Facilitation of Goal-Setting and Follow-Up in an Internet Intervention for Health and Wellness

2010 ◽  
pp. 238-249 ◽  
Author(s):  
Kirsikka Kaipainen ◽  
Elina Mattila ◽  
Marja-Liisa Kinnunen ◽  
Ilkka Korhonen
Keyword(s):  
Goal Setting ◽  
Internet Intervention ◽  
Health And Wellness

scholarly journals The Potential Contribution of Current Health Care Zeitgeists to the Success of Health and Wellness Coaches

2018 ◽  
Vol 12 (6) ◽  
pp. 456-458
Author(s):  
Jon P. Gray ◽  
Katherine R. Arlinghaus ◽  
Craig A. Johnston
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Goal Setting ◽  
Behavioral Changes ◽  
Behavior Changes ◽  
Potential Contribution ◽  
Health And Wellness ◽  
Self Monitoring ◽  
Current Health ◽  
Extended Care

Chronic disease is challenging to treat because treatment often requires lifestyle behavior changes. In recent years the use of health and wellness coaches (HWC) has emerged as a way to support patients making behavioral changes. The use of HWCs has resulted in improved management of chronic disease for many patients. The success of HWCs is often thought to be due to the extended care they provide and the behavioral modification techniques they promote such as goal setting and self-monitoring. This article describes how HWC’s conformity to the current health care zeitgeist of personalized, holistic care may be another reason for their success.

Intervention Mediators in a Randomized Controlled Trial to Increase Physical Activity and Fatigue Self-management Behaviors Among Adults With Multiple Sclerosis

2019 ◽  
Author(s):  
Matthew Plow ◽  
Robert W Motl ◽  
Marcia Finlayson ◽  
Francois Bethoux
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Goal Setting ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Step Count ◽  
Self Management ◽  
Post Test ◽  
The Impact

Abstract Background People with multiple sclerosis (MS) often experience fatigue, which is aggravated by inactivity. Identifying mediators of changes in physical activity (PA) and fatigue self-management (FSM) behaviors could optimize future interventions that reduce the impact of MS fatigue. Purpose To examine the effects of telephone-delivered interventions on Social Cognitive Theory constructs and test whether these constructs mediated secondary outcomes of PA and FSM behaviors. Methods Participants with MS (n = 208; Mean age = 52.1; Female = 84.6%) were randomized into contact–control intervention (CC), PA-only intervention, and PA+FSM intervention. Step count (Actigraphy) and FSM behaviors as well as self-efficacy, outcome expectations, and goal setting for PA and FSM were measured at baseline, post-test (12 weeks), and follow-up (24 weeks). Path analyses using bias-corrected bootstrapped 95% confidence intervals (CI) determined whether constructs at post-test mediated behaviors at follow-up when adjusting for baseline measures. Results Path analysis indicated that PA-only (β = 0.50, p < .001) and PA+FSM interventions (β = 0.42, p < .010) had an effect on goal setting for PA, and that PA + FSM intervention had an effect on self-efficacy for FSM (β = 0.48, p = .011) and outcome expectations for FSM (β = 0.42, p = .029). Goal setting for PA at post-test mediated the effects of PA-only (β = 159.45, CI = 5.399, 371.996) and PA + FSM interventions (β = 133.17, CI = 3.104, 355.349) on step count at follow-up. Outcome expectations for FSM at post-test mediated the effects of PA + FSM intervention on FSM behaviors at follow-up (β = 0.02, CI = 0.001, 0.058). Conclusions Goal setting for PA and outcome expectations for FSM may be important constructs to target in telephone-delivered interventions designed to reduce the impact of MS fatigue. Trial registration Clinicaltrials.gov (NCT01572714)

The Effects of Three Types of Goal Setting Conditions on Tennis Performance: A Field-Based Study

2001 ◽  
Vol 20 (2) ◽  
pp. 188-200 ◽  
Author(s):  
B. Ann Boyce ◽  
Thomas Johnston ◽  
Valerie K. Wayda ◽  
Linda K. Bunker ◽  
John Eliot
Keyword(s):  
College Students ◽  
Goal Setting ◽  
Random Sampling ◽  
Repeated Measures ◽  
Significant Interaction ◽  
Sampling Technique ◽  
The Self ◽  
Two Stage ◽  
Baseline Performance

Utilizing a two-stage random sampling technique, this study investigated the effect of three types of goal setting conditions (self-set, instructor-set, and “do your best” control) on tennis serving performance of college students (N = 156) in nine beginning tennis classes. A 3 × 2 × 5 (goal setting conditions × gender × trials) ANCOVA with repeated measures on the last factor and baseline performance as the covariate was computed. A significant interaction of goal setting conditions by trials was revealed (p < .003) with follow-up procedures favoring the instructor-set and self-set goal groups over the “do your best" group at the second and fourth trials. Further, at trial two, the instructor-set group was statistically superior to the self-set group. From this significant interaction, it appeared that the instructor-set and self-set goals enhanced students’ performance on the tennis serving task.

Internet intervention for increasing physical activity in persons with multiple sclerosis

2010 ◽  
Vol 17 (1) ◽  
pp. 116-128 ◽  
Author(s):  
Robert W Motl ◽  
Deirdre Dlugonski ◽  
Thomas R Wójcicki ◽  
Edward McAuley ◽  
David C Mohr
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Goal Setting ◽  
Cognitive Theory ◽  
Intervention Group ◽  
Internet Intervention ◽  
The Internet ◽  
Control Group ◽  
Significant Change ◽  
Over Time

Background:Physical activity has been associated with improvements in walking mobility and quality of life in persons with multiple sclerosis (MS), and yet this population is largely sedentary and inactive compared with the general population. Objectives:We conducted a pilot, randomized controlled trial (RCT) for examining the effect of an Internet intervention based on social cognitive theory (SCT) for favorably increasing physical activity among persons with MS. We further examined variables from SCT as possible mediators of the Internet intervention. Methods:We randomly allocated 54 persons with MS into either an Internet intervention condition or a waitlist control condition. The participants completed measures of physical activity, self-efficacy, outcome expectations, functional limitations, and goal setting before and after the 12-week period. Results:The intervention group reported a statistically significant ( p = 0.01) and large increase in physical activity over time ( d = 0.72), whereas the control group had a small ( d = 0.04) and non-significant change in physical activity ( p = 0.71). The intervention group further reported a statistically significant ( p = 0.001) and large increase in goal setting over time ( d = 0.97), whereas the control group had a small ( d = −0.13) and non-significant change ( p = 0.17). The change in goal setting over time mediated the effect of the Internet intervention on physical activity behavior. Conclusions:This pilot study sets the stage for a subsequent RCT that includes a larger sample of persons with MS, longer intervention period along with a follow-up, objective measure of physical activity, and secondary outcomes of walking mobility and QOL.

scholarly journals Training in client-centeredness enhances occupational therapist documentation on goal setting and client participation in goal setting in the medical records of people with stroke

2016 ◽  
Vol 30 (12) ◽  
pp. 1200-1210 ◽  
Author(s):  
Maria Flink ◽  
Ann-Sofie Bertilsson ◽  
Ulla Johansson ◽  
Susanne Guidetti ◽  
Kerstin Tham ◽  
...  
Keyword(s):  
Goal Setting ◽  
Medical Records ◽  
Controlled Trial ◽  
Occupational Therapists ◽  
Healthcare Setting ◽  
Occupational Therapist ◽  
Control Group ◽  
Stroke Severity ◽  
Client Participation

Objective: The aim of the present study was to compare client-centeredness as it was documented by the occupational therapists in the units randomized to the intervention clusters with documentation by occupational therapists in the control clusters. Design: Comparison of medical records. Setting: The study is conducted in a context of a randomized controlled trial in Sweden, with 16 post-stroke rehabilitation units cluster randomized to intervention or control group. Subjects: Occupational therapist documentation in medical records of 279 clients with stroke. Main measures: The medical records were reviewed for their level of client-centeredness using a protocol developed from the Stewart et al model. The occupational therapists in the intervention groups participated in a workshop training to enhance their client-centeredness. Results: Occupational therapists with training in client-centeredness documented significantly more on goal setting (OR = 4.1; 95% CI, 1.87-8.81), on client participation in goal setting (OR=11.34; 95% CI, 5.97-21.57), on how the goals could be reached (OR=2.8; 95% CI, 1.7-4.62), on client participation in how goals could be reached (OR=4.56; 95% CI, 2.73-7.64), on the follow-up on goals (OR=5.77; 95% CI, 2.78-11-98) and on client participation in follow-up on goals (OR=7.44, 95% CI, 4.33-12.8). This association remained after adjustment for healthcare setting, client socio-demographic variables, and stroke severity. Conclusion: Documentation of goal setting and client participation in goal setting can be influenced by training.

Teaching Sport Psychology for Now and the Future? The Psychological UNIFORM with High School Varsity Athletes

2017 ◽  
Vol 31 (1) ◽  
pp. 88-100 ◽  
Author(s):  
Jenelle N. Gilbert ◽  
Stephanie D. Moore-Reed ◽  
Alexandra M. Clifton
Keyword(s):  
High School ◽  
Goal Setting ◽  
Sport Psychology ◽  
Qualitative Data ◽  
Psychological Skills ◽  
Self Talk ◽  
Varsity Athletes ◽  
Continued Use ◽  
Soccer Team

Adolescent athletes can use psychological skills immediately after being taught, but a dearth of empirical evidence exists regarding whether these skills are maintained over time. A 12-week curriculum (i.e., UNIFORM; Gilbert, 2011) was taught to a high school varsity soccer team with three data collection points: pretest, posttest, 4-week follow-up. Use of several skills was significantly greater posttest compared with pretest as measured by the Test of Performance Strategies (Thomas, Murphy, & Hardy, 1999). Follow-up results were also salient. Relaxation, imagery, and self-talk use in practice was significantly greater than pretest at follow-up; relaxation, imagery, goal setting, and self-talk in competition showed similar results. Descriptive statistics and qualitative data triangulate these results. The UNIFORM curriculum enabled the athletes to use the skills more consistently. This study makes a contribution by measuring the skills at follow-up and providing evidence of their continued use four weeks after the curriculum’s conclusion.

Goal-setting program improves nutrition and physical activity among Supplemental Nutrition Assistance Program eligible adults

2020 ◽  
Vol 23 (11) ◽  
pp. 1924-1930
Author(s):  
V Karamanian ◽  
B Zepka ◽  
A Ernst ◽  
C West ◽  
G Grode ◽  
...  
Keyword(s):  
Physical Activity ◽  
Nutrition Education ◽  
Goal Setting ◽  
Education Program ◽  
Supplemental Nutrition Assistance Program ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
Nutrition Education Program ◽  
Nutrition Assistance

AbstractObjective:To examine the impact of Nutrition for Life (NFL), a goal-setting nutrition education program, on the knowledge, self-efficacy and behaviour of adults eligible for Supplemental Nutrition Assistance Program-Education.Design:NFL was developed using a 4-week goal-setting behavioural strategy focused on nutrition, physical activity and meal planning techniques. A quantitative repeated-measures design using self-reported data was collected at pre- and post-interventions and at 1-week and 1-month follow-ups.Setting:Two Federally Qualified Health Centers in Philadelphia, PA, USA.Participants:A total of ninety-eight participants enrolled in the intervention; the majority were women (80·2 %), Black/Non-Hispanic (75·0 %) and 45–54 year old (39·6 %).Results:Participants showed significant improvement in knowledge, self-efficacy and behaviour. Specifically, mean daily intake for vegetables increased by 0·31 cup (P < 0·05) and for fruits by 0·39 cup (P < 0·01) at 1-week follow-up. Participants also showed healthier behaviour at 1-month follow-up. Planning at least seven meals per week increased from 14·8 to 50 % (P < 0·01), completing at least 30 min of physical activity every day in the last week increased from 16·7 to 36 % (P < 0·01) and consuming water with all meals increased from 39 to 70·6 % (P < 0·01).Conclusions:The implementation of a goal-oriented nutrition education program offers a promising approach at achieving positive behaviour change among SNAP-eligible adults.

scholarly journals Goal Setting in Masters Sport An Autoethnography of a Masters Kettlebell Athlete and Coach

2020 ◽  
Vol 6 (3) ◽  
pp. 4-10
Author(s):  
Kimberley Eagles ◽  
Bettina Callary
Keyword(s):  
Goal Setting ◽  
Masters Athlete ◽  
Journal Entries ◽  
Oriented Approach

The purpose of this paper is to describe the nuances of goal setting in coached Masters sport from the perspective of a Masters athlete (MA) who is also a Masters coach. Thus, this paper is an autoethnography of how the first author’s experience in goal setting plays out as a MA with an online coach, and as a coach, coaching other MAs in-person. Data were collected through a series of guided reflexive journal entries, prompted by follow up questions from the second author to create narrative visibility. Journal entries were analyzed to determine what, when, where, how, and why the first author uses goal setting. In Masters sport, goals are set using many of the same principles described in the literature from different sport contexts; however, this autoethnography indicates that it is important for goal setting to originate from the MA to account for individual motives, and then to be communicated with, negotiated by, and supported from the coach with an interdependent, adult-oriented approach.

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