scholarly journals Factors Influencing Physical Activity in Adults with Cystic Fibrosis

2020 ◽  
Author(s):  
Nicola Hurley ◽  
Niall Moyna ◽  
Bróna Kehoe ◽  
Noel McCaffrey ◽  
Karen Redmond ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cystic Fibrosis ◽  
Affect Regulation ◽  
Energy Levels ◽  
Autonomous Motivation ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Psychological Benefits ◽  
Telephone Interviews ◽  
Home Based

Abstract Background: Despite the well-established physical and psychological benefits of physical activity (PA) for cystic fibrosis (CF) populations, adherence to PA programmes within this population remains low. This study aimed to investigate the factors that influence engagement in physical activity, and to explore exercise preferences, among adults with cystic fibrosis. Methods: Semi-structured telephone interviews were conducted. Participants were twenty-one adults (mean age 35 years, SD ± 8) with an established diagnosis of CF, living in Ireland. Interview scripts were digitally recorded and transcribed verbatim. Thematic analysis was used to analyze the data. Results: Four main themes emerged: barriers, motives, value of exercise-related outcomes, and exercise preferences. The main barriers included: fatigue, low energy levels, time, the weather, and exercise-related confidence. Motives for regular physical activity participation included: enjoyment and perceived competence. Participants who were regularly active valued personally identified exercise-related outcomes such as, accomplishment and affect regulation. Participants indicated a preference for home-based physical activity programs compared to gym- or facility-based programs.Conclusion: Interventions aimed at promoting physical activity among adults with CF should involve home-based programs that foster autonomous motivation confidence, enjoyable activities, personally identified outcomes and competence. Clinical Implications: To increase physical activity participation among adults with CF, home-based interventions that pay attention to the patients’ personally-valued exercise outcomes may be required. Wearable technology that provides real-time feedback may enhance feelings of competence and accomplishment, found to underpin autonomous motivation.

scholarly journals Factors influencing physical activity in adults with cystic fibrosis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicola Hurley ◽  
Niall M. Moyna ◽  
Bróna Kehoe ◽  
Noel McCaffrey ◽  
Karen Redmond ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cystic Fibrosis ◽  
Home Environment ◽  
Affect Regulation ◽  
Energy Levels ◽  
Autonomous Motivation ◽  
Clinical Implications ◽  
Telephone Interviews ◽  
Home Based

Abstract Background Physical activity (PA) is a well-documented and accepted adjunct therapy for the maintenance and improvement of long-term health in cystic fibrosis (CF). Although the benefits of PA for CF populations are well-established, adherence to PA programmes within this population remains low. This study aimed to investigate the factors that influence engagement in physical activity, and to explore exercise preferences, among adults with cystic fibrosis (CF). Methods Semi-structured telephone interviews were conducted. Participants were twenty-one adults (mean age 35 years, SD ± 8) with an established diagnosis of CF, living in Ireland. Interview scripts were digitally recorded and transcribed verbatim. Thematic analysis was used to analyse the data. Results Four main themes emerged: barriers, motives, value of exercise-related outcomes, and exercise preferences. The main barriers included: low energy levels, time, the weather, and exercise-related confidence. Enjoyment and perceived competence underpinned autonomous motivation. Participants who self-identified as being regularly active valued personally identified exercise-related outcomes such as, accomplishment and affect regulation. Participants indicated a preference for home-based physical activity programs compared to gym- or facility-based programs. Conclusion Interventions aimed at promoting physical activity among adults with CF should involve programs that foster autonomous motivation, enjoyable activities, personally identified outcomes, competence and that can be conducted from the home environment. Clinical implications To increase physical activity participation among adults with CF, interventions that can be conducted from the home environment, that pay attention to the patients’ personally-valued exercise outcomes may be required.

Physical activity participation by adults with cystic fibrosis: An observational study

Respirology ◽  
2015 ◽  
Vol 21 (3) ◽  
pp. 511-518 ◽  
Author(s):  
Narelle S. Cox ◽  
Jennifer A. Alison ◽  
Brenda M. Button ◽  
John W. Wilson ◽  
Judith M. Morton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cystic Fibrosis ◽  
Observational Study ◽  
Physical Activity Participation ◽  
Activity Participation

scholarly journals Predictors of School Students’ Leisure-Time Physical Activity: An Extended Trans-Contextual Model Using Bayesian Path Analysis

2020 ◽  
Author(s):  
Juho J. Polet ◽  
Jekaterina Schneider ◽  
Mary Hassandra ◽  
Taru Lintunen ◽  
Arto Laukkanen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Cognition ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Autonomous Motivation ◽  
Self Control ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
School Students ◽  
Contextual Model

Abstract Background: The trans-contextual model has been applied to identify the determinants of leisure-time physical activity participation in secondary school students. In the current study, the trans-contextual model was extended to include additional constructs that represent non-conscious, implicit processes that lead to leisure-time physical activity participation alongside the motivational and social cognition constructs from the model. The current study used baseline and follow-up data from an intervention study to test the extended model.Methods:The current study adopted a two-wave prospective design. Secondary-school students (N = 502) completed measures of perceived autonomy support from physical education (PE) teachers, autonomous motivation in PE and leisure-time contexts, social cognition constructs (attitudes, subjective norms, perceived behavioral control), intentions, trait self-control, habits, and past behavior all in a leisure-time physical activity context. Five weeks later, students (N = 298) completed a follow-up self-report measure of their leisure-time physical activity.Results: Bayesian path analyses supported two key premises of the model: perceived autonomous support predicted autonomous motivation in PE, and autonomous motivation in PE predicted autonomous motivation in leisure time. However, while both forms of autonomous motivation predicted social cognition constructs and intentions, they did not predict leisure-time physical activity participation. Trait self-control, attitudes, and past behavior were direct predictors of intentions and leisure-time physical activity participation. Specifying informative priors for key model relations using Bayesian analysis yielded greater precision for some of the estimates.Conclusions: Findings raise some questions on the efficacy of the original trans-contextual model, but highlight the value of extending the model to incorporate additional constructs representing non-conscious processes.

scholarly journals A web-based intervention to promote physical activity in adolescents and young adults with cystic fibrosis: protocol for a randomized controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Narelle S. Cox ◽  
◽  
Beverley Eldridge ◽  
Sarah Rawlings ◽  
Julianna Dreger ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cystic Fibrosis ◽  
Randomized Controlled Trial ◽  
Young Adults ◽  
Controlled Trial ◽  
Adolescents And Young Adults ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Web Based ◽  
Randomized Controlled

Abstract Background Regular participation in physical activity by people with cystic fibrosis (CF) promotes positive clinical and health outcomes including reduced rate of decline in lung function, fewer hospitalizations and greater wellbeing. However adherence to exercise and activity programs is low, in part due to the substantial daily therapy burden for young people with CF. Strict infection control requirements limit the role of group exercise programs that are commonly used in other clinical groups. Investigation of methods to promote physical activity in this group has been limited. The Active Online Physical Activity in Cystic fibrosis Trial (ActionPACT) is an assessor-blinded, multi-centre, randomized controlled trial designed to compare the efficacy of a novel web-based program (ActivOnline) compared to usual care in promoting physical activity participation in adolescents and young adults with CF. Methods Adolescents and young adults with CF will be recruited on discharge from hospital for a respiratory exacerbation. Participants randomized to the intervention group will have access to a web-based physical activity platform for the 12-week intervention period. ActivOnline allows users to track their physical activity, set goals, and self-monitor progress. All participants in both groups will be provided with standardised information regarding general physical activity recommendations for adolescents and young adults. Outcomes will be assessed by a blinded assessor at baseline, after completion of the intervention, and at 3-months followup. Healthcare utilization will be assessed at 12 months from intervention completion. The primary outcome is change in moderate-to-vigorous physical activity participation measured objectively by accelerometry. Secondary outcomes include aerobic fitness, health-related quality of life, anxiety and depression and sleep quality. Discussion This trial will establish whether a web-based application can improve physical activity participation more effectively than usual care in the period following hospitalization for a respiratory exacerbation. The web-based application under investigation can be made readily and widely available to all individuals with CF, to support physical activity and exercise participation at a time and location of the user’s choosing, regardless of microbiological status. Trial registration Clinical trial registered on July 13, 2017 with the Australian and New Zealand Clinical Trials Register at (ACTRN12617001009303).

Piloting the efficacy of a home-based telehealth movement-to-music program for increasing physical activity participation among adolescents with cerebral palsy: protocol for a randomized controlled trial (Preprint)

2020 ◽  
Author(s):  
Byron Lai ◽  
Laura Vogtle ◽  
Yumi Kim ◽  
Huacong Wen ◽  
Marissa Gowey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Social Cognitive ◽  
Mixed Model ◽  
Cognitive Theory ◽  
Controlled Trial ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Mobility Limitations ◽  
Home Based

BACKGROUND For adolescents with cerebral palsy (CP) who have mobility limitations, particularly wheelchair users, there are no accessible, inexpensive, and enjoyable home-based programs that can be disseminated on a large-scale to help them independently manage their health through participation in physical activity. OBJECTIVE The primary aim will be to efficacy of a 4-week movement-to-music (M2M) program for increasing physical activity participation compared with a waitlist control group in adolescents with CP. The secondary aim will explore Social Cognitive Theory constructs as potential predictors of change in physical activity levels among participants, to understand the mechanisms through which physical activity changes. The tertiary aim will explore the potential effects of M2M on self-reported levels of two common secondary conditions: pain and fatigue. METHODS This randomized controlled trial will pilot a home-based procedure for implementing a M2M program with behavioral coaching among 68 adolescents with CP who walk or use wheelchairs. Participants will be randomized into one of two groups: a) M2M or b) waitlist control. Waitlist participants will be instructed to maintain their daily activities and will receive the M2M program after completing the 4-week non-intervention period. The M2M program will be packaged into a compilation of video playlists that will be performed by participants three times each week at the home. Outcomes will be measured via questionnaires that will be sent to the participant’s home at baseline and post-intervention. Changes in physical activity participation will be measured via the Children’s Assessment of Participation and Enjoyment. Measured constructs within Social Cognitive Theory will include self-efficacy, goal-setting, self-control, and outcome expectations. Perceived pain, fatigue, and strength will be measured via National Institutes of Health Neuro-QoL and PROMIS pediatric short forms. RESULTS A 2x2 mixed model analysis of variance will be used to examine changes in physical activity. Appropriate regression analyses will be used to associate changes in physical activity scores on Social Cognitive Theory variables. Changes in pain and fatigue levels will be examined using 2x2 mixed model analysis of variance. CONCLUSIONS To date, there is no program that can be easily disseminated by health professionals across multiple sites and settings to promote physical activity among adolescents with CP who have mobility limitations. A low-cost M2M video program that is supplemented with behavioral change strategies has the potential to address this need. This project will determine the efficacy of M2M for increasing physical activity behavior among adolescents with CP, which will determine whether M2M requires further CP-specific modifications before it can be implemented in a larger effectiveness trial. CLINICALTRIAL ClinicalTrials.gov NCT04264390

scholarly journals Relations Between Autonomous Motivation and Leisure-Time Physical Activity Participation: The Mediating Role of Self-Regulation Techniques

2016 ◽  
Vol 38 (2) ◽  
pp. 128-137 ◽  
Author(s):  
Johanna Nurmi ◽  
Martin S. Hagger ◽  
Ari Haukkala ◽  
Vera Araújo-Soares ◽  
Nelli Hankonen
Keyword(s):  
Physical Activity ◽  
Process Model ◽  
Leisure Time Physical Activity ◽  
Self Regulation ◽  
Autonomous Motivation ◽  
Self Report ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Self Monitoring ◽  
Coping Planning

This study tested the predictive validity of a multitheory process model in which the effect of autonomous motivation from self-determination theory on physical activity participation is mediated by the adoption of self-regulatory techniques based on control theory. Finnish adolescents (N = 411, aged 17–19) completed a prospective survey including validated measures of the predictors and physical activity, at baseline and after one month (N = 177). A subsample used an accelerometer to objectively measure physical activity and further validate the physical activity self-report assessment tool (n = 44). Autonomous motivation statistically significantly predicted action planning, coping planning, and self-monitoring. Coping planning and self-monitoringmediated the effect of autonomous motivation on physical activity, although self-monitoring was the most prominent. Controlled motivation had no effect on self-regulation techniques or physical activity. Developing interventions that support autonomous motivation for physical activity may foster increased engagement in self-regulation techniques and positively affect physical activity behavior.

scholarly journals Predictors of School Students’ Leisure-Time Physical Activity: An Extended Trans-Contextual Model Using Bayesian Path Analysis

2021 ◽  
Author(s):  
Juho J. Polet ◽  
Jekaterina Schneider ◽  
Mary Hassandra ◽  
Taru Lintunen ◽  
Arto Laukkanen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Cognition ◽  
Autonomy Support ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Autonomous Motivation ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
School Students ◽  
Contextual Model

Abstract The present study aimed to examine effects of motivational and social cognition constructs on children’s leisure-time physical activity participation alongside constructs representing implicit processes using an extended trans-contextual model. The study adopted a correlational prospective design. Secondary-school students (N = 502) completed self-report measures of perceived autonomy support from physical education (PE) teachers, autonomous motivation in PE and leisure-time contexts, and social cognition constructs (attitudes, subjective norms, perceived behavioral control), intentions, trait self-control, habits, and past behavior in a leisure-time physical activity context. Five weeks later, students (N = 298) self-reported their leisure-time physical activity participation. Bayesian path analyses supported two key premises of the model: perceived autonomy support predicted autonomous motivation in PE, and autonomous motivation in PE predicted autonomous motivation in leisure time. Both forms of autonomous motivation predicted social cognition constructs and intentions, but did not predict leisure-time physical activity participation. Self-control, attitudes, and past behavior were direct predictors of intentions and leisure-time physical activity participation. Specifying informative priors for key model relations using Bayesian analysis yielded greater precision for some model effects. Findings raise some questions on the predictive validity of the original trans-contextual model, but highlight the value of extending the model to incorporate additional constructs representing non-conscious processes.

scholarly journals A Qualitative Study of Barriers and Enablers of Physical Activity among Female Emirati University Students

2021 ◽  
Vol 18 (7) ◽  
pp. 3380
Author(s):  
Nicola W. Burton ◽  
Bonnie L. Barber ◽  
Asaduzzaman Khan
Keyword(s):  
Physical Activity ◽  
University Students ◽  
Cultural Values ◽  
Stress Reduction ◽  
Low Cost ◽  
Cultural Influences ◽  
Physical Activity Participation ◽  
Activity Participation ◽  
Barriers And Enablers ◽  
Home Based

Interventions to promote physical activity participation should reflect social and culturally relevant influences of the target demographic. The aim of this study was to explore perceptions of barriers to and enablers of physical activity participation among female Emirati university students. Five semi-structured focus groups were conducted (n = 25). Participants were asked open-ended questions about benefits, barriers and enablers of physical activity, and recommendations to promote participation. Emergent themes were identified using Nvivo software. Commonly identified benefits included improved health, weight management, improved mood, and stress reduction. The main barriers were low family support, competing time demands from domestic and academic activities, lack of convenient access to women-only facilities, and hot weather. The main enablers and recommendations related to social support from family and friends, accessible and low-cost women-only facilities, and structured supervised sessions. Findings suggest that there are specific social-cultural influences of physical activity among female Emirati university students. Approaches to promote participation could include identifying benefits consistent with family and cultural values, using social media for education, support and modelling, on campus supervised physical activity sessions integrated with the academic timetable, low-cost women-only opportunities in the local residential area, and support for home-based activities.

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