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He M, Zhou J, Wang Y, Chen Z, Wang F. Mediating effect of self-efficacy on self-perceived burden and kinesiophobia in patients with coronary heart disease after percutaneous coronary intervention in China: a cross-sectional study. BMJ Open 2025; 15:e083220. [PMID: 40306917 DOI: 10.1136/bmjopen-2023-083220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/02/2025] Open
Abstract
OBJECTIVES To analyse the current state of kinesiophobia, self-perceived burden and self-efficacy in patients with coronary heart disease (CHD) following percutaneous coronary intervention (PCI). In addition, to study the mediating effect of self-efficacy between self-perceived burden and kinesiophobia. DESIGN Cross-sectional study. SETTING A tertiary-level hospital in Anhui Province, China. PARTICIPANTS We recruited a total of 255 patients for this study. The eligible subjects were patients diagnosed with coronary artery disease who underwent successful transradial PCI. The exclusion criteria included patients who had both diseases affecting their exercise ability and severe psychiatric disorders. PRIMARY AND SECONDARY OUTCOME MEASURES We used questionnaires consisting of the Self-Efficacy Scale for Chronic Disease (SESC), the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Self-Perceived Burden Scale (SBPS) and a general information data sheet to obtain participant information. SPSS Bootstrap was used for mediated effects analysis. RESULTS The total patient score for kinesiophobia, self-perceived burden and self-efficacy was 42.96±5.00, 24.36±7.84 and 7.61±1.46, respectively. Kinesiophobia was negatively and positively associated with self-efficacy (r=-0.368, p<0.01) and self-perceived burden (r=0.271, p<0.01), respectively. The mediating effect of self-efficacy between self-perceived burden and kinesiophobia in patients was 0.046 (95% CI 0.018 to 0.081), accounting for 26.59% of the total effect. CONCLUSION Self-efficacy partially mediates self-perceived burden and kinesiophobia in patients. The medical staff of facilities should strengthen the evaluation and monitoring of patients' self-efficacy and self-perceived burden and conduct intervention measures to reduce their kinesiophobia.
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Affiliation(s)
- Mengyu He
- The First Affiliated Hospital of Bengbu Medical University, Bengbu Anhui, People's Republic of China
- Bengbu Medical University School of Nursing, Bengbu Anhui, People's Republic of China
| | - Jing Zhou
- The First Affiliated Hospital of Bengbu Medical University, Bengbu Anhui, People's Republic of China
| | - Yu Wang
- The First Affiliated Hospital of Bengbu Medical University, Bengbu Anhui, People's Republic of China
| | - Zhenyue Chen
- The First Affiliated Hospital of Bengbu Medical University, Bengbu Anhui, People's Republic of China
| | - Feng Wang
- The First Affiliated Hospital of Bengbu Medical University, Bengbu Anhui, People's Republic of China
- Bengbu Medical University School of Nursing, Bengbu Anhui, People's Republic of China
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Ray EC, Arpan L, Ichplani P. When a #Selfie is Healthy: How Self-Persuasion Through User-Generated Content Influences Intentions. HEALTH COMMUNICATION 2025:1-13. [PMID: 40293119 DOI: 10.1080/10410236.2025.2494847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/30/2025]
Abstract
As user-generated content (UGC) increasingly shapes the digital communication landscape, this study explored how message creators may persuade themselves to engage in healthier activities. In an online experiment, participants (N = 404) were asked to select a topic (healthy eating or exercising) and view a screenshot from a fictitious health organization. Afterward, participants were randomly assigned (based on topic) to: (a) create a video, (b) watch a video, or (c) a control group, and answer a questionnaire. A mediation analysis showed that message-creation was associated with more positive attitudes, self-identity, and self-efficacy. In turn, these variables were associated with greater intentions to adopt healthy practices. Merely watching a video (or doing nothing) was less influential. The data suggest specific mechanisms by which self-persuasion may affect behavior in digital health contexts, particularly via self-efficacy. Results also suggest recommendations for practitioners to leverage the persuasive influence of UGC in health-promotion campaigns.
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Affiliation(s)
| | - Laura Arpan
- Department of Communication, University at Buffalo
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Garstang KR, Magistro D, Jackman PC, Cooper SB, Healy LC. Psychological mediators of the relations between goal motives, physical activity and well-being: Testing a model of path analysis. J Health Psychol 2025:13591053251330430. [PMID: 40231712 DOI: 10.1177/13591053251330430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2025] Open
Abstract
The autonomous and controlled motivations underpinning goal pursuit directly impact physical activity and mental well-being and are important for healthy behavior adherence. Psychological variables can also affect physical activity and mental well-being. This study tested the association between goal motives, psychological variables, physical activity, and mental well-being using structural equation modelling. Adults (N = 323;Mage =32.46 ± 13.12 y) completed a cross-sectional survey measuring goal motives, motivation, affective experiences, self-efficacy, physical activity, and mental well-being. Our analysis showed support for the proposed model fit: (χ2(6) = 14.16, p = .028, RMSEA = .07, CFI = .99, TLI = .97). In contrast to controlled goal motives, autonomous goal motives were positively related to the psychological variables associated with physical activity and mental well-being. Motivation and affective experiences were positively associated with physical activity. Self-efficacy was positively associated with mental well-being. Intricacies of the associations between goal motives, psychological variables, physical activity, and mental well-being are discussed.
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Affiliation(s)
- Katie R Garstang
- Sport, Health and Performance Enhacement (SHAPE) Research Group, School of Science and Technology, Nottingham Trent University, UK
- Centre for Behavioural Science and Applied Psychology, Institute of Social Sciences, Sheffield Hallam University, UK
| | - Daniele Magistro
- Sport, Health and Performance Enhacement (SHAPE) Research Group, School of Science and Technology, Nottingham Trent University, UK
| | - Patricia C Jackman
- School of Psychology, Sport Science and Wellbeing, University of Lincoln, UK
| | - Simon B Cooper
- Sport, Health and Performance Enhacement (SHAPE) Research Group, School of Science and Technology, Nottingham Trent University, UK
| | - Laura C Healy
- Sport, Health and Performance Enhacement (SHAPE) Research Group, School of Science and Technology, Nottingham Trent University, UK
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Laxton P, Healy S, Brewer B, McCormick B, Orsega-Smith E, Smith L, Daly J, Patterson F. Multi-level factors associated with the sedentary behavior of adults with intellectual disabilities in community living arrangements. Disabil Health J 2025:101836. [PMID: 40210581 DOI: 10.1016/j.dhjo.2025.101836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2024] [Revised: 03/19/2025] [Accepted: 04/03/2025] [Indexed: 04/12/2025]
Abstract
BACKGROUND Sedentary Behavior (SB) is an independent risk factor for cardiometabolic diseases and mortality. Adults with intellectual disabilities (ID) that live in Community Living Arrangements (CLAs) participate in higher SB, however the factors associated with SB are unknown in this group. OBJECTIVE The cross-sectional study investigated the multi-level determinants related to SB among adults with ID in community living arrangements (CLAs). METHODS Adults with ID who lived in CLAs wore an activPAL device for seven days so that SB could be estimated. Prolonged SB and total SB duration served as the outcome variables. Electronic surveys assessed factors across the levels of the social-ecological model. Bivariate analyses estimated the association between each of the independent variables with each of the SB outcomes followed by a multivariable analysis using Least Absolute Shrinkage and Selection Operator (LASSO) regressions for both prolonged SB and total SB duration. RESULTS Study participants (n = 36) had a mean age of 44.1 years (SD = 15.01), were predominantly male (58.33 %) and White (83.33 %). Nearly half (n = 16; 47.22 %) exhibited prolonged SB, spending on average 7.46 h (SD = 2.23) in SB daily. The LASSO regression identified higher independence in activities of daily living (ADL) and low levels of staff conflict as being associated with lower total SB duration and less likelihood of prolonged SB. CONCLUSION Our findings underscore the influence of multi-level factors on SB in adults with ID. These data suggest that interventions to reduce SB should consider not just individual traits but also the broader social and environmental contexts.
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Affiliation(s)
| | - Sean Healy
- University of Limerick, Limerick, Ireland
| | | | | | | | - Lee Smith
- Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, England, USA
| | - Julie Daly
- Early Intervention Specialists, Pittsburgh, PA, USA
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5
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Zhou F, Wang W, Nie Y, Shao C, Ma W, Qiu W, Qu G, Gao J, Liu C. The study of the association between exercise motivation and cardiorespiratory fitness in young students: a systematic review and meta-analysis. Front Psychol 2025; 16:1566952. [PMID: 40191576 PMCID: PMC11970555 DOI: 10.3389/fpsyg.2025.1566952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2025] [Accepted: 02/18/2025] [Indexed: 04/09/2025] Open
Abstract
Background In recent years, many studies have shown that exercise motivation is essential for encouraging students to engage in physical activities. Cardiorespiratory function, which is closely related to cardiorespiratory fitness, plays a crucial supportive role in sports, and its level is usually reflected by cardiorespiratory fitness measurements. This study aims to explore the correlation between exercise motivation and cardiorespiratory fitness in young students, analyze the impact of exercise motivation on cardiorespiratory fitness, and investigate the role of cardiorespiratory fitness in the formation of exercise motivation. Methods Following the PRISMA statement, a comprehensive literature search was carried out in six electronic databases from July 1, 2000, to December 1, 2024. The selected studies were strictly quality-assessed, and relevant data were extracted using a standardized form. Then, a meta-analysis was conducted with Stata18 software, along with heterogeneity testing and publication bias assessment. Results After screening, 11 studies were included. Eight directly explored the correlation between cardiorespiratory fitness and exercise motivation, while the other four investigated the link between physical activity and exercise motivation, suggesting an association between cardiorespiratory fitness and exercise motivation during physical activity. Pearson correlation analysis (11 studies) and multiple regression analysis (7 studies) were used. By combining effect sizes with a random-effects model, the average correlation coefficient was 0.24 (p < 0.001). The average standardized coefficient of exercise motivation on promoting cardiorespiratory fitness was 0.16 (p < 0.001), and that of cardiorespiratory fitness on enhancing exercise motivation was 0.18 (p < 0.001). Discussion The results show a significant positive correlation between exercise motivation and cardiorespiratory fitness in young students, with a moderate positive effect on each other. This provides a theoretical basis for improving young students' cardiorespiratory fitness and exercise motivation. Future research could explore more effective assessment methods to better understand the underlying mechanisms.
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Affiliation(s)
- Fangbing Zhou
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Wenlei Wang
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Yuyang Nie
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Chunxue Shao
- College of Physical Education, Northeast Normal University, Changchun, Jilin, China
| | - Wenxue Ma
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Wentao Qiu
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Guofeng Qu
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
| | - Jinchao Gao
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
| | - Cong Liu
- College of Physical Education and Sports, Beijing Normal University, Beijing, China
- College of Education for the Future, Beijing Normal University, Zhuhai, China
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Samir AA, Elamir AH, Basyouni Helal M, Goudy Y, Elbarbary K, El-Mezayen M, Abo-Elenien W, Abdelazim EH, Mabrouk MA, Abdelsayed K. Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience. BMC MEDICAL EDUCATION 2025; 25:211. [PMID: 39923029 PMCID: PMC11807292 DOI: 10.1186/s12909-025-06805-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2024] [Accepted: 01/31/2025] [Indexed: 02/10/2025]
Abstract
BACKGROUND Academic self-efficacy (ASE), influenced by various sociodemographic, lifestyle, and psychological factors, is a critical determinant of academic performance in medical students. In Egypt, the medical education system underwent recent drastic changes. Therefore, we aim to explore the effects of these changes on the variables above and, subsequently, on ASE among a national sample of Egyptian medical students. METHODS We conducted a cross-sectional study across 30 Egyptian medical colleges using a validated electronic Arabic survey to evaluate sociodemographic, lifestyle behaviors, psychological factors, and ASE. Categorical variables were described using frequencies and percentages, while Continuous variables were summarized as mean and standard deviation. Bivariate analysis with post-hoc testing, Pearson's correlation coefficient, and multivariate linear regression were employed to assess the associations between the study variables and ASE. Data analysis was performed using R Statistical Software. RESULTS A total of 1446 participants were included, with a mean age of 20.59 ± 1.68. Of these, 61.5% (n = 890) were Females, while 94.3% (n = 1363) were single. ASE was significantly associated with certain financial status, smoking, sleeping hours, breakfast patterns, diet changes, and fluids. Stress, anxiety, and depression were associated with and correlated to poor ASE. Only depression, oversleeping, and smoking were significant predictors of worse ASE. CONCLUSIONS Multiple variables are significantly associated with, correlated to, or predictors of ASE after the recent reform in the Egyptian medical education system. Subsequently, targeted interventions to specific sociodemographic, lifestyle, and psychological factors can be adopted and assessed through future longitudinal pre-post interventional studies.
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Affiliation(s)
- Ahmed Amir Samir
- Faculty of Medicine, Al-Azhar University, Nasr City, Cario, Egypt.
| | | | | | - Yomna Goudy
- Faculty of Medicine, South Valley University, Qena, Egypt
| | | | | | | | | | | | - Kerollos Abdelsayed
- Minneapolis Heart Institute Foundation, Minneapolis, MN, USA
- Aswan Heart Centre, Magdi Yacoub Foundation, Aswan, Egypt
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Bahrami M, Burdette JH, Laurienti PJ, Nicklas BJ, Rejeski WJ, Fanning J. Neural Determinants of Sedentary Lifestyle in Older Adults: A Brain Network Analysis. Brain Behav 2025; 15:e70085. [PMID: 39778926 PMCID: PMC11710895 DOI: 10.1002/brb3.70085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 08/08/2024] [Accepted: 09/14/2024] [Indexed: 01/11/2025] Open
Abstract
PURPOSE The prevalence of sedentary lifestyles (SL), which includes both high volumes of extended sitting behavior and a low volume of steps accumulated across the day, among older adults continues to rise contributing to increases in associated comorbidities and the loss of independence. The social, personal, and economic burdens are enormous. In recognition of the health implications of SL, current public health physical activity guidelines now emphasize the complimentary goals of sitting less by moving more. We recently completed a 6-month weight loss (WL) study followed by 12 months of reduced contact to examine weight regain in older adults with obesity. One of the treatment conditions involved WL + a day-long movement intervention that explicitly targeted reducing sitting time and increasing steps across the day (SitLess). METHOD The goal of the current study, using baseline fMRI and accelerometry data from 36 participants and advanced machine learning tools, was to determine if we could identify complex brain circuits underlying variability associated with changes in sitting time and daily steps during the 6-month intensive phase among participants randomized to the WL + SitLess treatment condition. Models generated from these analyses produced accuracy in predicting pre-post change in both measures that exceeded 92%, suggesting a critical role for the identified brain subnetworks in explaining variability in these outcomes in response to the intervention. The identified networks comprised regions, predominantly in the default mode and sensorimotor networks, that have been extensively linked to self-regulation and decision-making. FINDING These results provide insights into the theoretical basis of SL for older adults and in the design of future intervention research.
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Affiliation(s)
- Mohsen Bahrami
- Laboratory for Complex Brain NetworksWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
- Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Jonathan H Burdette
- Laboratory for Complex Brain NetworksWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
- Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Paul J Laurienti
- Laboratory for Complex Brain NetworksWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
- Department of RadiologyWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Barbara J Nicklas
- Section on Geriatric Medicine, Department of Internal MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - W Jack Rejeski
- Section on Geriatric Medicine, Department of Internal MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
- Department of Health and Exercise ScienceWake Forest UniversityWinston‐SalemNorth CarolinaUSA
| | - Jason Fanning
- Department of Health and Exercise ScienceWake Forest UniversityWinston‐SalemNorth CarolinaUSA
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8
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Giurgiu M, Timm I, Ebner-Priemer UW, Schmiedek F, Neubauer AB. Causal effects of sedentary breaks on affective and cognitive parameters in daily life: a within-person encouragement design. NPJ MENTAL HEALTH RESEARCH 2024; 3:64. [PMID: 39706901 DOI: 10.1038/s44184-024-00113-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2024] [Accepted: 12/13/2024] [Indexed: 12/23/2024]
Abstract
Understanding the complex relationship between sedentary breaks, affective well-being and cognition in daily life is critical as modern lifestyles are increasingly characterized by sedentary behavior. Consequently, the World Health Organization, with its slogan "every move counts", emphasizes a central public health goal: reducing daily time spent in sedentary behavior. Previous studies have provided evidence that short sedentary breaks are feasible to integrate into daily life and can improve affective and cognitive parameters. However, observational studies do not allow for causal interpretation. To overcome this limitation, we conducted the first empirical study that integrated the within-person encouragement approach to test the causal effects of short 3-min sedentary breaks on affective and cognitive parameters in daily life. The results suggest that brief sedentary breaks may have a beneficial impact on valence and energetic arousal. Moreover, our methodological approach powerfully demonstrated the possibility of moving towards causal effects in everyday life.
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Affiliation(s)
- Marco Giurgiu
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany.
| | - Irina Timm
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
| | - Ulrich W Ebner-Priemer
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, Germany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, University of Heidelberg, Medical Faculty Mannheim, Mannheim, Germany
| | - Florian Schmiedek
- DIPF | Leibniz Institute for Research and Information in Education, Frankfurt am Main, Germany
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Bourke M, Phillips SM, Gilchrist J, Pila E. The pleasure of moving: A compositional data analysis of the association between replacing sedentary time with physical activity on affective valence in daily life. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 75:102724. [PMID: 39208914 DOI: 10.1016/j.psychsport.2024.102724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2024] [Revised: 07/21/2024] [Accepted: 08/26/2024] [Indexed: 09/04/2024]
Abstract
Although the independent within-person association between physical activity and sedentary behaviour with valence in daily life has been extensively studied, few studies have used compositional data analysis to examine how different movement behaviour compositions are related to valence in daily life. This study aimed to examine the within-person association between wake-time movement behaviour compositions with affective valence and the extent to which replacing time spent sedentary with physical activity was associated with valence within individuals in daily life. A 7-day ecological momentary study design was used whereby 94 Canadian university students (Mage = 19.45, SD = 2.21, 78.7 % female) reported on affective valence using an adapted version of the Feeling Scale at 7 randomly timed prompts each day. In addition, activPAL accelerometers were worn continuously by participants on their right thigh for the duration of the study to determine time spent engaging in sedentary behaviours and physical activity. Compositional data analysis with isotemporal substitution models were used to examine the within-person association between movement behaviour compositions and affective valence. The within-person association between movement behaviours and affective valence was weak (r2 = 0.013). Nevertheless, engaging in less sedentary time than usual and instead engaging in physical activity was significantly related to more positive affective valence. Considering light intensity physical activity (LPA) and moderate-to-vigorous intensity physical activity (MVPA) separately, replacing time spent sedentary with time engaged in MVPA and LPA both had a significant positive association on affective valence, although the association with MVPA was stronger than the association with LPA. The results provide unique insights into how replacing sedentary time with physical activity in daily life, especially MVPA, may be associated with more feelings of pleasure. These results may be useful to help inform the development of just-in-time adaptive interventions.
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Affiliation(s)
- Matthew Bourke
- Health and Wellbeing Centre for Research Innovation, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia; School of Occupational Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
| | - Sophie M Phillips
- School of Occupational Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
| | - Jenna Gilchrist
- Department of Psychology, University of Waterloo, Waterloo, ON, Canada.
| | - Eva Pila
- School of Kinesiology, Faculty of Health Sciences, Western University, London, ON, Canada.
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Collazo-Castiñeira P, Sánchez-Izquierdo M, Reiter LJ, Bauer S, Cruz-Jentoft AJ, Schoufour JD, Weijs PJM, Eglseer D. Analysis of behavioral change techniques used in exercise and nutritional interventions targeting adults around retirement age with sarcopenic obesity in a systematic review. Arch Gerontol Geriatr 2024; 123:105437. [PMID: 38653002 DOI: 10.1016/j.archger.2024.105437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 03/27/2024] [Accepted: 04/03/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND Sarcopenic obesity significantly burdens health and autonomy. Strategies to intervene in or prevent sarcopenic obesity generally focus on losing body fat and building or maintaining muscle mass and function. For a lifestyle intervention, it is important to consider psychological aspects such as behavioral change techniques (BCTs) to elicit a long-lasting behavioral change. PURPOSE The study was carried out to analyze BCTs used in exercise and nutritional interventions targeting community-dwelling adults around retirement age with sarcopenic obesity. METHODS We conducted an analysis of articles cited in an existing systematic review on the effectiveness of exercise and nutritional interventions on physiological outcomes in community-dwelling adults around retirement age with sarcopenic obesity. We identified BCTs used in these studies by applying a standardized taxonomy. RESULTS Only nine BCTs were identified. Most BCTs were not used intentionally (82 %), and those used derived from the implementation of lifestyle components, such as exercise classes ("instructions on how to perform a behavior," "demonstration of the behavior," "behavioral practice/rehearsal," and "body changes"). Only two studies used BCTs intentionally to reinforce adherence in their interventions. CONCLUSIONS Few studies integrated BCTs in lifestyle interventions for community-dwelling persons around retirement age with sarcopenic obesity. Future studies on interventions to counteract sarcopenic obesity should include well-established BCTs to foster adherence and, therefore, their effectiveness.
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Affiliation(s)
- Paula Collazo-Castiñeira
- Geriatric Unit, Hospital Universitario Ramón y Cajal (IRYCIS), Ctra. de Colmenar Viejo, km. 9,100, 28034 Madrid, Spain; Psychology Department, Universidad Pontificia Comillas, C. Universidad Comillas, 3-5 28049 Madrid, Spain
| | - Macarena Sánchez-Izquierdo
- Psychology Department, Universidad Pontificia Comillas, C. Universidad Comillas, 3-5 28049 Madrid, Spain
| | - Lea Joanne Reiter
- Medical University of Graz, Institute of Nursing Science, Neue Stiftingtalstraße 6 West, P/06, 8010, Graz, Austria
| | - Silvia Bauer
- Medical University of Graz, Institute of Nursing Science, Neue Stiftingtalstraße 6 West, P/06, 8010, Graz, Austria
| | - Alfonso J Cruz-Jentoft
- Geriatric Unit, Hospital Universitario Ramón y Cajal (IRYCIS), Ctra. de Colmenar Viejo, km. 9,100, 28034 Madrid, Spain
| | - Josje D Schoufour
- Faculty of Sports and Nutrition, Centre of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Dr. Meurerhuis, Dokter Meurerlaan 8, 1067 SM, Amsterdam, the Netherlands
| | - Peter J M Weijs
- Faculty of Sports and Nutrition, Centre of Expertise Urban Vitality, Amsterdam University of Applied Sciences, Dr. Meurerhuis, Dokter Meurerlaan 8, 1067 SM, Amsterdam, the Netherlands; Department of Nutrition and Dietetics, Amsterdam University Medical Centers, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - Doris Eglseer
- Medical University of Graz, Institute of Nursing Science, Neue Stiftingtalstraße 6 West, P/06, 8010, Graz, Austria.
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11
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Kolovelonis A, Syrmpas I, Marcuzzi A, Khudair M, Ng K, Tempest GD, Peric R, Bartoš F, Maier M, Brandes M, Carlin A, Ciaccioni S, Cortis C, Corvino C, Di Credico A, Drid P, Gallè F, Izzicupo P, Jahre H, Kongsvold A, Kouidi E, Mork PJ, Palumbo F, Rumbold PLS, Sandu P, Stavnsbo M, Vilela S, Woods C, Wunsch K, Capranica L, MacDonncha C, Ling FCM. DE-PASS best evidence statement (BESt): determinants of adolescents' device-based physical activity and sedentary behaviour in settings: a systematic review and meta-analysis. BMC Public Health 2024; 24:1706. [PMID: 38926707 PMCID: PMC11202347 DOI: 10.1186/s12889-024-19136-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 06/13/2024] [Indexed: 06/28/2024] Open
Abstract
BACKGROUND Although physical activity (PA) is associated with significant health benefits, only a small percentage of adolescents meet recommended PA levels. This systematic review with meta-analysis explored the modifiable determinants of adolescents' device-based PA and/or sedentary behaviour (SB), evaluated in previous interventions and examined the associations between PA/SB and these determinants in settings. METHODS A search was conducted on five electronic databases, including papers published from January 2010 to July 2023. Randomized Controlled Trials (RCTs) or Controlled Trials (CTs) measuring adolescents' device-based PA/SB and their modifiable determinants at least at two time points: pre- and post-intervention were considered eligible. PA/SB and determinants were the main outcomes. Modifiable determinants were classified after data extraction adopting the social-ecological perspective. Robust Bayesian meta-analyses (RoBMA) were performed per each study setting. Outcomes identified in only one study were presented narratively. The risk of bias for each study and the certainty of the evidence for each meta-analysis were evaluated. The publication bias was also checked. PROSPERO ID CRD42021282874. RESULTS Fourteen RCTs (eight in school, three in school and family, and one in the family setting) and one CT (in the school setting) were included. Fifty-four modifiable determinants were identified and were combined into 33 broader determinants (21 individual-psychological, four individual-behavioural, seven interpersonal, and one institutional). RoBMAs revealed none or negligible pooled intervention effects on PA/SB or determinants in all settings. The certainty of the evidence of the impact of interventions on outcomes ranged from very low to low. Narratively, intervention effects in favour of the experimental group were detected in school setting for the determinants: knowledge of the environment for practicing PA, d = 1.84, 95%CI (1.48, 2.20), behaviour change techniques, d = 0.90, 95%CI (0.09, 1.70), choice provided, d = 0.70, 95%CI (0.36, 1.03), but no corresponding effects on PA or SB were found. CONCLUSIONS Weak to minimal evidence regarding the associations between the identified modifiable determinants and adolescents' device-based PA/SB in settings were found, probably due to intervention ineffectiveness. Well-designed and well-implemented multicomponent interventions should further explore the variety of modifiable determinants of adolescents' PA/SB, including policy and environmental variables.
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Affiliation(s)
- Athanasios Kolovelonis
- Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece.
| | - Ioannis Syrmpas
- Department of Physical Education and Sport Science, University of Thessaly, 42 100 Karies, Trikala, Greece
| | - Anna Marcuzzi
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Mohammed Khudair
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | - Kwok Ng
- Faculty of Education, University of Turku, Turku, Finland
- Department of Physical Education and Sport Sciences, Physical Activity for Health Centre, University of Limerick, Limerick, Ireland
- Institute of Innovation and Sports Science, Lithuanian Sports University, Kaunas, Lithuania
| | - Gavin Daniel Tempest
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
| | - Ratko Peric
- Exercise Physiology Laboratory, OrthoSport Banja Luka, Banja Luka, Bosnia-Herzegovina
| | - František Bartoš
- Department of Psychological Methods, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Mirko Brandes
- Department of Prevention and Evaluation, Leibniz, Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Angela Carlin
- Centre for Exercise Medicine, Physical Activity and Health, Sport and Exercise Sciences Research Institute, Ulster University, Belfast, UK
| | - Simone Ciaccioni
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Cristina Cortis
- Department of Human Sciences, Society and Health, University of Cassino and Lazio Meridionale, Cassino, Italy
| | - Chiara Corvino
- Faculty of Economics, Department of Psychology, Universita Cattolica del Sacro Cuore, Milan, Italy
| | - Andrea Di Credico
- Department of Medicine and Aging Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
| | - Francesca Gallè
- Department of Medical, Movement and Wellbeing Sciences, University of Naples "Parthenope", Naples, Italy
| | - Pascal Izzicupo
- Department of Medicine and Aging Sciences, University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy
| | - Henriette Jahre
- Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway
| | - Atle Kongsvold
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Evangelia Kouidi
- Laboratory of Sports Medicne, Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Paul Jarle Mork
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Federico Palumbo
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | | | - Petru Sandu
- Health Promotion and Evaluation, National Institute of Public Health in Romania, Bucharest, Romania
| | - Mette Stavnsbo
- Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Sofia Vilela
- EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal
| | - Catherine Woods
- Physical Activity for Health Cluster, Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Kathrin Wunsch
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Laura Capranica
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy
| | - Ciaran MacDonncha
- Physical Activity for Health Cluster, Department of Physical Education and Sport Sciences, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Fiona Chun Man Ling
- Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle, UK
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12
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Furnham A, Cheng H. The Big-Five personality factors, cognitive ability, health, and social-demographic indicators as independent predictors of self-efficacy: A longitudinal study. Scand J Psychol 2024; 65:53-60. [PMID: 37525487 DOI: 10.1111/sjop.12953] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 07/13/2023] [Accepted: 07/14/2023] [Indexed: 08/02/2023]
Abstract
This study set out to examine to what extent a set of psychological, health and socio-demographic factors are associated with self-efficacy (SE) in a large sample of over 12,000 participants over a two-year period. We were interested in the correlates of self-efficacy (criterion variable) with gender, age, education and occupation, the Big-Five personality factors and cognitive ability, as well as mental and physical health (predictor variables). Regression analyses showed that four of the Big-Five personality factors (extraversion, neuroticism, conscientiousness, and openness), cognitive ability, mental and physical health, gender, education and occupation were all significant and independent predictors of self-efficacy, accounting for 23% of the variance of the outcome variable. Personality variables, particularly Neuroticism and Conscientiousness, were the most powerful predictors of SE two years later. The implications for encouraging SE in individuals are discussed.
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Affiliation(s)
| | - Helen Cheng
- Department of Psychology, University College London, London, UK
- ESRC Centre for Learning and Life Chances in Knowledge Economies and Societies, Institute of Education, University College London, London, UK
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13
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Wilski M, Brola W, Koper M, Gabryelski J, Łuniewska M, Fudala M, Tomczak M. Relationship between physical activity and coping with stress in people with multiple sclerosis: A moderated mediation model with self-efficacy and disability level as variables. Int J Clin Health Psychol 2024; 24:100415. [PMID: 37840558 PMCID: PMC10568286 DOI: 10.1016/j.ijchp.2023.100415] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 09/20/2023] [Indexed: 10/17/2023] Open
Abstract
Purpose An increasing number of studies support the beneficial relationship between physical activity and stress coping in people with multiple sclerosis (MS). However, there has been limited understanding of the variables that may influence the nature of this relationship. Therefore, based on the social-cognitive framework and previous research, we aimed to examine the association between the habitual physical activity of people with MS and their coping effectiveness. Furthermore, we sought to determine the extent to which self-efficacy acts as a mediator in this relationship, considering the level of disability as a moderator variable. Methods In this cross-sectional study, a total of 351 people with MS participated. The participants were asked to complete several assessment tools, including the Mini-COPE Inventory for Measurement-Coping with Stress, the Generalized Self-Efficacy Scale, and the Godin Leisure-Time Exercise Questionnaire. Additionally, a neurologist assessed the severity of the disease using the Expanded Disability Status Scale. Information on the demographic and clinical characteristics of the participants was collected via a self-report survey. Two moderated mediation analyses were conducted as part of the study. Results The study findings indicated a positive correlation between engagement in physical activity and self-efficacy among participants with high and medium disability levels. This, in turn, demonstrated a positive association with effective stress-coping strategies and a negative association with ineffective coping methods. In particular, a significant relationship was observed between involvement in physical activity and self-efficacy in participants with high disability, while it was not statistically significant in participants with low disability. Conclusion Physical activity was associated with improved psychosocial functioning in people with high levels of disability caused by MS. This association may be attributed to factors such as increased self-efficacy and improved stress coping. However, the relationship between physical activity and psychosocial functioning was less evident in people with low disability caused by MS.
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Affiliation(s)
- Maciej Wilski
- Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland
| | - Waldemar Brola
- Collegium Medicum, Jan Kochanowski University, Kielce, Poland
| | - Magdalena Koper
- Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland
| | - Jarosław Gabryelski
- Division of Rehabilitation Engineering, Institute of Combustion Engines and Transport, Faculty of Machines and Transport, Poznan University of Technology, Poznan, Poland
| | - Magdalena Łuniewska
- Department of Adapted Physical Activity, Poznań University of Physical Education, Poznan, Poland
| | - Małgorzata Fudala
- Department of Neurology, District Hospital Maria Skłodowska-Curie in Skarżysko, Kamienna, Poland
| | - Maciej Tomczak
- Department of Psychology, Poznań University of Physical Education, Poznan, Poland
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14
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Araújo ADO, Oliveira GTA, Matos FDO, Lopes FDA, Browne RAV, Elsangedy HM. Automatic processes moderate the association between reflective processes and movement behavior: A cross-sectional study. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 70:102554. [PMID: 37884068 DOI: 10.1016/j.psychsport.2023.102554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 10/21/2023] [Accepted: 10/23/2023] [Indexed: 10/28/2023]
Abstract
Dual-process theories postulate that both reflective and automatic processes regulate health behavior. Further research is required to test the basic postulates of dual-process theories. We investigated the direct associations and moderating effect between automatic processes and multiple indicators of reflective processes on various levels of physical activity and sedentary behavior assessed using accelerometry in adults who were not participating in regular physical exercise programs. This cross-sectional study included 257 adults. Each participant completed a computerized test for automatic associations, a set of questions assessing reflective processes, a seven-day assessment using accelerometers to determine their levels of physical activity and sedentary behavior. The results showed a direct relationship between perceived benefits (B = 15.90, p = 0.043), perceived cons (B = -12.81, p = 0.034), decisional intention (B = -0.07, p = 0.049) with light physical activity, and self-efficacy with daily steps (B = 485.71, p = 0.008). There was a positive association between intention strength and daily steps when implicit associations favored physical activity (b = 623.36, LLCI = 79.09, ULCI = 1167.62, p = 0.025); a negative association between self-efficacy and sedentary behavior when implicit associations favored sedentary behavior (b = -25.73, LLCI = -49.77, ULCI = -1.70, p = 0.035); and a positive association between intention strength and sedentary behavior when implicit associations favored physical activity (b = 34.18, LLCI = 8.81, ULCI = 59.56, p = 0.008). These findings underscore the importance of considering the interplay between reflective and automatic processes in shaping movement behavior.
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Affiliation(s)
- Andressa de Oliveira Araújo
- Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | | | | | - Fívia de Araújo Lopes
- Graduate Program in Psychobiology, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Brazil
| | | | - Hassan Mohamed Elsangedy
- Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil; Department of Physical Education, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
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15
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Szczuka Z, Kulis E, Boberska M, Banik A, Siwa M, Zaleskiewicz H, Knoll N, Revenson TA, Luszczynska A. Dyadic reciprocal associations between self-efficacy and planning predict sedentary behaviour. Br J Health Psychol 2022; 28:451-466. [PMID: 36333942 DOI: 10.1111/bjhp.12633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 10/20/2022] [Accepted: 10/23/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVES There are two alternative hypotheses regarding bidirectional associations between self-efficacy and planning in predicting health behaviour change: self-efficacy may establish planning (cultivation hypothesis) or planning may enable the formation of self-efficacy (enabling hypothesis). This study investigates the order in which these two social cognitions are linked in adult-adult dyads in the context of sedentary behaviours (SB). DESIGN A longitudinal study with 4 measurement points, spanning 8 months. METHODS A total of 320 dyads (age: 18-90 years) were enrolled. Dyads included a focus person (who received the recommendation to reduce SB and intended to change their SB), and their partners, who were willing to support the focus persons and intended to reduce their own SB as well. Data were collected at Time 1 (T1), Time 2 (1 week later, T2), Time 3 (T3, 2 months after T1) and Time 4 (T4, 8 months after T1). SB was measured with accelerometers at (T1 and T4). Mediation models with individual and dyadic reciprocal effects were tested with path analyses. RESULTS Only one indirect effect was found: A higher level of partners' SB reduction-specific self-efficacy at T2 was related to the focus person's more frequent planning to reduce SB at T3, which, in turn, predicted lower SB time among partners at T4. CONCLUSIONS The findings provide partial support for the cultivation model (self-efficacy prompting planning) and for dyadic reciprocal associations in the context of SB time reduction among adult dyads.
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Affiliation(s)
- Zofia Szczuka
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Ewa Kulis
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Monika Boberska
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Anna Banik
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Maria Siwa
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Hanna Zaleskiewicz
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | - Nina Knoll
- Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Tracey A Revenson
- Department of Psychology, Hunter College and the Graduate Center, City University of New York, New York, New York, USA
| | - Aleksandra Luszczynska
- Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland.,Melbourne Centre for Behavior Change, Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
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16
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Within-Person Associations Between Physical and Social Contexts With Movement Behavior Compositions in Adolescents: An Ecological Momentary Assessment Study Using a Compositional Data Analysis Approach. J Phys Act Health 2022; 19:615-622. [PMID: 35985647 DOI: 10.1123/jpah.2022-0233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 06/21/2022] [Accepted: 07/15/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND External contexts, including the social and physical contexts, are independent predictors of momentary physical activity and sedentary behaviors. However, no studies to date have examined how external contexts are related to overall momentary movement behavior compositions using compositional data analysis. Therefore, this study aimed to determine differences in momentary movement behavior compositions between different social and physical contexts in adolescents. METHODS Overall, 119 adolescents (mean age 14.7 y, SD = 1.44) provided details about their momentary physical and social contexts over 4 days using ecological momentary assessment. Sedentary behaviors, light-intensity physical activity, and moderate to vigorous physical activity were assessed using ActiGraph GT3X+ accelerometers. Compositional multivariate multilevel models were estimated to determine if movement behavior compositions differed between contexts. RESULTS Participants engaged in significantly less sedentary behaviors when outdoors compared with indoors and replaced it with moderate to vigorous physical activity. Participants also engaged in significantly less sedentary behaviors when with friends or friends and family and replaced it with light-intensity physical activity. CONCLUSION These results highlight the potential of targeting external contexts to increase physical activity and to reduce sedentary behavior in adolescents' daily lives. These factors could be targeted in mobile health and just-in-time adaptive interventions to improve young people's movement behavior compositions.
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17
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Examining what Mental Toughness, Ego Resiliency, Self-efficacy, and Grit measure: An exploratory structural equation modelling bifactor approach. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03314-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
AbstractDespite conceptual similarities among the established non-cognitive constructs of Mental Toughness, Ego Resiliency, Self-efficacy, and Grit, preceding research typically considered these as adversary rather than complementary and potentially additive. Subsequently, comparatively few studies have examined these together. This paper, via two independent studies, examined commonality within Mental Toughness, Ego Resiliency, Self-efficacy, and Grit. This identified key elements that contribute to a broad, non-cognitive, resource-based construct. Study 1 (N = 2137) assessed shared variance among the non-cognitive constructs relative to a general factor. Study 2 (N = 1148) evaluated the replicability of the results from Study 1 and examined measurement invariance. Respondents completed established self-report measures indexing the study variables. Exploratory structural equation modelling bifactor analyses consistently revealed that Mental Toughness, the Ego-Resiliency Optimal Regulation subscale, and Self-efficacy loaded highly on a general factor, which the authors labelled as Non-Cognitive Adaptive Resourcefulness (NCAR). Invariance analyses supported the stability of this model across study context. This paper advanced conceptual understanding of the core shared features of independent non-cognitive constructs. The authors discuss the potential of NCAR and advocate the need for further research.
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18
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Morris TP, Kucyi A, Anteraper SA, Geddes MR, Nieto-Castañon A, Burzynska A, Gothe NP, Fanning J, Salerno EA, Whitfield-Gabrieli S, Hillman CH, McAuley E, Kramer AF. Resting state functional connectivity provides mechanistic predictions of future changes in sedentary behavior. Sci Rep 2022; 12:940. [PMID: 35042916 PMCID: PMC8766514 DOI: 10.1038/s41598-021-04738-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 12/28/2021] [Indexed: 12/11/2022] Open
Abstract
Sedentary behaviors are increasing at the cost of millions of dollars spent in health care and productivity losses due to physical inactivity-related deaths worldwide. Understanding the mechanistic predictors of sedentary behaviors will improve future intervention development and precision medicine approaches. It has been posited that humans have an innate attraction towards effort minimization and that inhibitory control is required to overcome this prepotent disposition. Consequently, we hypothesized that individual differences in the functional connectivity of brain regions implicated in inhibitory control and physical effort decision making at the beginning of an exercise intervention in older adults would predict the change in time spent sedentary over the course of that intervention. In 143 healthy, low-active older adults participating in a 6-month aerobic exercise intervention (with three conditions: walking, dance, stretching), we aimed to use baseline neuroimaging (resting state functional connectivity of two a priori defined seed regions), and baseline accelerometer measures of time spent sedentary to predict future pre-post changes in objectively measured time spent sedentary in daily life over the 6-month intervention. Our results demonstrated that functional connectivity between (1) the anterior cingulate cortex and the supplementary motor area and (2) the right anterior insula and the left temporoparietal/temporooccipital junction, predicted changes in time spent sedentary in the walking group. Functional connectivity of these brain regions did not predict changes in time spent sedentary in the dance nor stretch and tone conditions, but baseline time spent sedentary was predictive in these conditions. Our results add important knowledge toward understanding mechanistic associations underlying complex out-of-session sedentary behaviors within a walking intervention setting in older adults.
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Affiliation(s)
- Timothy P Morris
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA.
| | - Aaron Kucyi
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA
| | - Sheeba Arnold Anteraper
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA
| | - Maiya Rachel Geddes
- Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, Montreal, Canada
- Brigham and Women's Hospital, Harvard Medical School, Cambridge, USA
| | - Alfonso Nieto-Castañon
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA
| | - Agnieszka Burzynska
- Department of Human Development and Family Studies, Colorado State University, Fort Collins, USA
| | - Neha P Gothe
- Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana Champaign, Urbana, USA
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Jason Fanning
- Department of Health and Exercise Sciences, Wake Forrest University, Winston-Salem, NC, USA
| | - Elizabeth A Salerno
- Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
| | - Susan Whitfield-Gabrieli
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA
- McGovern Institute for Brain Research, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Charles H Hillman
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA
- Department of Physical Therapy, Movement, and Rehabilitation Sciences, Northeastern University, Boston, MA, USA
| | - Edward McAuley
- Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana Champaign, Urbana, USA
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Arthur F Kramer
- Department of Psychology, Northeastern University, 435 ISEC, 360 Huntington Avenue, Boston, 02115, USA
- Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana Champaign, Urbana, USA
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19
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Kwiecień-Jaguś K, Mędrzycka-Dąbrowska W, Kopeć M, Piotrkowska R, Czyż-Szypenbejl K, Hansdorfer-Korzon R, Lemska M, Jarzynkowski P. Level and factors associated with physical activity among university teacher: an exploratory analysis. BMC Sports Sci Med Rehabil 2021; 13:114. [PMID: 34563257 PMCID: PMC8464149 DOI: 10.1186/s13102-021-00346-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 09/21/2021] [Indexed: 11/29/2022]
Abstract
Background Physical inactivity is one of the primary factors that leads to obesity and overweight. What is more, it is becoming an increasingly common problem among the population of those who work. The causes of obesity and the lack of physical activity are multifactorial. The aims of the study were: to (1) measure the level of physical activity among the university staff, (2) evaluate what factors have a significant influence on undertaking the physical activity and lack of. Methods A cross-sectional study was conducted via the Internet questionnaires among university staff in Northern Poland and Pomeranian Region. Taking into consideration the climate and cultural factors in Poland, a physical activity test with the usage of IPAQ scale was performed between September and November 2018 and between March and June 2019. The data was collected on the basis of the standardized long form of the IPQA questionnaire, the GSE Scale and the interview questionnaire including questions about sex, age and health assessment. Results The study group consisted of 276 respondents, including 143 women (51.8%) and 133 men (48.2%). The average age of the respondents was 42.22 with SD ± 11.01. The weight status was categorized with the use of BMI index. 51.3% (142) of the respondents had normal body mass, 93 (33.8%) were overweight, while 23 (8.4%) were obese. The mean BMI index was 25.23 points (SD ± 4.04). One hundred and twenty five (45.1%) respondents were the employees of the Medical University, and 54.9% were employed by the Technical University. Detailed analyses using Spearman correlation test confirmed the presence of a statistically higher level of physical activity among respondents employed at the Medical University (M 513.37; SD ± 609.13) than the employees of Technical University (M 378.38; SD ± 328.26). The odds ratio analysis shows that a low level of physical activity in the group of technical university staff has a significant correlation with the other social behavior which is the alcohol consumption. Conclusion This study confirms that the number of points obtained in the IPAQ scale, classified the academics in the workgroup presenting low physical activity which does not exceed 600 MET-min/week. The most common form of activity in this group was walking. There was no correlation between physical activity and self-efficacy, age, marital status or the number of children.
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Affiliation(s)
- Katarzyna Kwiecień-Jaguś
- Department of Anaesthesiology and Intensive Care Nursing, Nursing and Midwife Institute, Medical University of Gdańsk, Gdańsk, Poland.
| | - Wioletta Mędrzycka-Dąbrowska
- Department of Anaesthesiology and Intensive Care Nursing, Nursing and Midwife Institute, Medical University of Gdańsk, Gdańsk, Poland
| | - Monika Kopeć
- Department of Human Nutrition, University of Warmia and Mazury, Olsztyn, Poland
| | - Renata Piotrkowska
- Department of Surgical Nursing, Medical University of Gdańsk, Gdańsk, Poland
| | - Katarzyna Czyż-Szypenbejl
- Department of Anaesthesiology and Intensive Care Nursing, Nursing and Midwife Institute, Medical University of Gdańsk, Gdańsk, Poland
| | | | - Magdalena Lemska
- Department of Social Medicine, Medical University of Gdańsk, Gdańsk, Poland
| | - Piotr Jarzynkowski
- Department of Surgical Nursing, Medical University of Gdańsk, Gdańsk, Poland
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20
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Waheed H. The neglected contributions of self-efficacy to older adults’ financial capacity. QUALITY IN AGEING AND OLDER ADULTS 2021. [DOI: 10.1108/qaoa-05-2021-0043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
An ageing population comes with its own set of challenges such as impaired financial capacity and resultant dependency on others to manage financial affairs. Dependency, in turn, as the evidence suggests, creates opportunities for financial exploitation of older adults. Related studies have primarily examined the clinical features and correlates of financial capacity or have attempted to develop its multidimensional measures. Both of which do little to resolve issues associated with impaired financial capacity. This paper aims to make a case for future researchers to assess older adults’ financial capacity from a non-clinical aspect.
Design/methodology/approach
Drawing on the notion of self-efficacy, as encapsulated within the social cognitive theory, this paper presents evidence from a host of different domains to demonstrate the potential contributions of self-efficacy to older adults’ financial capacity.
Findings
The contributions of self-efficacy in preserving older adults’ financial capacity appear to be much more profound than is currently acknowledged in the literature, thereby overlooking potentially promising and cost-effective interventions for autonomous ageing.
Originality/value
This paper presents a novel application of self-efficacy to autonomous ageing. Within this context, potential routes to the deployment of self-efficacy-based interventions are also discussed.
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