The moderating effect of depressive symptoms on daily exercise self-efficacy during physical activity initiation

Aim: To provide a preliminary assessment of the efficacy of the NAT-FM protocol as a complimentary treatment in patients with fibromyalgia (FM). Methods: A trial was conducted, with two arms: TAU (n = 6) and TAU+NAT-FM (n = 6). Results: There was a reduction in physical limitations and anxious/depressive symptoms and an improvement in positive affect in the intervention group. Also, this group showed a decrease in pain, catastrophizing, negative affect, and positively refocusing, and an increase in positive affect. Intrasession assessments showed an increase in positive affect, self-efficacy, and energy, along with a decrease in stress. Intersession assessments revealed an increase in pain, valence, and dominance. Conclusion: The results suggest the appropriateness of the NAT-FM protocol.

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Perceived social and physical environmental correlates of physical activity in older adolescents and the moderating effect of self-efficacy

Preventive Medicine ◽

10.1016/j.ypmed.2009.08.017 ◽

2010 ◽

Vol 50 ◽

pp. S24-S29 ◽

Cited By ~ 60

Author(s):

B. Deforche ◽

D. Van Dyck ◽

M. Verloigne ◽

I. De Bourdeaudhuij

Keyword(s):

Physical Activity ◽

Self Efficacy ◽

Moderating Effect ◽

Environmental Correlates ◽

Older Adolescents

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Internet based cognitive behaviour therapy and its associations to changes in self-efficacy, depressive symptom and physical activity in patients with cardiovascular disease – a secondary analysis of data collected in a randomized controlled trial (Preprint)

10.2196/preprints.29926 ◽

2021 ◽

Author(s):

Peter Johansson ◽

Ghassan Mourad ◽

Gerhard Andersson ◽

Erland Svensson ◽

Johan Lundgren

Keyword(s):

Physical Activity ◽

Cardiovascular Disease ◽

Depressive Symptoms ◽

Depressive Symptom ◽

Self Efficacy ◽

Structural Equation ◽

Secondary Analysis ◽

Randomized Controlled ◽

Equation Modelling ◽

Significant Difference

BACKGROUND In patients with cardiovascular disease (CVD) there is a knowledge gap about the associations between changes in depressive symptoms, self-efficacy and self-care activities. Knowledge about these associations is of importance, as there have been requests for behavioural interventions that could improve self-efficacy, reduce depressive symptoms and improve performance of self-care activities in CVD patients. OBJECTIVE To evaluate if internet-based cognitive behavioural therapy (iCBT) improves self-efficacy, and to explore the relationships between changes in depressive symptoms, self-efficacy and physical activity, as well as the influence of iCBT on these relationships. METHODS A secondary analysis of data collected in a randomized controlled study evaluating the effects of a nine-week iCBT programme compared to an online discussion forum on depressive symptoms in patients with CVD (n=144). Data were collected at baseline and at a post-treatment following the nine-week intervention period. Analysis of covariance was used to evaluate if there was a significant difference in self-efficacy between the groups. Structural equation modelling analyses were used to explore the relationships between changes in depressive symptoms, self-efficacy and physical activity and the influence of iCBT on these relationships. RESULTS At follow-up, a significant difference in the increase in self-efficacy in favour of iCBT was found (P=.04 Cohen’s d=.27). Structural equation modelling revealed an indirect association between changes in depressive symptoms and physical activity (β=-.24, P<.01), with change in self-efficacy as the mediator. Adding iCBT to the model showed that iCBT had a direct effect on change in depressive symptom, which in turn influenced the changes in self-efficacy (β=.23, P<.001) and physical activity (β=.12, P<.001). CONCLUSIONS Self-efficacy was improved by iCBT. The influence of iCBT on self-efficacy and physical activity was, however, mostly mediated by improvements in depressive symptoms. CLINICALTRIAL Main trial study is registread at clinicaltrials.gov NCT02778074; https.//clinicaltrials.gov/ct2/show/NCT02778074

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Parental Self-Efficacy—A Predictor of Children's Health Behaviors? Its Impact on Children's Physical Activity and Screen Media Use and Potential Interaction Effect Within a Health Promotion Program

Frontiers in Psychology ◽

10.3389/fpsyg.2021.712796 ◽

2021 ◽

Vol 12 ◽

Author(s):

Katrin Kieslinger ◽

Olivia Wartha ◽

Olga Pollatos ◽

Jürgen M. Steinacker ◽

Susanne Kobel

Keyword(s):

Physical Activity ◽

Health Promotion ◽

Self Efficacy ◽

Moderating Effect ◽

Children's Health ◽

Children’S Health ◽

Health Promotion Program ◽

Intervention Effect ◽

Screen Media ◽

Screen Media Use

Insufficient physical activity (PA) and increased screen media use (SMU) can have detrimental effects on children's health. Parental self-efficacy (PSE) can act as an important predictor for a healthy upbringing. The aim of this study was to investigate the influence of PSE on children's PA and SMU. Additionally, a moderating effect of PSE on the intervention effect of the health promotion program “Join the Healthy Boat” was examined. Using a prospective randomized controlled trial, 558 kindergarten children (3.6 years [SD = 0.6]) were examined. Data was collected using parental self-report. A significant influence of PSE on children's PA (B = 0.33, p = 0.025) and children's SMU (B = 0.42, p = 0.006) was found. The moderating effect of PSE on the intervention effect was neither significantly related to children's PA (p = 0.360) nor to children's SMU (p = 0.531). This confirms the importance of PSE on children's health development. Despite the lack of a moderating effect, interventions should also promote healthy activity behaviors and self-efficacy for parents in order to engage children in a healthy lifestyle.

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Changes in Physical Activity, Self-Efficacy and Depressive Symptoms in Adolescent Girls

Pediatric Exercise Science ◽

10.1123/pes.23.3.331 ◽

2011 ◽

Vol 23 (3) ◽

pp. 331-343 ◽

Cited By ~ 11

Author(s):

Inga Neissaar ◽

Lennart Raudsepp

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Body Mass ◽

Adolescent Girls ◽

Self Efficacy ◽

Initial Level ◽

Body Height ◽

Calculated Data ◽

The Self ◽

Activity Relationship

The purpose of this study was to examine the longitudinal relationships between naturally occurring changes in leisure-time physical activity, depressive symptoms and self-efficacy in adolescent girls. We also aimed to test whether depressive symptoms would moderate the self-efficacy-physical activity relationship. Participants were 181 urban adolescent girls. Physical activity was measured using the 3-Day Physical Activity Recall. Self-efficacy and depressive symptoms were assessed using questionnaires. Body height and body mass were measured and body mass index (BMI) was calculated. Data were collected on three occasions over a 2-year period. There was a decrease in physical activity and self-efficacy and increase in depressive symptoms across three measurement occasions. There were statistically significant and negative relationships between initial level and change for physical activity and depressive symptoms. Initially higher levels of physical activity were related with initially lower levels of depressive symptoms, and change in physical activity across time was inversely associated with change in levels of depressive symptoms across measurements. There were statistically significant and positive relationships between initial level and change for physical activity and self-efficacy after controlling effect of BMI. Latent growth modeling (LGM) also indicated a moderating effect of depressive symptoms on the self-efficacy-physical activity relationship. Girls who had high initial levels of self-efficacy and smaller increases in depressive symptoms had the lowest decline in physical activity participation. Our results encourage the design of interventions that reduce depressive symptoms and increase self-efficacy as a possible of means of increasing adolescent girls’ physical activity.

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