EFFECT OF SELF-MONITORING APPROACH DURING CARDIAC REHABILITATION ON EXERCISE MAINTENANCE, SELF-EFFICACY, AND PHYSICAL ACTIVITY OVER A 1-YEAR PERIOD AFTER MYOCARCIAL INFARCTION

Online well-being interventions demonstrate great promise in terms of both engagement and outcomes. Fun For Wellness (FFW) is a novel online intervention grounded in self-efficacy theory and intended to improve multidimensional well-being and physical activity through multi-modal methods. These strategies include capability-enhancing opportunities, learning experiences such as games, video vignettes, and self-assessments. RCT studies have suggested that FFW is efficacious in improving subjective and domain-specific well-being, and effective in improving mental health, physical health, physical activity, and self-efficacy in United States. adults who are overweight and in the general population. The present study uses qualitative and quantitative user experience data collected during two RCT trials to understand and evaluate engagement with FFW, its drivers, and its outcomes. Results suggest that FFW is enjoyable, moderately engaging, and easy to use; and contributes to positive outcomes including skill development and enhanced confidence, for both overweight individuals and the general adult population. Drivers of engagement appear to include rewards, gamification, scenario-based learning, visual tracking for self-monitoring, ease of use and simple communications, and the entertaining, interactive nature of program activities. Findings indicate that there are opportunities to streamline and simplify the experience. These results can help improve FFW and contribute to the science of engagement with online interventions designed to improve well-being.

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Effectiveness of Exercise App with Self-Efficacy to Achieve Recommended Levels of Physical Activity among Adult: A Systematic Review

KnE Life Sciences ◽

10.18502/kls.v4i13.5239 ◽

2019 ◽

Author(s):

Apryadno Jose Al Freadman Koa ◽

Sitti syamsiah ◽

I Kade Wijaya ◽

Andi Annas

Keyword(s):

Physical Activity ◽

Systematic Review ◽

University Students ◽

Self Efficacy ◽

Evidence Base ◽

Self Monitoring ◽

Program Goal ◽

High Prevalence ◽

The Usa ◽

Recommended Level

Background: Inactive physical activity among university students remains publichealth concern due to signiﬁcant adverse effects and its high prevalence. Transmission from adolescence to adulthood considered as a critical period for lowered their physical activity. Evidences suggested that either self-efﬁcacy-driven intervention or applied exercise App could promote the level of physical activity. However, have examined the effect of exercise App with self-efﬁcacy intervention to promote recommended level of physical activity among university students Objective: It was recognized the effects of exercise App with self-efﬁcacy to achieve recommended levels of physical activity among university students by systematic review. Methods: A systematic review was conducted to search the English publications in the databases of PubMed, CochraneLibrary,MEDLINE,andCINAHL,inaperiodofduring2008to2018.Inclusive criteria were the publications using exercise App with self-efﬁcacy programs and the participants in the age from 18 to 64 years old and healthy people. Excluded criteria were if research recruited participants with chronic diseases, mental diseases, pregnant women, and disability in the study. Finally, 319 articles were searched. After two reviewers used CASP checklist to evaluate study quality, the ﬁndings were extracted from 4 qualiﬁed articles. Results: The results of systematic review show that most of the studies were conducted in the USA and using Apps as strategies to design basing on SE to increase physical activity. Regarding as how using App for self-monitoring that combine with SE to design in the interventions, the strategies included merging in class sessions to implement the program, goal setting, advice and counseling from health care provider and telephone, problem solving training, using website, self-efﬁcacy coaching, and health provider visit plus telephone. All studies results show that a signiﬁcant effectiveness using Apps combine SE to applying in program could promote participants achieving recommended levels of PA. Conclusions: This systematic review provides an evidence base if the program with exercise App and self-efﬁcacy to design it has higher effectiveness on achieving recommended levels of PA. SE is valuable to use in PA programs for adults in future studies.

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Factors in Women’s Maintenance of Vigorous or Moderate Physical Activity

Women in Sport and Physical Activity Journal ◽

10.1123/wspaj.12.1.87 ◽

2003 ◽

Vol 12 (1) ◽

pp. 87-111 ◽

Cited By ~ 6

Author(s):

Marie Dacey ◽

Amy Baltzell ◽

Len Zaichkowsky

Keyword(s):

Physical Activity ◽

Self Efficacy ◽

Exercise Behavior ◽

Behavior Patterns ◽

Moderate Physical Activity ◽

Processes Of Change ◽

Psychological Benefits ◽

Exercise Maintenance ◽

High Degree

Strategies for exercise maintenance of vigorous (n=54) and moderate (n=38) regular women exercisers were compared using the Processes of Change (Marcus, Rossi et al., 1992) and Self-Efficacy scales (Marcus, Selby et al., 1992). Both groups reported highest utilization of Counterconditioning, Self-liberation, Self-reevaluation, and Reinforcement Management, as well as a high degree of exercise self-efficacy. Vigorous exercisers indicated greater utilization of Counterconditioning (p=.004) and a higher degree of self-efficacy (p=.009), whereas moderate exercisers reported higher utilization of Environmental Reevaluation (p=.028). In follow-up interviews with vigorous exercisers (n=4) and moderate exercisers (n=4), all participants reported psychological benefits of physical activity, high exercise self-efficacy, and exercising to meet personal needs. Reported differences between the two groups include physical experiences while exercising, the development of exercise behavior patterns, and social influences. Based upon this study we suggest that similarities outweigh differences in the maintenance of vigorous and moderate exercise, but certain mode-specific interventions may be warranted to enhance adherence.

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Digital Health Intervention Promoting Physical Activity in Older Adults Post Cardiac Rehabilitation: Randomized Controlled Trial (Preprint)

10.2196/preprints.20468 ◽

2020 ◽

Author(s):

Linda G. Park ◽

Abdelaziz Elnaggar ◽

Sei J. Lee ◽

Stephanie Merek ◽

Thomas J. Hoffmann ◽

...

Keyword(s):

Physical Activity ◽

Cardiac Rehabilitation ◽

Usual Care ◽

Exercise Capacity ◽

Self Efficacy ◽

Digital Health ◽

Intervention Group ◽

Mobile App ◽

Group Differences ◽

Cardiac Events

BACKGROUND Cardiac rehabilitation (CR) is an exercise-based program prescribed after cardiac events that is associated with improved physical, mental, and social functioning; however, many patients return to a sedentary lifestyle leading to deteriorating exercise capacity after discharge from CR. Physical activity (PA) is critical to avoid recurrence of cardiac events and mortality as well as maintaining functional capacity. Leveraging digital health strategies to increase adherence to PA is a promising approach. We sought to determine whether mobile health strategies (MOVN mobile app for self-monitoring, supportive push-through messages, and wearable activity tracker) would improve PA and exercise capacity over 2 months. OBJECTIVE The objectives of this study were to: 1) evaluate group differences in PA and exercise capacity; and 2) determine group differences in depression and self-efficacy to maintain exercise after CR. METHODS During the final week of outpatient CR, patients were randomized 1:1 to the intervention group or usual care. The intervention group downloaded the MOVN mobile app, received supportive push-through messages on motivation and secondary prevention of cardiovascular disease (CVD) 3 times per week, and wore a Fitbit Charge 2 to track steps. Participants in the usual care group wore a pedometer and recorded their daily steps in a diary. Data from the 6MWT and self-reported questionnaires were collected at baseline and 2 months. RESULTS We recruited 60 patients from 2 CR sites at a community hospital in Northern California. The mean age was 66.8 ± 8.6 and 22% were female; retention rate of 85%. Our results from 51 patients who completed follow up showed the intervention group had a statistically significant higher mean daily steps count compared to the control (8,860 vs. 6,633) (P = .021). There was no difference between groups for the 6MWT, depression, or self-efficacy to maintain exercise. CONCLUSIONS Our technology-based intervention using a mobile app, push-through messages, and Fitbit proposes a low-cost, pragmatic, and contemporary approach to promote physical activity and sustain exercise capacity after completing CR. This intervention addresses a major public health initiative to promote PA in patients with CVD with the potential to improve critical PA, clinical, and psychosocial outcomes. CLINICALTRIAL “Trial Registration: ClinicalTrials.gov NCT03446313”

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Cycling for Students With ASD: Self-Regulation Promotes Sustained Physical Activity

Adapted Physical Activity Quarterly ◽

10.1123/apaq.27.3.226 ◽

2010 ◽

Vol 27 (3) ◽

pp. 226-241 ◽

Cited By ~ 24

Author(s):

Teri Todd ◽

Greg Reid ◽

Lynn Butler-Kisber

Keyword(s):

Physical Activity ◽

Goal Setting ◽

Self Efficacy ◽

Instructional Strategy ◽

Self Regulation ◽

Multiple Baseline ◽

Self Monitoring ◽

Changing Criterion ◽

Severe Autism ◽

Changing Criterion Design

Individuals with autism often lack motivation to engage in sustained physical activity. Three adolescents with severe autism participated in a 16-week program and each regularly completed 30 min of cycling at the end of program. This study investigated the effect of a self-regulation instructional strategy on sustained cycling, which included self-monitoring, goal setting, and self-reinforcement. Of particular interest was the development of self-efficacy during the physical activity as a mediator of goal setting. A multiple baseline changing criterion design established the effectiveness of the intervention. The results suggest that self-regulation interventions can promote sustained participation in physical activity for adolescents with severe autism.

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