Strategies to improve effectiveness of physical activity coaching systems: Development of personas for providing tailored feedback

2016 ◽  
Vol 24 (1) ◽  
pp. 92-102 ◽  
Author(s):  
Reinoud Achterkamp ◽  
Marit GH Dekker-Van Weering ◽  
Richard MH Evering ◽  
Monique Tabak ◽  
Josien G Timmerman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Behavioural Change ◽  
Stage Of Change ◽  
Activity Levels ◽  
Physical Activity Interventions ◽  
Coaching Strategies ◽  
Feedback Strategies ◽  
Healthy Control

Mobile physical activity interventions can be improved by incorporating behavioural change theories. Relations between self-efficacy, stage of change, and physical activity are investigated, enabling development of feedback strategies that can be used to improve their effectiveness. A total of 325 healthy control participants and 82 patients wore an activity monitor. Participants completed a self-efficacy or stage of change questionnaire. Results show that higher self-efficacy is related to higher activity levels. Patients are less active than healthy controls and show a larger drop in physical activity over the day. Patients in the maintenance stage of change are more active than patients in lower stages of change, but show an equally large drop in level of physical activity. Findings suggest that coaching should at least be tailored to level of self-efficacy, stage of change, and physical activity pattern. Tailored coaching strategies are developed, which suggest that increasing self-efficacy of users is most important. Guidelines are provided.

scholarly journals ‘The positive feel’: Unpacking the role of positive thinking in people with multiple sclerosis’s thinking aloud about staying physically active

2016 ◽  
Vol 21 (12) ◽  
pp. 3026-3036 ◽  
Author(s):  
Samuel M Hall-McMaster ◽  
Gareth J Treharne ◽  
Catherine M Smith
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Positive Thinking ◽  
Thinking Aloud ◽  
Physically Active ◽  
Physical Activity Interventions ◽  
Physical Activity Motivation

People with multiple sclerosis experience barriers to physical activity. Thought processes are interwoven with garnering motivation to overcome these barriers. This study investigated in-depth the role of positive thinking in physical activity motivation of two women and two men with multiple sclerosis. Participants thought aloud while completing standardised measures of physical activity, stages of change and self-efficacy, and in response to planned and spontaneous questions. Four themes were formulated using inductive thematic analysis: thoughts about purpose, self-efficacy, the past and reinforcement through positive thinking. These findings have implications for physical activity theories and delivering appropriate physical activity interventions to the multiple sclerosis community.

scholarly journals Levels of physical activity, barriers, and stage of change in an urban population from a municipality in Colombia

2011 ◽  
pp. 352-361 ◽  
Author(s):  
Elkin Fernando Arango ◽  
Fredy Alonso Patiño ◽  
Mario Andrés Quintero ◽  
Mónica María Arenas
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Random Sampling ◽  
Urban Population ◽  
Leisure Time ◽  
Stage Of Change ◽  
Activity Levels ◽  
High Prevalence ◽  
Physical Activity Levels ◽  
Obese Subjects

Objective: To assess the levels of physical activity, barriers, and stage of change in an urban population 25 to 50 years of age from the Municipality of Santa Rosa de Osos, department of Antioquia. Materials and methods: A prevalence study was conducted, with a two-stage random sampling among 357 individuals not suffering from any known cardiovascular disease. A pre-designed survey was conducted to assess the levels of physical activity, the stage of change, and physical activity barriers. Results: The total low physical activity was 9%, and by domains: work 66.9%, transport 60.8%, household and garden (yard work) 44.8%, and leisure-time 76.2%. The most important physical activity barriers were «lack of willpower» (70%) and «lack of time» (46.2%). The most prevalent stages of change were «contemplation» (40.3%) and «preparation» (17.1%). Conclusion: low physical activity levels were found in different domains of daily life, together with a high prevalence of barriers and stages prior to physical activity practice, mainly among women and obese subjects.

Planning Mediates Between Self-Efficacy and Physical Activity Among Motivated Young Adults

2016 ◽  
Vol 13 (1) ◽  
pp. 87-93 ◽  
Author(s):  
Guangyu Zhou ◽  
Dongmei Wang ◽  
Nina Knoll ◽  
Ralf Schwarzer
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Stages Of Change ◽  
Self Efficacy ◽  
Activity Levels ◽  
Observation Study ◽  
Physically Active ◽  
Moderator Effect ◽  
Baseline Activity ◽  
Physical Activity Levels

Background:Often, motivation to be physically active is a necessary precondition of action but still does not suffice to initiate the target behavior. Instead, motivation needs to be translated into action by a self-regulatory process. Self-efficacy and planning are considered to be useful constructs that help to facilitate such translations.Objective:The aim is to examine the roles of motivation, planning, and self-efficacy as well as the mechanisms that operate in the change of physical activity levels.Methods:In a longitudinal observation study with 249 young adults, self-efficacy, planning, motivation, and physical activity were assessed at 2 points in time, 3 months apart.Results:Planning served as a mediator between self-efficacy and physical activity, controlling for baseline activity. In addition to this indirect effect, a moderator effect was found between self-efficacy and stages of change on planning. The mediation operated only in motivated, but not in unmotivated students.Conclusions:A mediation from self-efficacy via planning to physical activity seems to be likely only when people are motivated to become more active.

scholarly journals Predictors of physical activity behavior change based on the current stage of change—an analysis of young people from Hawai’i

2021 ◽  
Author(s):  
Eliane S. Engels ◽  
Claudio R. Nigg ◽  
Anne K. Reimers
Keyword(s):  
Physical Activity ◽  
Family Support ◽  
Stages Of Change ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Vigorous Physical Activity ◽  
Stage Of Change ◽  
Physical Activity Behavior ◽  
Social Predictors ◽  
Current Stage

AbstractThis study investigated the corresponding change between psycho-social predictors and physical activity (PA) behavior and if these relationships were dependent on the stages of change from the Transtheoretical Model in Minority American adolescents. We conducted a longitudinal field study with N = 357 students aged 13–18 years (M = 14.24 years, SD = 0.88); predominantly Filipino (61.2%) using a test–retest design assessing psycho-social PA predictors (enjoyment, self-efficacy, family support, friends’ support, knowledge, stage of change) and moderate-to-vigorous physical activity (MVPA) at two time points over six months. Hierarchical regression results indicated that a positive change of enjoyment, knowledge about PA and family support predicted a change of MVPA, independently of stage. The time-varying covariation showed the importance of the current stage of change for enjoyment, self-efficacy and support of friends for a change of MVPA. Overall, our findings suggest that an individual’s current stage of change should be considered to determine individually appropriate starting points and goals for designing interventions to promote PA among Minority American adolescents.

The Association Among Social Support, Self-Efficacy, Use of Mobile Apps, and Physical Activity: Structural Equation Models With Mediating Effects (Preprint)

2018 ◽  
Author(s):  
Taotao Wang ◽  
Mengyuan Ren ◽  
Ying Shen ◽  
Xiaorou Zhu ◽  
Xing Zhang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
College Students ◽  
Self Efficacy ◽  
Structural Equation ◽  
Mobile Apps ◽  
Mediating Effect ◽  
Activity Levels ◽  
Support Level ◽  
Physical Activity Levels

BACKGROUND Physical inactivity is a risk factor for chronic noncommunicable diseases. Insufficient physical activity has become an important public health problem worldwide. As mobile apps have rapidly developed, physical activity apps have the potential to improve the level of physical activity among populations. OBJECTIVE This study aimed to evaluate the effect of physical activity apps on levels of physical activity among college students. METHODS A Web-based questionnaire was used to survey college students in Beijing from December 27, 2017, to January 5, 2018. According to a previous survey, 43% of college students using physical activity apps and 36% of those who never used such apps achieved the physical activity recommendations. In this study, the sample size was calculated to be 500. The questionnaire consisted of 5 parts: the use of physical activity apps, sports habits, social support, self-efficacy, and social demographic information. Structural equation modeling was used to test the relationships between the use of physical activity apps, self-efficacy, social support, and level of physical activity. RESULTS Of the 1245 participants, 384 college students (30.8%) used physical activity apps (in the past month). Of these 384 students, 191 (49.7%) gained new friends via the app. College students who were using physical activity apps had a higher level of physical activity and higher scores for social support and self-efficacy (<italic>P</italic>&lt;.001) than those who did not use such apps. The use of physical activity apps significantly affected the mediating effect of physical activity level through social support (beta=.126; <italic>P</italic>&lt;.001) and self-efficacy (beta=.294; <italic>P</italic>&lt;.001). Gender played an important role in app use, self-efficacy, and physical activity in the mediation model: male users spent more time on physical activity and had higher self-efficacy scores (<italic>P</italic>&lt;.001). CONCLUSIONS This study focused on college students in Beijing and found that the use of physical activity apps is associated with higher physical activity levels among these students. This effect is mainly through the mediation effect of social support and self-efficacy, rather than the direct effect of physical activity apps. The use of physical activity apps is associated with a higher social support level and higher self-efficacy score. Furthermore, a high social support level and high self-efficacy score are associated with higher physical activity levels.

scholarly journals Effect of physical activity levels on oncological breast surgery recovery: a prospective cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ifat Klein ◽  
Leonid Kalichman ◽  
Noy Chen ◽  
Sergio Susmallian
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Chronic Pain ◽  
Self Efficacy ◽  
Breast Cancer Surgery ◽  
Activity Levels ◽  
Axillary Web Syndrome ◽  
Function Range ◽  
A Prospective Study ◽  
The Impact

AbstractAfter breast cancer (BC) surgery, women may experience a physical decline. The effect of physical activity (PA) on the course of recovery after BC surgery has not yet been thoroughly examined. To analyze the impact of physical activity performed by women undergoing breast cancer surgery on measures of function, range of motion, and self-efficacy. A prospective study was carried out in 157 patients who underwent surgery for BC between October 2018 and April 2019, divided into four groups according to the intensity of PA with 6 months follow-up. 50 sedentary patients and 107 active patients were enrolled; the mean age was 52.6. Women who performed physical activity, moderate to vigorous, demonstrated lower function disabilities (QuickDASH 2.22) compared with inactivity or light physical activity (QuickDASH 7.0, p < 0.001), with better shoulder flexion (159.0° vs. 150.7°, p = 0.007) and abduction (159.5° vs. 152.2°, p = 0.008). Higher PA levels, displayed in higher self-efficacy reports (9.5 vs. 8.8, p = 0.002), and return to prior job status (0.005). The PA level does not influence pain at one, three and 6 months postoperatively (p = 0.278, p = 0.304 and p = 0.304 respectively). High PA levels increase the risk of axillary web syndrome (p = 0.041), although, it reduces the incidence of chronic pain (p = 0.007). Women who practice physical activity recover better from BC surgery than sedentary women. The higher the intensity and frequency of training, the better the results. Vigorous activity cause axillary web syndrome, despite, it has a beneficial effect on lowering the rate of chronic pain.

Personal and social factors that influence physical activity levels in community-dwelling stroke survivors: A systematic review of qualitative literature

2021 ◽  
pp. 026921552199369
Author(s):  
Karl R Espernberger ◽  
Natalie A Fini ◽  
Casey L Peiris
Keyword(s):  
Physical Activity ◽  
Social Factors ◽  
Self Efficacy ◽  
Data Extraction ◽  
Community Dwelling ◽  
Stroke Survivors ◽  
Activity Levels ◽  
Post Stroke ◽  
Physical Activity Levels ◽  
Mobile Community

Objectives: To determine the personal and social factors perceived to influence physical activity levels in stroke survivors. Data sources: Four electronic databases (MEDLINE, CINAHL, PubMed and Embase) were searched from inception to November 2020, including reference and citation list searches. Study selection: The initial search yielded 1499 papers, with 14 included in the review. Included articles were peer-reviewed, qualitative studies, reporting on the perceived factors influencing physical activity levels of independently mobile community-dwelling adults, greater than 3 months post stroke. Data extraction: Data extracted included location, study aim, design, participant and recruitment information and how data were collected and analysed. Data synthesis: Thematic analysis was undertaken to identify meanings and patterns, generate codes and develop themes. Five main themes were identified: (i) Social networks are important influencers of physical activity; (ii) Participation in meaningful activities rather than ‘exercise’ is important; (iii) Self-efficacy promotes physical activity and physical activity enhances self-efficacy; (iv) Pre-stroke identity related to physical activity influences post-stroke physical activity; and (v) Formal programmes are important for those with low self-efficacy or a sedentary pre-stroke identity. Conclusions: Physical activity levels in stroke survivors are influenced by social activities and support, pre-stroke identity, self-efficacy levels and completion of activities that are meaningful to stroke survivors.

scholarly journals Social Networks and Physical Activity in Senior Housing: A Pilot Feasibility Study

2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 201-208
Author(s):  
Noah J. Webster ◽  
Toni C. Antonucci ◽  
Neil B. Alexander
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Network ◽  
Social Relations ◽  
Low Income ◽  
Strategic Partnership ◽  
Multiple Chronic Conditions ◽  
Activity Levels ◽  
Senior Housing ◽  
Physical Activity Interventions

Objective: Only 16% of people aged >65 years engage in recommended levels of physical activity, putting a vast major­ity at risk for multiple chronic conditions including heart disease. Physical activity is even lower among older adults with fewer economic resources. Research is needed to develop context-specific approaches to pair with physical activity interventions to increase effectiveness. In this pilot study, we examine social ties and physical activity levels of older adults living in a US Depart­ment of Housing and Urban Development subsidized senior housing community to test feasibility of a social network-based approach to physical activity interventions. This study is grounded in Social Contagion Theory and the Convoy Model of Social Relations, which argue health and health-related behaviors are facilitated through network ties.Methods: Data were collected through face-to-face interviews conducted over the course of three months (September- November 2018) with 46 residents living in a low-income senior housing community in southeast Michigan. Residents were asked about physical activity, people they know in the community, and their close social network composition.Results: Residents reported knowing, on average, six other residents and approxi­mately 28% of those in their close networks were also residents. Sociocentric network analysis identified two socially engaged (known by seven or more other residents) physically active residents, whereas ego-centric analysis identified four (60% or more of their network comprised residents).Conclusions: This study demonstrates potential feasibility of a strategic partnership that involves pairing social resources with physical activity interventions in afford­able senior housing. Multiple approaches, which need to be evaluated, exist to identify socially engaged residents.Ethn Dis. 2019;29(Suppl 1): 201-208; doi:10.18865/ ed.29.S1.201.

scholarly journals The association between psychological characteristics and physical activity levels in people with knee osteoarthritis: a cross-sectional analysis

2020 ◽  
Author(s):  
Daisuke Uritani ◽  
Jessica Kasza ◽  
Penny K. Campbell ◽  
Ben Metcalf ◽  
Thorlene Egerton
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Psychological Characteristics ◽  
Activity Levels ◽  
Cross Sectional ◽  
Fear Of Movement ◽  
Physical Activity Levels ◽  
Steps Per Day ◽  
The Relationship

Abstract Background:The aim of this study was to examine the relationship between psychological characteristics and physical activity levels, measured as the average number of steps per day, in people with knee osteoarthritis (OA).Methods: This study analysed baseline data from a randomized controlled trial (Australian New Zealand Clinical Trials Registry reference: ACTRN12612000308897). A total of 167 adults aged over 50 years, with knee pain rated as four or more on an 11-point numeric rating scale, and knee OA diagnosed using American College of Rheumatology clinical criteria, were recruited from the community (62 men and 105 women; mean age, 62.2 ± 7.5 years). The average number of steps per day over seven consecutive days was measured using an accelerometer-based device. Psychological characteristics evaluated were: depressive symptoms (Depression Anxiety Stress Scale), self-efficacy (Arthritis Self-Efficacy Scale for pain and other symptoms), fear of movement (Brief Fear of Movement Scale for Osteoarthritis), and pain catastrophizing (Pain Catastrophizing Scale). The association between the average number of steps per day and psychological characteristics was analyzed using a multiple linear regression analysis, with the average number of steps per day as the dependent variable, adjusting for each psychological characteristic separately, and age, sex, body mass index, and pain entered as covariates.Results: There was evidence that the amount of physical activity was associated with fear of movement (coefficient [B]: -117, 95% confidence interval [95%CI]: -227 to -8) and with pain catastrophizing (B: -44, 95%CI: -86 to -1). The association with self-efficacy was similar (B:117, 95%CI: -12 to 246). However, the direction of the association with depressive symptoms was less clear (B: -59, 95%CI: -138 to 19).Conclusions: The results of this study revealed that the relationship was such that lower fear of movement and lower pain catastrophizing may be associated with more steps per day. It may be hypothesized that fear of moving and pain catastrophizing lead to activity avoidance and that strategies to improve these disease-related psychological aspects may be useful in enhancing physical activity participation, although this hypothesis is highly speculative and needs further testing given the cross-sectional design of this study.

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