scholarly journals The Association Between Web-Based or Face-to-Face Lifestyle Interventions on the Perceived Benefits and Barriers to Exercise in Midlife Women: Three-Arm Equivalency Study (Preprint)

2018 ◽  
Author(s):  
Amanda Mary McGuire ◽  
Charrlotte Seib ◽  
Janine Porter-Steele ◽  
Debra Jane Anderson
Keyword(s):  
Physical Activity ◽  
Registered Nurses ◽  
Health Behavior Change ◽  
Midlife Women ◽  
Self Report ◽  
Web Based ◽  
Face To Face ◽  
Barriers To Exercise ◽  
Physical Activity And Exercise ◽  
Over Time

BACKGROUND Noncommunicable diseases pose a significant threat to women’s health globally, with most diseases being attributed to modifiable risk factors such as physical inactivity. Women perceive a range of benefits and barriers to exercise; however, there is little evidence about the effect of different lifestyle intervention delivery modes on perceptions of exercise. OBJECTIVE This study aimed to compare the effect of a multiple health behavior change (MHBC) intervention called the Women’s Wellness Program. This intervention was delivered in 3 different modes on perceived exercise benefits, perceived exercise barriers, and actual physical activity and exercise in midlife women. METHODS Women aged 45 to 65 years were recruited via the study website. They were assigned in blocks to 3 different treatment groups (A: Web-based independent; B: face-to-face with nurse consultations; and C: Web-based with virtual nurse consultations). All participants received the 12-week intervention that utilizes principles from social-cognitive theory to provide a structured guide to promote healthy lifestyle behaviors with an emphasis on regular exercise and healthy eating. Data were collected using a self-report Web-based questionnaire at baseline (T1) and postintervention (T2) including perceived exercise benefits and barriers and exercise and physical activity. A data analysis examined both within- and between-group changes over time. RESULTS Participants in this study (N=225) had a mean age of 50.9 years (SD 5.9) and most were married or living with a partner (83.3%, 185/225). Attrition was 30.2% with 157 participants completing the final questionnaire. Women in all intervention groups reported a significant increase in positive perceptions of exercise (P<.05); a significant increase in exercise and overall physical activity (P<.01) with moderate-to-large effect sizes noted for overall physical activity (d=0.5 to d=0.87). Participants receiving support from registered nurses in the face-to-face and Web-based groups had a greater magnitude of change in benefit perceptions and physical activity than those in the Web-based independent group. There was no significant change in exercise barrier perceptions within or between groups over time. CONCLUSIONS The results of this study suggest that the (MHBC) intervention is effective in increasing exercise benefit perceptions, overall physical activity, and exercise in midlife women. Although Web-based programs are cost-effective and flexible and can be delivered remotely, providing a range of options including face-to-face group delivery and personalized electronic health coaching from registered nurses has the potential to enhance participant engagement and motivation.

scholarly journals The Association Between Web-Based or Face-to-Face Lifestyle Interventions on the Perceived Benefits and Barriers to Exercise in Midlife Women: Three-Arm Equivalency Study

10.2196/10963 ◽  
2019 ◽  
Vol 21 (8) ◽  
pp. e10963
Author(s):  
Amanda Mary McGuire ◽  
Charrlotte Seib ◽  
Janine Porter-Steele ◽  
Debra Jane Anderson
Keyword(s):  
Physical Activity ◽  
Registered Nurses ◽  
Health Behavior Change ◽  
Midlife Women ◽  
Self Report ◽  
Web Based ◽  
Face To Face ◽  
Barriers To Exercise ◽  
Physical Activity And Exercise ◽  
Over Time

Background Noncommunicable diseases pose a significant threat to women’s health globally, with most diseases being attributed to modifiable risk factors such as physical inactivity. Women perceive a range of benefits and barriers to exercise; however, there is little evidence about the effect of different lifestyle intervention delivery modes on perceptions of exercise. Objective This study aimed to compare the effect of a multiple health behavior change (MHBC) intervention called the Women’s Wellness Program. This intervention was delivered in 3 different modes on perceived exercise benefits, perceived exercise barriers, and actual physical activity and exercise in midlife women. Methods Women aged 45 to 65 years were recruited via the study website. They were assigned in blocks to 3 different treatment groups (A: Web-based independent; B: face-to-face with nurse consultations; and C: Web-based with virtual nurse consultations). All participants received the 12-week intervention that utilizes principles from social-cognitive theory to provide a structured guide to promote healthy lifestyle behaviors with an emphasis on regular exercise and healthy eating. Data were collected using a self-report Web-based questionnaire at baseline (T1) and postintervention (T2) including perceived exercise benefits and barriers and exercise and physical activity. A data analysis examined both within- and between-group changes over time. Results Participants in this study (N=225) had a mean age of 50.9 years (SD 5.9) and most were married or living with a partner (83.3%, 185/225). Attrition was 30.2% with 157 participants completing the final questionnaire. Women in all intervention groups reported a significant increase in positive perceptions of exercise (P<.05); a significant increase in exercise and overall physical activity (P<.01) with moderate-to-large effect sizes noted for overall physical activity (d=0.5 to d=0.87). Participants receiving support from registered nurses in the face-to-face and Web-based groups had a greater magnitude of change in benefit perceptions and physical activity than those in the Web-based independent group. There was no significant change in exercise barrier perceptions within or between groups over time. Conclusions The results of this study suggest that the (MHBC) intervention is effective in increasing exercise benefit perceptions, overall physical activity, and exercise in midlife women. Although Web-based programs are cost-effective and flexible and can be delivered remotely, providing a range of options including face-to-face group delivery and personalized electronic health coaching from registered nurses has the potential to enhance participant engagement and motivation.

Activity and Obesity of Colombian Immigrants in Canada Who Use a Food Bank

2007 ◽  
Vol 105 (2) ◽  
pp. 681-687 ◽  
Author(s):  
Victor Ng ◽  
Timothy J. Rush ◽  
Meizi He ◽  
Jennifer D. Irwin
Keyword(s):  
Physical Activity ◽  
Weight Status ◽  
University Education ◽  
Self Report ◽  
Healthy Weight ◽  
Food Bank ◽  
Convenience Sample ◽  
Face To Face ◽  
Received Social Support ◽  
Canadian Immigrants

The purpose of this study was to provide some preliminary description of the Latin-Canadian community by reporting the socioeconomic status, physical activity, and weight status (i.e., healthy weight, overweight, or obese status) of Colombians newly immigrated to London, Ontario Canada. Face-to-face interviews were conducted on a convenience sample of 77 adult Colombian immigrant food bank users (46.8% men; mean age 39.9 yr., SD = 11.8). Physical activity was gauged using the International Physical Activity Questionnaire and self-report Body Mass Index, and sociodemographic data were collected. Of respondents, 47% had a university education, and 97% received social support. 61% met recommended levels of physical activity. Men were more active, being involved in about 130 min. more of exercise per week, and more men were overweight than women (63.9% versus 39.0%, respectively). Of respondents, 73% reported being less active than before coming to Canada. This pilot study indicates that Latin-Canadian immigrants are a vulnerable group in need of acculturational support. Further study is warranted.

Psychosocial Determinants of Stages of Change and Physical Activity among Adults with Physical Disabilities

2006 ◽  
Vol 23 (1) ◽  
pp. 49-64 ◽  
Author(s):  
Maria Kosma ◽  
Rebecca Ellis Gardner ◽  
Bradley J. Cardinal ◽  
Jeremy J. Bauer ◽  
Jeffrey A. McCubbin
Keyword(s):  
Physical Activity ◽  
Stages Of Change ◽  
Cognitive Processes ◽  
Transtheoretical Model ◽  
Self Efficacy ◽  
Physical Disabilities ◽  
Self Report ◽  
Processes Of Change ◽  
Assessment Methodology ◽  
Web Based

A high proportion of individuals with disabilities remain physically inactive. Therefore, this study (web-based survey) investigated the relationships between the Transtheoretical Model (TTM) and physical activity among 224 adults with physical disabilities (M age = 45.4 years, SD = 10.78, females = 71%). Additionally, the most important TTM predictors of the stages of change and physical activity were examined. Standardized self-report scales of the TTM constructs and physical activity were completed. The study findings supported the theorized relationships between the TTM constructs and physical activity. The behavioral and cognitive processes of change distinguished the stages of change. These two constructs and self-efficacy mostly predicted physical activity (R2total = .18). The assessment methodology of the TTM constructs needs to be revisited.

scholarly journals Change in Estradiol and Follicle-Stimulating Hormone across the Early Menopausal Transition: Effects of Ethnicity and Age

2004 ◽  
Vol 89 (4) ◽  
pp. 1555-1561 ◽  
Author(s):  
John F. Randolph ◽  
MaryFran Sowers ◽  
Irina V. Bondarenko ◽  
Siobán D. Harlow ◽  
Judith L. Luborsky ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Ethnic Differences ◽  
Repeated Measures ◽  
Menopausal Status ◽  
Midlife Women ◽  
Self Report ◽  
Race Ethnicity ◽  
Caucasian Women ◽  
Over Time

Abstract Serum reproductive hormone concentrations were measured longitudinally in a community-based, multiethnic population of midlife women to assess whether ethnic differences exist in the patterns of change in estradiol (E2) and FSH and, if so, whether these differences are explained by host characteristics. We studied 3257 participants from seven clinical sites in the Study of Women’s Health Across the Nation (SWAN) who were aged 42–52 yr at baseline and self-identified as African American (28.2%), Caucasian (47.1%), Chinese (7.7%), Hispanic (8.4%), or Japanese (8.6%). E2 and FSH were assayed in serum collected primarily in the early follicular phase of a spontaneous menstrual cycle in three consecutive annual visits. The primary explanatory variables included in repeated-measures regression analyses were race/ethnicity, menopausal status, age, body mass index (BMI), day of the cycle, smoking, parity, socioeconomic status, study site, and the self-report of diabetes at baseline. At the baseline visit, 46.2% of the women were classified as being early perimenopausal, with the remaining being premenopausal. By the second follow-up visit, 5.5% of the women in that cohort were postmenopausal, 66.8% were early perimenopausal, 8.3% were late perimenopausal, and 19.4% remained premenopausal. Serum E2 concentrations decreased significantly with age, with a steeper decline at higher ages. FSH concentrations increased significantly with age, with a steeper increase at higher ages. Similar patterns in the decline of E2 and the increase in FSH with age were found across ethnic groups, but the levels of these hormones differed by race/ethnicity. Specifically, over time, Chinese and Japanese women had lower E2 concentrations but similar FSH levels, compared with Caucasian women, and African American women had higher FSH concentrations but comparable E2 levels with those of Caucasian women. These ethnic differences in E2 and FSH were independent of menopausal status. The effect of BMI on serum E2 and FSH levels varied by menopausal status. Increasing BMI was associated with decreasing concentrations of E2 among premenopausal and early perimenopausal women but was associated with increasing concentrations of E2 among late perimenopausal and postmenopausal women. Increasing BMI was associated with decreasing concentrations of FSH, with the effect of BMI becoming larger as women transitioned through menopause. We conclude that serum E2 levels decrease and FSH concentrations increase with increasing age in midlife women, that ethnic differences in E2 over time differ from ethnic differences in FSH and suggest ethnic differences in the pituitary-ovarian relationship, and that the effect of BMI on E2 and FSH concentrations varies by menopausal status.

scholarly journals Motivation for Physical Activity in Adults with Multiple Sclerosis: A Self-determination Theory–Based Approach

2021 ◽  
Author(s):  
Narissa McCarty ◽  
Samantha Sayer ◽  
Susan L. Kasser
Keyword(s):  
Physical Activity ◽  
Multiple Sclerosis ◽  
Health Behavior Change ◽  
Need Satisfaction ◽  
Behavioral Regulation ◽  
Mobility Impairment ◽  
Web Based ◽  
Psychological Need ◽  
Integrated Regulation ◽  
Psychological Need Satisfaction

Abstract Background: Despite the benefits of regular physical activity (PA), most adults with multiple sclerosis (MS) are insufficiently active. Identifying the motivational correlates of PA is necessary to facilitate health behavior change. The extent to which the constructs of psychological need satisfaction and motivational regulations associate with self-determined PA in adults with the disease was examined. Methods: Individuals with MS were provided a link to a web-based survey. There were 290 respondents: 242 women and 48 men aged 22 to 71 (mean ± SD, 49.50 ± 12.05) years with primarily mild-to-moderate mobility impairment who completed the Psychological Need Satisfaction in Exercise scale, the Behavioral Regulation in Exercise Questionnaire, and the International Physical Activity Questionnaire. Results: Path analysis revealed that PA was best predicted by integrated regulation, competence, and mobility, explaining 28% of the variance in PA behavior. All three need satisfaction variables (relatedness, competence, and autonomy) and mobility impairment accounted for 43% of the variance in integrated regulation. Conclusions: Increasing satisfaction of the need for relatedness, competence, and autonomy can lead to more integrated and internally motivated PA engagement in adults with MS.

Usage and appreciation of a Web-Based Computer-Tailored Diet and Physical Activity Intervention based on the Self-Determination Theory: Evaluation of process and predictors (Preprint)

2020 ◽  
Author(s):  
Juul M.J. Coumans ◽  
Anke Oenema ◽  
Catherine A.W. Bolman ◽  
Lilian Lechner
Keyword(s):  
Physical Activity ◽  
Self Determination Theory ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Self Determination ◽  
Self Report ◽  
Stepwise Logistic Regression ◽  
Web Based ◽  
Motivational Constructs ◽  
Diet And Physical Activity

BACKGROUND eHealth seems to be a promising tool for promoting lifestyle behaviors, such as a healthy diet and physical activity (PA). However, making people use interventions is a crucial and challenging problem in eHealth. More insight into usage patterns and predicting factors is needed to improve future interventions. OBJECTIVE This paper describes the (predictors of) usage and appreciation of a web-based computer-tailored dietary and PA promotion intervention “MyLifestyleCoach” based on Self-Determination theory. Firstly, we depicted the participants’ flow in the intervention, identifying moments when people are likely to discontinue their use. Secondly, it was investigated whether demographic, motivational, and program-related characteristics predict usage of several intervention elements. Thirdly, appreciation scores of the intervention and the characteristics associated with these scores were reported. METHODS Data from online self-report questionnaires and objectively assessed usage data of several intervention parts were analyzed from participants randomized to the intervention condition. Multiple stepwise (logistic) regression analyses were conducted to examine the predictors of the intervention’s usage and evaluation scores. RESULTS Our findings indicate a low full completion rate for the intervention who chose and completed respectively the diet module (49/146, 33.6%), the PA module (2/12, 16.7%) and both modules (58/273, 21.2%). Several points in the intervention were identified where participants were likely to stop using the intervention. Autonomous and intrinsic motivation towards diet was related to the completion of initial sessions of the intervention (i.e., the opening session in which participants could choose which module to follow and the first session of the diet module). In contrast, controlled motivation was linked to the completion of both modules (initial and follow-up sessions). The appreciation scores were somewhat positive. Appreciation was predicted by several motivational constructs (e.g., amotivation), basic psychological needs (e.g., competence), and program-related features (e.g., the number of sessions completed). CONCLUSIONS To conclude, this study adds meaningful information on the use and appreciation of a Web-based computer-tailored dietary and PA intervention “MyLifestyleCoach”. Results indicate that different types of motivation are at play at different moments where people are likely to stop using the intervention. The intervention was appreciated fairly well, and several motivational constructs and fulfillment of the basic psychological needs were associated with appreciation. Practical implications of these findings have been provided. CLINICALTRIAL Netherlands Trial Register NL7333; https://www.trialregister.nl/trial/7333

scholarly journals Psychosocial Predictors of Physical Activity Change Among College Students in an Obesity Prevention Trial

2017 ◽  
Vol 14 (7) ◽  
pp. 513-519 ◽  
Author(s):  
Danielle Arigo ◽  
Paul Rohde ◽  
Heather Shaw ◽  
Eric Stice
Keyword(s):  
Physical Activity ◽  
College Students ◽  
At Risk ◽  
Cognitive Dissonance ◽  
Obesity Prevention ◽  
Weight Control ◽  
Self Report ◽  
Prevention Trial ◽  
Healthy Weight ◽  
Over Time

Background:Moderate-to-vigorous physical activity (MVPA) is critical for maintaining a healthy weight, although little is known about psychological barriers to maintaining MVPA in at-risk groups. Identifying characteristics associated with poor MVPA maintenance in obesity prevention programs could improve participant outcomes.Methods:Toward this end, we examined predictors of MVPA in an obesity prevention trial for college students at risk for weight gain (n = 333; 72% female, mean BMI = 23.4 kg/m2). Participants engaged in 1 of 3 weight control interventions and in 4 assessments over 12-month follow-up (ie, measured height/weight, self-reports of psychosocial characteristics, 4 days of accelerometer wear).Results:Multilevel modeling analyses showed that across conditions, participants decreased total MVPA minutes per week over 12 months (B = –5.48, P < .01). Baseline self-report scores for both impulsiveness and cognitive dissonance regarding engaging in unhealthy behaviors negatively predicted MVPA over time. Participants higher (vs. lower) in baseline impulsiveness (B = –6.89, P = .03) and dissonance (B = –4.10, P = .04) began the study with more MVPA minutes, but showed sharper declines over time.Conclusions:Targeted MVPA-focused intervention for students who show elevated impulsiveness and cognitive dissonance may improve both MVPA and weight control outcomes for these individuals.

Development and Validation of a New Self-Report Instrument for Measuring Sedentary Behaviors and Light-Intensity Physical Activity in Adults

2014 ◽  
Vol 11 (6) ◽  
pp. 1097-1104 ◽  
Author(s):  
Faisal Awad Barwais ◽  
Thomas F. Cuddihy ◽  
Tracy Washington ◽  
L. Michaud Tomson ◽  
Eric Brymer
Keyword(s):  
Physical Activity ◽  
Light Intensity ◽  
Self Report ◽  
Sedentary Behaviors ◽  
Type Method ◽  
Face To Face ◽  
Intensity Physical Activity ◽  
Development And Validation ◽  
Pearson Correlations ◽  
Report Measure

Background:Low levels of physical activity and high levels of sedentary behavior (SB) are major public health concerns. This study was designed to develop and validate the 7-day Sedentary (S) and Light Intensity Physical Activity (LIPA) Log (7-day SLIPA Log), a self-report measure of specific daily behaviors.Method:To develop the log, 62 specific SB and LIPA behaviors were chosen from the Compendium of Physical Activities. Face-to-face interviews were conducted with 32 sedentary volunteers to identify domains and behaviors of SB and LIPA. To validate the log, a further 22 sedentary adults were recruited to wear the GT3x for 7 consecutive days and nights.Results:Pearson correlations (r) between the 7-day SLIPA Log and GT3x were significant for sedentary (r = .86, P < .001), for LIPA (r = .80, P < .001). Lying and sitting postures were positively correlated with GT3x output (r = .60 and r = .64, P < .001, respectively). No significant correlation was found for standing posture (r = .14, P = .53).The kappa values between the 7-day SLIPA Log and GT3x variables ranged from 0.09 to 0.61, indicating poor to good agreement.Conclusion:The 7-day SLIPA Log is a valid self-report measure of SB and LIPA in specific behavioral domains.

Attitudes of women in midlife to web-based interventions for promoting physical activity

2012 ◽  
Vol 18 (7) ◽  
pp. 419-422 ◽  
Author(s):  
Eun-Ok Im ◽  
Sun Ju Chang ◽  
Wonshik Chee ◽  
Eunice Chee
Keyword(s):  
Physical Activity ◽  
African American Women ◽  
Ethnic Groups ◽  
Low Cost ◽  
Interpersonal Interaction ◽  
Online Forums ◽  
Web Based ◽  
Face To Face ◽  
Racial Ethnic ◽  
Culture Specificity

We explored the attitudes of women at midlife to web-based interventions for promoting physical activity. 145 women volunteered to participate in one of four online forums. The forums were for four major racial/ethnic groups. 90 volunteers were recruited for the online forums (29 Whites, 23 Hispanics, 21 African Americans, and 17 Asians). Two sets of topics on attitudes to physical activity and racial/ethnic contexts were used. Each topic had some introductory questions and related prompts, and these were posted on the online forum sites in a serial fashion during the six-month period. We used a thematic analysis. Four major themes emerged: (1) ‘a matter of the source of the information’; (2) ‘I can pace myself’; (3) ‘lack of interpersonal interactions’; and (4) ‘culture-specificity and low cost.’ The women in all ethnic groups thought that the source of the information was much more important than the medium of the information (e.g. web-based, booklet or face-to-face). They liked the self-controllability in web-based interventions. They preferred web-based interventions to other types of interventions because of easy accessibility, but they were concerned about lack of interpersonal interaction. None of the White or African American women indicated the need for culture-specificity in web-based interventions, but Hispanic and Asian women indicated that culture-specific interventions should be provided. Web-based interventions appear to have several advantages over conventional approaches to promoting physical activity.

scholarly journals The impact of non-residential grandchild care on physical activity and sedentary behavior in people aged 50 years and over: study protocol of the Healthy Grandparenting Project

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie Vermote ◽  
Tom Deliens ◽  
Benedicte Deforche ◽  
Eva D’Hondt
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Body Composition ◽  
Sedentary Behavior ◽  
Self Report ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Over Time

Abstract Background Finding effective ways to support people aged > 50 years to develop adequate levels of physical activity and sedentary behavior is necessary as these behaviors are positively related to the maintenance of functional independence and health-related quality of life. Given the widespread provision of grandparental child care, examining its impact on grandparents’ energy-expenditure related behavior in the broader context of health is imperative. Therefore, the Healthy Grandparenting Project will aim to investigate the levels of physical activity and sedentary behavior, body composition and health-related quality of life in grandparents caring for their grandchildren and to compare these outcomes with non-caregiving grandparents and older adults without grandchildren, both momentarily and over time. An additional purpose is to identify possible predictors of potential changes over time. Methods A prospective cohort study will run over a period of 2 years, including three test occasions with a one-year time interval in between (T0 = baseline, T1 = 12 months, T2 = 24 months). A total of 276 participants will be recruited in Flanders through non-probability quota sampling (50–50% men-women), of which 92 caregiving grandparents, 92 non-caregiving grandparents and 92 non-grandparents. All three subsamples will be matched for age and sex. At each test occasion, anthropometric and body composition measurements will be determined. Participants’ levels of physical activity and sedentary behavior will be assessed both objectively and subjectively by means of accelerometry and self-report questionnaires. Information about their grandchildren and the provided grandparental care (if applicable) as well as their health-related quality of life will also be assessed using self-report questionnaires. Mixed modelling will be used to identify differences in physical activity, sedentary behavior, body composition and health-related quality of life between the subsamples at baseline, as well as to evaluate and compare changes in energy-expenditure related behavior over time between subsamples and to identify predictors of the detected changes. Discussion The Healthy Grandparenting Project is an innovative study examining the levels of physical activity and sedentary behavior in caregiving grandparents, non-caregiving grandparents and non-grandparents. Obtained results will help in the development of campaigns to maintain/improve health in adults at a more advanced age. Trial registration clinicaltrials.gov, Identifier: NTC04307589. Registered March 2020.

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