income countries (LMICs). This review and meta-analysis synthesised available evidence on the effect of behavioral interventions to manage T2DM...

Objective: Action planning is a common approach used in physical activity interventions. The aim of this study was to assess the association of frequency, consistency and content of action planning with physical activity behaviour, intention strength and habit strength. Methods and measures: Within a 3-month web-based, computer-tailored physical...

Issue addressed: Interventions targeting health care professionals' behaviours are assumed to support them in learning how to give behavioural advice to patients, but such assumptions are rarely examined. This study investigated whether key assumptions were held regarding the design and delivery of physical activity interventions among health care...

Background: A comprehensive understanding of temporal trends in the disease burden in Australia is lacking, and these trends are required to inform health service planning and improve population health. We explored the burden and trends of diseases and their risk factors in Australia from 1990 to 2019 through a comprehensive analysis of the Global...

Background Classroom-based physical activity interventions have demonstrated positive effects in reducing sedentary behaviour among school children. However, this is an understudied area, especially in low- and middle-income countries such as Sri Lanka. This study aims to explore teachers’ opportunity, capability and motivation relating to the impl...

Objectives No citation analysis has examined peer-reviewed sedentary behaviour research articles, which is needed to assess the impact of this research and identify knowledge gaps. Therefore, this study aimed to identify the 100 most cited sedentary behaviour articles and examine their bibliometric characteristics. Methods All databases indexed in...

Objective: Physical inactivity is a leading modifiable cause of death and disease worldwide. Population-based interventions to increase physical activity are needed. Existing automated expert systems (e.g., computer-tailored interventions) have significant limitations that result in low long-term effectiveness. Therefore, innovative approaches are...

Abstract Chatbots (also known as conversational agents and virtual assistants) offer the potential to deliver healthcare in an efficient, appealing and personalised manner. The purpose of this systematic review and meta-analysis was to evaluate the efficacy of chatbot interventions designed to improve physical activity, diet and sleep. Electronic d...

Objective This study examined adherence to dietary guidelines and symptoms of sleep problems (e.g., taking a long time to fall sleep or waking up early) and their associations in a sample of older Australian women (68-73 years of age). Design This was a population-based cross-sectional study. Adherence to the dietary guidelines was measured using...

Background: The economic burden of type 2 diabetes mellitus is rapidly increasing worldwide and creating a major challenge for low- and middle-income countries like Nepal. However, the healthcare cost for managing type 2 diabetes mellitus in community setting of Nepal is unknown. This study aimed to estimate the out-of-pocket expenditure for mana...

Objective: Vaccine hesitancy has been ranked by the World Health Organization among the top 10 threats to global health. With a surge in misinformation and conspiracy theories against vaccination observed during the COVID-19 pandemic, attitudes toward vaccination may be worsening. This study investigates trends in anti-vaccination attitudes during...

Background Preliminary evidence suggests that web-based physical activity interventions with tailored advice and Fitbit integration are effective and may be well suited to older adults. Therefore, this study aimed to examine the engagement, acceptability, usability, and satisfaction with ‘Active for Life,’ a web-based physical activity intervention...

Wearable activity trackers and smartphone apps have been shown to increase physical activity in children and adults. However, interventions using activity trackers and apps have rarely been tested in whole families. This study examined the experience and satisfaction with an activity tracker and app intervention (Step it Up Family) to increase phys...

Background To examine associations between user engagement and activity-sleep patterns in a 12-week m-health behavioural intervention targeting physical activity and sleep. Methods This secondary analysis used data pooled from two Randomised Control Trials (RCT, [Synergy and Refresh]) that aimed to improve physical activity and sleep (PAS) among p...

Objective: Diet-related apps and websites are developed to help improve dietary intake. The aim of this study is to explore the use and acceptability of diet-related apps and websites in Australia. Methods: In a cross-sectional study, 241 participants (mean age = 40.6 years) completed an online survey about demographic characteristics, lifestyle...

This study aims to compare the effectiveness, engagement, usability, and acceptability of a web-based, computer-tailored physical activity intervention (provided as video or text) between participants who were matched or mismatched to their self-reported learning style (visual and auditory delivery through video or text-based information). Generali...

Introduction Sleep restriction is associated with impairments to cognitive performance. A current strategy to improve cognitive performance at work is breaking up prolonged sitting with light-intensity walking. However, it is unknown whether this strategy can counteract the impact of sleep restriction. This study investigated the effect of breaking...

Excessive physical demand at work has traditionally been connected with adverse health outcomes, but excessive sitting is now also being recognised as an occupational hazard and emerging work-related risk. Traditional preventive occupational health and ergonomics programs are useful but limited through reliance on individual behaviour change and ti...

Objective Sustained engagement with Internet-based behavioural interventions is crucial to achieve successful behaviour change outcomes. As this has been problematic in many interventions, a lot of research has focused on participants with little or no engagement. However, few studies have attempted to understand users with continuous long-term eng...

Objective This study examined the feasibility of an activity tracker and app intervention to increase physical activity in whole families. Methods This was a single-arm feasibility study with pre–post-intervention measures. Between 2017 and 2018, 40 families (58 children aged 6–10 years, 39 mothers, 33 fathers) participated in the 6-week Step it U...

Background The COVID-19 pandemic has led to a worsening of mental health and health behaviors. While physical activity is positively associated mental health, there is limited understanding of how mental health and physical activity evolve throughout the COVID-19 pandemic. This study aimed to examine changes in depression, anxiety and stress and ph...

Background Few studies have investigated the impact of web-based physical activity interventions on mental health outcomes. Therefore, this study examined the impact of a web-based personally tailored physical activity intervention on depression, anxiety, stress and quality of life. Methods 501 participants were randomised into either a control gr...

Health behaviour interventions implemented in Asian countries often lack economic evaluation that address the problems of type 2 diabetes mellitus effectively. This review systematically as-sessed the existing literature on economic evaluation of health behaviour interventions to prevent and manage type 2 diabetes mellitus for people living in Asia...

Background: Physical activity is associated with depression. However, benefits of physical activity on depression may differ for specific domains of physical activity (i.e., leisure-time, work, and travel). Moreover, the relationship between physical activity and depression could also differ for people in different Body Mass Index (BMI) categories...

Background Lung cancer is the leading cause of cancer-related death globally. Physical activity and exercise provide unequivocal benefits to those living with and beyond lung cancer. However, few of those living with and beyond cancer meet the national physical activity guidelines. Various barriers exist for this population’s engagement in physical...

Background: The burden of Type 2 Diabetes Mellitus (T2DM) in South Asian countries is increasing rapidly. Self-care behaviour plays a vital role in managing T2DM and preventing complications. Research on self-care behaviours among people with T2DM has been widely conducted in South Asian countries, but there are no systematic reviews that assess s...

In-Classroom physical activity breaks (IcPAB) are a promising way to promote children’s health behaviors, while contributing to the development of their academic and cognitive ability and health outcomes. Yet the effect of the activity breaks, which are exclusive to classroom settings, are still mixed and unclear. Hence, this review was conducted t...

This study investigates differences in physical activity between weekdays and weekend days, and its associations with sociodemographic and anthropometric characteristics in the U.S population using the NHANES 2011–2014 data. Physical activity was measured using ActiGraph GT3X+. Raw acceleration data were converted to Monitor-Independent Movement Su...

Introduction: A new smartphone app (QUT Inspire) has been developed to detect inspiratory sound and deliver virtual incentive spirometry (ISy), a respiratory therapy technique used in post-operative recuperation, management of some chronic conditions and with potential applications in SARS-CoV-2 rehabilitation. The aim of this study was to compare...

Background According to the Elaboration Likelihood Model, persuasion can occur via two different routes (the central route and peripheral route), with the route utilized dependent on factors associated with motivation and ability. This study aimed to explore the moderating role of need for cognition (NFC) and perceived relevance on the processing o...

Introduction: Exercise that challenges balance is proven to prevent falls in community-dwelling older people, yet widespread implementation and uptake of effective programmes is low. This systematic review and meta-analysis synthesised the evidence and evaluated the effect of eHealth-delivered exercise programmes compared with control on balance i...

Background: globally, falls and fall-related injuries are the leading cause of injury-related morbidity and mortality in older people. In our ageing society healthcare costs are increasing, therefore programmes that reduce falls and are considered value for money are needed. Objective: to complete an economic evaluation of an e-Health balance ex...

Background Physical activity is an integral part of healthy aging; yet, most adults aged ≥65 years are not sufficiently active. Preliminary evidence suggests that web-based interventions with computer-tailored advice and Fitbit activity trackers may be well suited for older adults. Objective The aim of this study was to examine the effectiveness o...

Background: Gamification is purported to enhance engagement with health behavior apps, ultimately improving their effectiveness. This study aimed to examine (1) whether the inclusion of gamification features in a physical activity smartphone app was associated with improved app usage and goal adherence, describe (2) use of the gamification features...

This study aimed to assess occupational health professionals’ application of the Goldilocks Work Paradigm in redesigning jobs for healthier physical behaviours while maintaining productivity. During a group simulation exercise, participants (n = 16) created job descriptions for four different occupation cases (factory worker, office worker, teacher...

Background COVID-19 has resulted in substantial global upheaval. Resilience is important in protecting wellbeing, however few studies have investigated changes in resilience over time, and associations between resilience with depression, anxiety, stress, and physical activity during the COVID-19 pandemic. Methods Online surveys were conducted to c...

Introduction: Pedal assisted electric-bikes (e-bikes), are bicycles fitted with electric motors. Motorised functions on e-bikes only operate when the user pedals, allowing riders a moderate amount of physical activity. This study aimed to explore the mental and physical health and wellbeing impacts related to e-bike usage for inactive overweight o...

Background Online risk assessment tools for type 2 diabetes communicate risk information to motivate individuals to take actions and reduce their risk if needed. The impact of these tools on follow-up behaviours (e.g., General Practitioner (GP) visits, improvement in health behaviours) is unknown. This study examined effectiveness of a personalised...

BACKGROUND Poor diet is a contributing factor to the risk and burden of noncommunicable diseases. Diet apps and websites are developed to help improve dietary intake. OBJECTIVE The aim of this study is to explore the use and acceptability of diet apps and associated websites in Australia. METHODS In a cross-sectional study, 241 participants (mean...

Context Prolonged high salt (sodium) intake can increase the risk of hypertension and cardiovascular disease. Behavioral interventions may help reduce sodium intake at the population level. Objective The effectiveness of behavior change interventions to reduce sodium intake in adults was investigated in this systematic review and meta-analysis. D...

Effective physical activity messaging plays an important role in the pathway towards changing physical activity behaviour at a population level. The Physical Activity Messaging Framework (PAMF) and Checklist (PAMC) are outputs from a recent modified Delphi study. This sought consensus from an international expert panel on how to aid the creation an...

Preliminary research has shown the effectiveness of supervised exercise-based interventions in alleviating sequela resulting from metastatic prostate cancer. However, many individuals encounter barriers that limit the uptake of face-to-face exercise. Technology-enabled interventions offer a distance-based alternative. This pilot study aimed to expl...

People who are more physically active tend to have more favorable automatic evaluations of exercise (i.e., nonconscious evaluations based on mental associations between “exercise” and “pleasant” or “unpleasant” that manifest into approach tendencies). Although some interventions have been shown to modify automatic evaluations in lab-based settings,...

Background: Clinically valid and reliable simulated inspiratory sounds were required for the development and evaluation of a new therapeutic respiratory exergame application (i.e., QUT Inspire). This smartphone application virtualises incentive spirometry, a longstanding respiratory therapy technique. Objectives: Inspiratory flows were simulated us...

Childhood obesity is a public health concern. Electronic and mobile health (e-&mHealth) approaches can facilitate the delivery of interventions for obesity prevention and treatment. Synthesizing reviews of e-&mHealth interventions to improve weight and weight-related behaviors (physical activity, sedentary behavior, and diet) is useful to character...