scholarly journals Testing a longitudinal integrated self-efficacy and self-determination theory model for physical activity post-cardiac rehabilitation

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Shane N. Sweet ◽  
Michelle S. Fortier ◽  
Shaelyn M. Strachan ◽  
Chris M. Blanchard ◽  
Pierre Boulay

Self-determination theory and self-efficacy theory are prominent theories in the physical activity literature, and studies have begun integrating their concepts. Sweet, Fortier, Strachan and Blanchard (2012) have integrated these two theories in a cross-sectional study. Therefore, this study sought to test a longitudinal integrated model to predict physical activity at the end of a 4-month cardiac rehabilitation program based on theory, research and Sweet <em>et al</em>.’s cross-sectional model. Participants from two cardiac rehabilitation programs (N=109) answered validated self-report questionnaires at baseline, two and four months. Data were analyzed using Amos to assess the path analysis and model fit. Prior to integration, perceived competence and self-efficacy were combined, and labeled as confidence. After controlling for 2-month physical activity and cardiac rehabilitation site, no motivational variables significantly predicted residual change in 4-month physical activity. Although confidence at two months did not predict residual change in 4-month physical activity, it had a strong positive relationship with 2-month physical activity (β=0.30, P&lt;0.001). The overall model retained good fit indices. In conclusion, results diverged from theoretical predictions of physical activity, but self-determination and self-efficacy theory were still partially supported. Because the model had good fit, this study demonstrated that theoretical integration is feasible.

2016 ◽  
Vol 38 (5) ◽  
pp. 995-1017 ◽  
Author(s):  
NICOLE ALLENDEN ◽  
PETER BOMAN ◽  
AMANDA MERGLER ◽  
MICHAEL J. FURLONG

ABSTRACTThis study investigated whether five positive psychological constructs (self-efficacy, gratitude, grit, hope and optimism) had a combined effect on levels of depression. The co-occurrence of these psychological factors, defined as an example of covitality, was examined in relation to predicting lower levels of depression. Participants were 278 retirees living in Brisbane, Australia. Each participant completed either an online or hard-copy self-report, related to positive psychological functioning. A standard multiple regression found that self-efficacy, grit, optimism and hope were individually all significant predictors of depression (small effect sizes); however, the combinatorial relation of all these four factors with depression was substantial (R2 = 0.34; large effect size). Gratitude was not a significant predictor. While no causality can be inferred from this cross-sectional study, having a combination of positive psychological factors might have an effect on levels of depression in retirement.


2017 ◽  
Vol 32 (2) ◽  
pp. 432-439 ◽  
Author(s):  
Sandra H. Soto ◽  
Elva M. Arredondo ◽  
Jessica Haughton ◽  
Holly Shakya

Purpose: To examine the association between characteristics of social support for exercise and moderate-to-vigorous leisure-time physical activity (LTPA) among Latinas. Design: This cross-sectional study used baseline data from a cluster randomized controlled trial. Setting: The study was conducted in 16 churches located in San Diego County. Participants: Participants (N = 436) were Latinas between 18 and 65 years old who did not self-report >150 minutes or did not exceed 250 minutes of moderate-to-vigorous PA per week measured by accelerometer. Measures: Latinas listed up to 6 individuals who had provided support for exercise within the past 6 months, including their gender, relationship with the respondent, types of support provided, and respondent’s satisfaction with support. Self-reported LTPA was dichotomized (none vs any). Analyses: We generated dyads between Latinas who named ≥1 supporter (n = 323) and each supporter they named (n = 569 dyads). Logistic regression analyses were conducted using generalized estimating equations to adjust for multiple observations per participant. Results: Having an exercise partner (odds ratio [OR]: 2.16; 95% confidence interval [CI]: 1.01-4.62), help with household duties (OR: 2.70; 95% CI: 1.35-3.38), being “very much” satisfied with support (OR: 2.33; 95% CI: 1.26-4.30), and naming >2 supporters (OR: 2.57; 95% CI: 1.06-6.25) was positively associated with LTPA. Conclusions: Findings suggest specific aspects of support for exercise that should be targeted in future interventions to promote LTPA.


2011 ◽  
Vol 8 (5) ◽  
pp. 626-635 ◽  
Author(s):  
Yoojin Suh ◽  
Madeline Weikert ◽  
Deirdre Dlugonski ◽  
Brian Sandroff ◽  
Robert W. Motl

Background:Persons with multiple sclerosis (MS) are often physically inactive and sedentary. This observation has prompted the search for modifiable variables derived from established theories that act as correlates of physical activity. Such variables would presumably represent targets for interventions designed to promote change in physical activity behavior among persons with MS. The current study examined social cognitive variables as correlates of physical activity in persons with MS.Methods:Persons (N = 218) with relapsing-remitting MS completed a questionnaire battery that assessed physical activity behavior; self-efficacy for physical activity; physical, social, and self-evaluative outcome expectations for exercise, functional limitations as an impediment for physical activity, and exercise goal-setting. The battery was delivered and returned through the US postal service. Data were analyzed using covariance modeling in Mplus 3.0.Results:Self-efficacy had indirect effects on physical activity via impediments (path coefficient = .10, P < .005), self-evaluative outcome expectations (path coefficient = .07, P < .025), and goal-setting (path coefficient = .09, P < .01). The model explained 40% of variance in self-reported physical activity.Conclusions:This cross-sectional study suggests that self-efficacy is indirectly associated with physical activity by way of goals, self-evaluative outcome expectations, and impediments in persons with relapsing-remitting MS.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Luana Brito dos Santos ◽  
Caroline Wanderley Souto Ferreira ◽  
Caroline Gomes Gonçalves ◽  
Mikaela Aparecida de Oliveira Xavier ◽  
Jardelina Hermecina Dantas ◽  
...  

Abstract Background The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women. Methods This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95 % confidence interval. Statistical significance was p <0.05. Results The prevalence of dysmenorrhea was 54 %. The pain lasted an average of three days or more (66 %). The average pain intensity, in the crisis period, was 6.1 ± 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (p = 0.003; 2 = 0.115), participation (p = 0.030; 2 = 0.063) and total score (p = 0.012; 2 = 0.086), with a moderate effect size for all variables. Conclusions Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.


2020 ◽  
Author(s):  
Juul M.J. Coumans ◽  
Anke Oenema ◽  
Catherine A.W. Bolman ◽  
Lilian Lechner

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


2020 ◽  
pp. 089011712093903
Author(s):  
Kayla Nuss ◽  
Kristen Moore ◽  
Tracy Nelson ◽  
Kaigang Li

Objective: To systematically review the impacts of Wearable Fitness Trackers (WFTs), Motivational Interviewing (MI), and Self Determination Theory (SDT)–based interventions on physical activity (PA) and motivation for PA. Data Source: Manuscripts published between 2008 and 2018 in PubMed, Web of Science, CABAbstracts, and SPORTDiscus database were reviewed. Study Inclusion and Exclusion Criteria: Inclusion criteria were original pilot studies, randomized controlled trials (RCT), cross-sectional studies, qualitative assessments, prospective cohort studies, longitudinal observational studies, and pretest posttest designs published in peer-reviewed journals. Data Extraction: Studies were evaluated by 2 independent researchers for inclusion. Data Synthesis: Extracted data were synthesized in a tabular format and narrative summary. Results: Twenty-six studies met final inclusion criteria, 10 addressed WFT use and PA behavior, 4 investigated WFT use and its association with motivation for PA, and 10 examined SDT and/or MI and their effect on motivation for PA and/or PA behavior. Finally, 2 studies addressed SDT-based MI, WFT use, and the combined effect on PA behavior. Conclusions: While SDT-based interventions and MI positively impact motivation for PA and PA behavior, WFTs revealed mixed results. Wearable Fitness Trackers prove effective among individuals not currently meeting PA guidelines but have little impact on other populations. Self Determination Theory, MI, and WFTs use provides a promising combination of interventions to increase PA among sedentary individuals, though research is limited.


2016 ◽  
Vol 13 (9) ◽  
pp. 957-963 ◽  
Author(s):  
Jeanette M. Garcia ◽  
John R. Sirard ◽  
Ross Larsen ◽  
Meg Bruening ◽  
Melanie Wall ◽  
...  

Objective:The purpose of this study was to examine, using structural equation modeling, the associations between nominated friend physical activity (PA), friend social support with individual PA-related psychological factors, and adolescent PA.Methods:Data were obtained from EAT 2010 (Eating and Activity Among Teens), a large cross-sectional study conducted in 20 middle and high schools. The sample consisted of 1951 adolescents (mean age: 14.25 ± 1.96, 54% female, 68% ethnic minorities). PA, parent and friend social support (perceived social support for PA from parents and friends), and psychological measures (PA enjoyment, PA self-efficacy, and PA barriers) were assessed by self-report questionnaires. The SEM analysis consisted of 1 observed variable: friend PA, and 2 latent constructs: psychological factors, perceived social support.Results:The model was a good fit, indicating that there were significant direct effects of both friend PA (P < .01) and psychological factors (P < .0001) on adolescent PA. In addition, psychological factors mediated the association between friend PA and adolescent PA.Conclusion:The results of this model suggest that psychological factors and friend PA are associated with adolescent PA, and that psychological factors may play an important role. Future studies should further examine the association of both friend PA and psychological variables with adolescent PA.


2011 ◽  
Vol 8 (2) ◽  
pp. 253-261 ◽  
Author(s):  
Hannah G. Lawman ◽  
Dawn K. Wilson ◽  
M. Lee Van Horn ◽  
Ken Resnicow ◽  
Heather Kitzman-Ulrich

Background:Previous research suggests motivation, enjoyment, and self-efficacy may be important psycho-social factors for understanding physical activity (PA) in youth. While previous studies have shown mixed results, emerging evidence indicates relationships between psychosocial factors and PA may be stronger in boys than girls. This study expands on previous research by examining in the effects of motivation, enjoyment, and self-efficacy on PA in underserved adolescents (low income, ethnic minorities) boys and girls. Based on previous literature, it was hypothesized the effects of motivation, enjoyment, and self-efficacy on moderate-to-vigorous PA (MVPA) would be stronger in boys than in girls.Methods:Baseline cross-sectional data were obtained from a randomized, school-based trial (Active by Choice Today; ACT) in underserved 6th graders (N = 771 girls, 651 boys). Intrapersonal variables for PA were assessed via self-report and confirmatory factor analyses were conducted for each predictor. MVPA was assessed with 7-day accelerometry estimates.Results:Multivariate regression analyses stratified by sex demonstrated a significant positive main effect of self-efficacy and motivation on MVPA for girls. Boys also showed a positive trend for the effect of motivation on MVPA.Conclusions:The results from this study suggest motivation and self-efficacy should be better integrated to facilitate the development of more effective interventions for increasing PA in underserved adolescents.


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