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1.
J Sport Exerc Psychol ; 45(1): 41-48, 2023 Feb 01.
Article in English | MEDLINE | ID: mdl-36634308

ABSTRACT

Minimizing the temporal gap between behavior and reward enhances persistence, but the effect of other outcomes is unknown. Two concurrently run studies aimed to investigate whether persistence on a physical task would be influenced according to whether participants expected immediate versus delayed goal feedback. Furthermore, whether this effect occurs via intrinsic motivation (Studies 1 and 2) or delaying the desire-goal conflict (Study 2) was examined. Using a counterbalanced within-person design, 34 participants in each study (Study 1: 16 males, 18 females; Study 2: 15 males, 19 females) completed two wall-sit persistence tasks, one with immediate feedback expected (regarding the participant's position on a leader board) and the other with feedback expected to be provided 1 week later. A two-way mixed analysis of variance found no significant differences in persistence between conditions in either study. Furthermore, no indirect effects were found via intrinsic motivation or delayed desire-goal conflict. Study findings did not support the hypothesis that the timing of expected feedback enhances persistence.


Subject(s)
Goals , Motivation , Male , Female , Humans , Feedback , Attention , Reward
2.
Scand J Med Sci Sports ; 32(4): 798-806, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35037710

ABSTRACT

PURPOSE: The desire-goal motivational conflict helps explain endurance performance; however, the physiological concomitants are unknown. The present study examined disturbances in desire to reduce effort and performance goal value across moderate, heavy, and severe exercise intensity domains, demarcated by the first (LT1) and second (LT2) lactate thresholds. In addition, the within-person relationships among blood lactate concentration, heart rate, and desire-goal conflict were examined. METHODS: Thirty participants (53% female, Mage  = 21.03 years; SD = 2.06 years) completed an incremental cycling exercise test, in which work rate was increased by 25 watts every four minutes, until voluntary exhaustion or sufficient data from the severe intensity domain had been collected. Desire to reduce effort, performance goal value, blood lactate concentration (for determination of LT1 and LT2), and heart rate were measured at the end of each stage and analyzed using multilevel models. RESULTS: The desire to reduce effort increased over the exercise test with additional shifts and accelerations after each lactate threshold. The performance goal did not show general declines, nor did it shift at LT1. However, the performance goal value shifted at LT2, and the rate of change increased at both thresholds. Within-person variation in blood lactate concentration positively correlated with the desire to reduce effort and negatively correlated with the performance goal. Within-person variation in heart rate correlated with desire to reduce effort but not the performance goal. CONCLUSION: Transitioning through both lactate thresholds is important phases for motivation during progressive exercise, particularly for the desire to reduce effort. Within-person variation in blood lactate concentration is more influential for motivation, compared with heart rate.


Subject(s)
Goals , Motivation , Adult , Exercise/physiology , Exercise Test , Female , Heart Rate/physiology , Humans , Lactic Acid , Male , Physical Endurance/physiology , Young Adult
3.
Psychophysiology ; 58(11): e13915, 2021 11.
Article in English | MEDLINE | ID: mdl-34365645

ABSTRACT

Autonomously regulated self-control typically does not reduce over time as much, compared with self-control underpinned by controlled motivation. The proposed study tested whether an acute stress response is implicated in this process. Utilizing a framework grounded in self-determination theory, this study examined whether participants' motivational regulation would influence repeated self-control performance and acute stress levels, measured by the stress hormone cortisol. A single-blind randomized experimental design incorporating two motivational conditions (autonomous regulation and controlled regulation) tested these hypotheses. Participants (female = 28; male = 11; Mage  = 22.33) performed three sequential self-control tasks; a modified Stroop task followed by two "wall sit" postural persistence tasks. Salivary cortisol was measured at baseline and after each of the wall sits. A repeated measures ANCOVA unexpectedly revealed that participants in the controlled regulation condition recorded greater wall sit performance in the first and second wall sits, compared with the autonomous condition. A repeated measures ANCOVA also revealed a significant quadratic interaction for cortisol. Controlled regulation was associated with an increase, and autonomous regulation condition a decrease, in cortisol that subsided at timepoint two. Results imply autonomous motivation facilitates an adaptive stress response. Performance on the self-control tasks was contrary to expectations, but may reflect short-term performance benefits of controlled motivation.


Subject(s)
Autonomic Nervous System/physiology , Hydrocortisone/metabolism , Motivation/physiology , Psychomotor Performance/physiology , Self-Control , Adult , Female , Humans , Male , Single-Blind Method , Young Adult
4.
Mol Genet Genomic Med ; 9(12): e1679, 2021 12.
Article in English | MEDLINE | ID: mdl-33818919

ABSTRACT

BACKGROUND: Fatty acids, specifically polyunsaturated fatty acids (PUFAs) play an important role in inflammation and its resolution, however, their interaction with the epigenome is relatively unexplored. Here we investigate the relationship between circulating blood fatty acids and the DNA methylation of the cytokine encoding gene tumour necrosis factor (TNF, OMIM 191160). METHODS: Using a cross-sectional study approach, we collected blood samples from adults (N=88 (30 males, 58 females); 18-74 years old) for DNA methylation pyrosequencing analysis at four sites in TNF exon 1 and gas-chromatography mass-spectrometry analysis of the fatty acid profile of dried blood spots (DBS). RESULTS: Methylation levels of TNF exon 1 are significantly correlated with specific fatty acids in a gender-specific manner. In the males the PUFAs Docosahexaenoic Acid (DHA) and Arachidonic Acid (AA) were positively associated with TNF methylation, as was the saturated fatty acid (SFA) Stearic Acid; in contrast, mono-unsaturated fatty acids (MUFAs) had a negative association. In the females, omega-6 PUFA γ-Linolenic acid (GLA) was negatively correlated with TNF methylation; Adrenic acid and Eicosadienoic Acid were positively correlated with TNF methylation. CONCLUSION: These results suggest that one way that fatty acids interact with the inflammation is through altered methylation profiles of cytokine genes; thus, providing potential therapeutic targets for nutritional and health interventions.


Subject(s)
DNA Methylation , Fatty Acids/blood , Genetic Association Studies , Tumor Necrosis Factor-alpha/genetics , Adolescent , Adult , Aged , Base Sequence , CpG Islands , Dried Blood Spot Testing/methods , Epigenesis, Genetic , Epigenomics/methods , Female , Gas Chromatography-Mass Spectrometry , Humans , Male , Middle Aged , Promoter Regions, Genetic , Sequence Analysis, DNA , Sex Factors , Young Adult
5.
Perspect Psychol Sci ; 16(3): 614-638, 2021 05.
Article in English | MEDLINE | ID: mdl-33513308

ABSTRACT

Multidimensional motivational theories postulate that the type of motivation is as important as the quantity of motivation, with implications for human functioning and well-being. An extensive amount of research has explored how constructs contained within these theories relate to the activation of the endocrine system. However, research is fragmented across several theories, and determining the current state of the science is complicated. In line with contemporary trends for theoretical integration, this systematic review aims to evaluate the association between multidimensional motivational constructs and endocrine-related responses to determine which theories are commonly used and what inferences can be made. Forty-one studies were identified incorporating five distinct motivation theories and multiple endocrine-related responses. There was evidence across several theories that high-quality motivation attenuated the cortisol response in evaluative environments. There was also evidence that motivational needs for power and affiliation were associated with lower and higher levels of salivary immunoglobulin A, respectively. The need for power may play a role in increasing testosterone when winning a contest; however, this evidence was not conclusive. Overall, this review can shape the future integration of motivational theories by characterizing the nature of physiological responses to motivational processes and examining the implications for well-being.


Subject(s)
Endocrine System , Motivation , Humans , Hydrocortisone/metabolism , Psychological Theory , Testosterone/metabolism
6.
Scand J Med Sci Sports ; 30(9): 1769-1776, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32502306

ABSTRACT

PURPOSE: Motivational processes are insufficiently recognized in models of human endurance. Hence, two studies examined a motivational model proposing that the quality of pre-task autonomous motivation influences performance at high intensity via the in-task temptation to reduce effort and value of goal pursuit. METHODS: The studies involved 40 participants each (Study 1:33% female, Mage  = 21.55, SD = 1.97; Study 2:45% female, Mage  = 22.65, SD = 2.61) completing measures of autonomous motivation prior to a 10-minute cycling task. Measures of the temptation to reduce effort and value of goal pursuit were taken every minute during the trial (Study 1) or near the midpoint of the trial (Study 2). Data were analyzed using multilevel growth and parallel mediation models. RESULTS: In both studies, autonomous motivation was associated with lower temptation to reduce effort and higher value of goal pursuit, which were subsequently characteristic of better performance. Study 1 revealed nuances within these relationships depending on whether task initiation or change over time was considered. In Study 2, indirect effects of autonomous motivation on performance via temptation to reduce effort (b = 0.20, 95% CIs 0.03-0.50) and goal value (b = 0.26, 95% CIs 0.01-0.44) were evidenced. CONCLUSION: Two studies supported a theoretically viable model explaining the dynamics between pre-task and in-task motivation underpinning performance at high intensities.


Subject(s)
Athletic Performance/psychology , Goals , Motivation , Physical Endurance , Adult , Female , Humans , Male , Young Adult
7.
Health Psychol ; 39(1): 68-76, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31535878

ABSTRACT

OBJECTIVE: Epigenetics has been described as one of the most exciting areas of contemporary biology, and research has begun to explore whether epigenetic modifications are influenced by psychological processes. The present research explored the associations of health-related motivation and behavior with the DNA methylation of tumor necrosis factor (TNF) gene. METHOD: Participants (N = 88) completed questionnaires examining engagement with health-related behavior (i.e., physical activity, diet, and smoking) and health-related motivation from the perspective of self-determination theory. They also provided a capillary blood sample for DNA extraction and analysis of four CpG sites via bisulfite conversion within Exon 1 of TNF. RESULTS: Health-related autonomous motivation was weakly but positively associated with TNF methylation (ß = .18, p = .08). Indirect effects were identified in a subsequent step; autonomous motivation was positively associated with fruit consumption (ß = .29, p = .004), negatively associated with smoking (ß = -.22, p = .03), but not associated with physical activity (ß = .10, p = .34). Moreover, TNF methylation was positively associated with lifetime physical activity (ß = .18, p = .08) and negatively associated with smoking (ß = -.23, p = .03). Direct effects of autonomous motivation on DNA methylation did not persist when these indirect effects were included (ß = .09, p = .43). CONCLUSIONS: Results support the idea that autonomous motivation is associated with DNA methylation, albeit indirectly through tobacco consumption. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Subject(s)
DNA Methylation/genetics , Epigenomics/methods , Health Behavior/physiology , Motivation , Tumor Necrosis Factor-alpha/genetics , Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult
8.
PLoS One ; 12(2): e0171374, 2017.
Article in English | MEDLINE | ID: mdl-28182714

ABSTRACT

BACKGROUND: Promoting walking for the journey to and from work (commuter walking) is a potential strategy for increasing physical activity. Understanding the factors influencing commuter walking is important for identifying target groups and designing effective interventions. This study aimed to examine individual, employment-related and psychosocial factors associated with commuter walking and to discuss the implications for targeting and future design of interventions. METHODS: 1,544 employees completed a baseline survey as part of the 'Walking Works' intervention project (33.4% male; 36.3% aged <30 years). Multivariate logistic regression was used to examine the associations of individual (age, ethnic group, educational qualifications, number of children <16 and car ownership), employment-related (distance lived from work, free car parking at work, working hours, working pattern and occupation) and psychosocial factors (perceived behavioural control, intention, social norms and social support from work colleagues) with commuter walking. RESULTS: Almost half of respondents (n = 587, 49%) were classified as commuter walkers. Those who were aged <30 years, did not have a car, had no free car parking at work, were confident of including some walking or intended to walk to or from work on a regular basis, and had support from colleagues for walking were more likely to be commuter walkers. Those who perceived they lived too far away from work to walk, thought walking was less convenient than using a car for commuting, did not have time to walk, needed a car for work or had always travelled the same way were less likely to be commuter walkers. CONCLUSIONS: A number of individual, employment-related and psychosocial factors were associated with commuter walking. Target groups for interventions to promote walking to and from work may include those in older age groups and those who own or have access to a car. Multi-level interventions targeting individual level behaviour change, social support within the workplace and organisational level travel policies may be required in order to promote commuter walking.


Subject(s)
Employment , Individuality , Transportation/methods , Walking/psychology , Workplace/psychology , Adolescent , Adult , Aged , Employment/organization & administration , Employment/psychology , Employment/standards , Employment/statistics & numerical data , Female , Humans , Male , Middle Aged , Organizational Policy , Psychology , Research Design , Surveys and Questionnaires , Transportation/standards , Transportation/statistics & numerical data , Walking/statistics & numerical data , Workplace/organization & administration , Workplace/standards , Workplace/statistics & numerical data , Young Adult
9.
J Public Health (Oxf) ; 39(1): 153-162, 2017 03 01.
Article in English | MEDLINE | ID: mdl-26952077

ABSTRACT

Background: Distance from home to school is an important influence on the decision to use active transport (AT); however, ecological perspectives would suggest this relationship may be moderated by individual, interpersonal and environmental factors. This study investigates whether (i) gender, (ii) biological maturation, (iii) perceived family support for physical activity (PA) and (iv) multiple deprivation moderate the relationship between distance to school and AT. Methods: A total of 611 children (11-12 years old, 334 females) were recruited from schools in Leicestershire, UK. Gender, family support for PA, and AT were self-reported. Home and school postcodes were used to determine multiple deprivation and distance to school (km). Predicted age at peak height velocity was used to indicate biological maturation. Results: Logistic regressions revealed the main effects explained 40.2% of the variance in AT; however; distance to school was the only significant predictor. Further analyses revealed that distance to school had a greater negative impact on the use of AT in late-maturing (OR: 3.60, CI: 1.45-8.96), less deprived (OR: 3.54, CI: 1.17-10.72) and children with low family support of PA (OR: 0.26, CI: 0.11-0.61). Conclusions: This study provides evidence that, although distance to school might be the strongest predictor of AT, this relationship is complex.


Subject(s)
Exercise , Schools , Transportation , Child , Female , Geographic Information Systems , Humans , Male , Self Report , United Kingdom
10.
J Sport Exerc Psychol ; 38(3): 292-304, 2016 Jun.
Article in English | MEDLINE | ID: mdl-27383117

ABSTRACT

The current study explored coaches' interpersonal behaviors as a mechanism for well- and ill-being contagion from coach to athlete and vice versa. Eighty-two coach-athlete dyads from individual sports completed selfreport measures before and after a training session. Structural equation modeling supported three actor-partner interdependence mediation models, in which coaches' presession well- and ill-being were associated with changes in athletes' well- and ill-being over the course of the session. These relationships were mediated by athletes' perceptions of their coaches' interpersonal styles during the session. The reciprocal transfer from athlete to coach was not fully supported. Nonetheless, coaches' perceptions of their own interpersonal behaviors were associated with changes in their postsession well- and ill-being. Overall, evidence is provided for the contagion of affect from authority figures to those under their instruction but not vice versa.


Subject(s)
Athletes/psychology , Interpersonal Relations , Leadership , Quality of Life/psychology , Sports/psychology , Transfer, Psychology , Adolescent , Adult , Burnout, Professional/diagnosis , Burnout, Professional/psychology , Female , Humans , Male , Mentoring , Middle Aged , Models, Psychological , Personal Autonomy , Social Support , Young Adult
11.
Br J Sports Med ; 50(13): 809-15, 2016 Jul.
Article in English | MEDLINE | ID: mdl-26941278

ABSTRACT

AIM: To examine symptoms indicative of respiratory tract and gastrointestinal infections and determine risk factors for such symptoms in elite cross-country skiers. METHODS: Self-reported training and symptom data for 37 elite cross-country skiers from 2007 to 2015 were analysed using multilevel logistic regression equations with symptom incidence and duration as outcome variables, and sex, performance level, season, competition, air travel, altitude exposure and training characteristics as independent variables. RESULTS: Data for 7016 person-weeks were analysed, including 464 self-reported infection events and 110 959 h of training. Athletes reported median (range) 3 (1-7) respiratory tract and/or gastrointestinal events per year, with symptoms lasting 5 (1-24) days. During the winter, symptoms occurred more frequently (OR 2.09, p<0.001) and lasted longer (b=0.043, p<0.001) compared with summer. Competition and air travel increased the risk of symptoms, with ORs of 2.93 (95% CI 2.24 to 3.83) and 4.94 (95% CI 3.74 to 6.53), respectively (p<0.001). Athletes with higher training monotony had lower risk of symptoms (OR 0.87 (95% CI 0.73 to 0.99), p<0.05). Other training variables were not associated with symptoms. Athletes who had won an Olympic/World Championship medal reported shorter symptom duration compared with less successful athletes (b=-0.019, p<0.05) resulting in significantly fewer symptomatic days/year (14 (6-29) vs 22 (8-43) days/year). CONCLUSIONS: Air travel and competition are major risk factors for acute respiratory tract and gastrointestinal symptoms in this population. Athletes who have large fluctuations in training load experience such symptoms more frequently. Shorter duration of symptoms appears to be associated with success in cross-country skiing.


Subject(s)
Gastrointestinal Diseases/epidemiology , Respiratory Tract Infections/epidemiology , Skiing , Adolescent , Adult , Altitude , Athletes , Female , Humans , Incidence , Logistic Models , Male , Retrospective Studies , Risk Factors , Seasons , Travel , Young Adult
12.
Exerc Immunol Rev ; 22: 28-41, 2016.
Article in English | MEDLINE | ID: mdl-26853488

ABSTRACT

BACKGROUND: Free light chains (FLCs) have a range of biological functions and may act as a broad marker of immunesuppression and activation and inflammation. Measurement of salivary FLCs may provide practical advantages in a range of clinical populations. The aim of the present study was to develop normal reference ranges of FLCs in saliva and assess the effects of acute exercise on FLC levels in younger and older adults. METHODS: Saliva FLC concentrations and secretion rates were measuredin young (n = 88, aged 18-36) and older (n = 53, aged 60-80) adults. To assess FLC changes in response to acute exercise, young adults completed a constant work-rate cycling exercise trial at 60% VO2max (n = 18) or a 1 h cycling time trial (TT) (n = 10) and older adults completed an incremental submaximal treadmill walking exercise test to 75% HRmax (n = 53). Serum FLCs were measured at baseline and in response to exercise. RESULTS: Older adults demonstrated significantly higher levels of salivary FLC parameters compared with young adults. Median (5-95th percentile) concentrationswere 0.45 (0.004- 3.45) mg/L for kappa and 0.30 (0.08-1.54) mg/L for lambda in young adults; 3.91 (0.75-19.65) mg/L for kappa and 1.00 (0.02-4.50) mg/L for lambda in older ad ults. Overall median concentrations of salivary kappa and lambda FLCs were 10-fold and 20-fold lower than serum, respectively. Reductions in salivary FLC concentrations and secretion rates were observed immediately post- and at 1 h post exercise, but were only significant for the older cohort; FLCs began to recover between post and 1 h post-exercise. No changes in serum FLCs were observed in response to exercise.


Subject(s)
Exercise , Adolescent , Adult , Aged , Aged, 80 and over , Biomarkers , Humans , Immunoglobulin Light Chains , Immunoglobulin lambda-Chains , Middle Aged , Reference Values , Young Adult
13.
J Sport Exerc Psychol ; 37(3): 244-56, 2015 Jun.
Article in English | MEDLINE | ID: mdl-26265338

ABSTRACT

The study explored patterns of change in a number of potentially performance-related variables (i.e., fatigue, social support, self-efficacy, autonomous motivation, mental skills) during the lead-up to a competitive triathlon, and whether these patterns of change differed for relatively superior versus inferior performers. Forty-two triathletes completed an inventory measuring the study variables every other day during a 2-week period leading up to competition. Performance was assessed using participants' race time, and using a self-referenced relative score compared with personal best times. Multilevel growth curve analyses revealed significant differences in growth trajectories over the 2-week period in mental skills use, social support, and fatigue. The results provide novel insight into how athletes' fluctuating psychological state in the 2 weeks before competition may be crucial in determining performance.


Subject(s)
Athletes/psychology , Athletic Performance/psychology , Competitive Behavior , Motivation , Achievement , Adult , Bicycling/psychology , Female , Humans , Male , Middle Aged , Running/psychology , Surveys and Questionnaires , Swimming/psychology , Young Adult
14.
BMC Public Health ; 15: 392, 2015 Apr 17.
Article in English | MEDLINE | ID: mdl-25928307

ABSTRACT

BACKGROUND: Mass-media campaigns such as Change4Life use messaging to promote physical activity guidelines. Raising knowledge of MVPA guidelines within UK adults is a main goal of current mass media campaigns aimed at increasing engagement in MVPA. As this may help to inform accurate perceptions of adults' own MVPA level it is an important area of investigation. Subjective norms, health status and normal walking intensity may also influence adult's awareness of their own MVPA behaviour. The aim of this study was to examine the hypothesis that greater knowledge of MVPA guidelines, supportive subjective norms, lower self-reported health status and intensity of typical walking pace are associated with accurate awareness of MVPA engagement within a sample of UK adults. METHODS: A cross-sectional study of UK adults was conducted. UK adults who subscribed to the National Academic Mailing List Service (JISCMail) were sent an invitation to complete an online survey. 1,724 UK adults completed the online survey which included items on minutes spent in MVPA, awareness of MVPA using constructs highlighted by the precaution adoption process model, subjective norms, knowledge of guidelines, health status and demographics. RESULTS: The sample was 70% female, 57% aged under 45, 93% White and 69% in full-time employment. 62% reported their health to be above average, while 62% demonstrated accurate awareness of their own physical activity level, only 18% correctly reported the MVPA guidelines and 51% reported high subjective norms towards MVPA. Logistic regression analyses identified high subjective norms (OR = 1.84, CI: 1.29, 2.63, p = .001), average or below average health status (OR = .71, CI: .53 .97, p = .001), and a self-reported regular walking pace of moderate-to-vigorous (OR = 1.31, CI: 1.05, 1.63, p = .02) to be associated with accurate MVPA awareness. Knowledge of MVPA guidelines was not associated with MVPA awareness. CONCLUSIONS: Mass media campaigns, such as Change4Life, inform the general public of MVPA guidelines. Campaign messages may be more influential targeting subjective norms instead of knowledge of guidelines, thereby raising awareness of personal MVPA behaviour amongst inactive adults and increasing motivation to engage in more MVPA.


Subject(s)
Exercise , Guideline Adherence/standards , Guidelines as Topic , Health Knowledge, Attitudes, Practice , Health Promotion/organization & administration , Adult , Cross-Sectional Studies , Female , Health Status , Humans , Male , Mass Media , Middle Aged , Self Report , United Kingdom , Walking
15.
J Educ Health Promot ; 4: 77, 2015.
Article in English | MEDLINE | ID: mdl-27462619

ABSTRACT

INTRODUCTION: Mass-media campaigns such as, "Change4Life' in the UK and "get active America" in the US, promote physical activity (PA) recommendations of at least 150 min/week of moderate-to-vigorous PA (MVPA). We investigated whether different messages used in MVPA campaigns were associated with intention to engage in more MVPA. MATERIALS AND METHODS: Theory of planned behavior (TPB) constructs; subjective norms, affective attitudes, instrumental attitudes and perceived behavioral control (PBC) were applied to explain the associations between campaign messages and intentions to engage in more MVPA. RESULTS: A total of 1412 UK adults completed an online survey on MVPA and TPB. The sample was 70% female and 93% white with 23% reporting meeting PA guidelines. Participants received one of three messages: A walking message either with or without the 150 min/week threshold (WalkT; WalkNT); a physiological description of MVPA with the 150 min/week threshold (PhysT). ANCOVA examined group differences in intention. Path analysis evaluated mediation by TPB variables. ANCOVA identified lower intentions to increase MVPA in group PhysT relative to WalkT and WalkNT (P < 0.001). PBC mediated this relationship in WalkT (ß = 0.014, 95% confidence interval [CI] = 0.004-0.028) whereas affective attitudes mediated this relationship in WalkNT (ß = 0.059, 95% CI = 0.006-0.113). CONCLUSIONS: Campaigns promoting MVPA guidelines need to choose their messages carefully. Messages which exemplified MVPA through walking were associated with higher intentions to increase MVPA than messages using a physiological description. Further, PBC was enhanced when the 150 min/week threshold was promoted alongside the walking exemplar. Future exemplars should be investigated to inform adults how to meet MVPA guidelines.

16.
Arch Phys Med Rehabil ; 96(5): 809-16, 2015 May.
Article in English | MEDLINE | ID: mdl-25433220

ABSTRACT

OBJECTIVE: To examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN: Randomized trial. SETTING: Hospital outpatient physiotherapy clinics. PARTICIPANTS: Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS: Two hospital clinics were randomly assigned to the intervention arm. Physiotherapists (n=12) received 8 hours of communication skills training focused on supporting patients' psychological needs. Physiotherapists (n=12) from 2 other hospital clinics formed a waitlist control arm. MAIN OUTCOME MEASURES: Verbal communication between each physiotherapist and a patient was recorded on an audiotape, and independent, blinded raters used the Health Care Climate Questionnaire to assess physiotherapists' needs-supportive behavior (primary outcome). RESULTS: Independent raters' Health Care Climate Questionnaire scores favored the intervention arm (Cohen's d=2.27; P<.01). CONCLUSIONS: Compared with controls, independent ratings demonstrated that physiotherapists who completed the Communication style and exercise compliance in physiotherapy training were found to provide greater support for patients' needs in a single assessed session. Long-term maintenance of this needs-supportive behavior should be examined.


Subject(s)
Communication , Low Back Pain/psychology , Low Back Pain/rehabilitation , Physical Therapists , Professional-Patient Relations , Adult , Female , Health Knowledge, Attitudes, Practice , Humans , Inservice Training/methods , Male , Middle Aged , Patient Compliance , Physical Therapy Modalities
17.
Ann Behav Med ; 48(3): 300-10, 2014 Dec.
Article in English | MEDLINE | ID: mdl-24562984

ABSTRACT

PURPOSE: The aim of this study is to investigate the factors related to dietary lapse occurrence in a community sample of dieters. METHODS: An ecological momentary assessment (EMA) methodology, via mobile phone-based diaries, was employed to record dietary lapse occurrences in a group of dieters (N = 80; M age = 41.21 ± 15.60 years; M BMI = 30.78 ± 7.26) over 7 days. RESULTS: Analyses indicated that lapses were positively associated with the strength of dietary temptation, presence of others, coping responses, and the environment (exposure to food cues) in which the dieters were in; lapses were more likely to occur in the evening and were negatively associated with the use of coping mechanisms. Additionally, lapse occurrence was found to mediate the relationships among the above predictors of lapse and the self-efficacy to resist future dietary temptations. CONCLUSIONS: Results provide an insight into the occurrence of lapses in dieters and have implications for interventions focusing on weight loss maintenance and relapse prevention.


Subject(s)
Diet, Reducing/psychology , Overweight/diet therapy , Patient Compliance/psychology , Adult , Body Weight/physiology , Female , Humans , Male , Middle Aged , Obesity/diet therapy , Obesity, Morbid/diet therapy
18.
J Sport Exerc Psychol ; 36(6): 574-83, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25602140

ABSTRACT

The purpose of the study was to explore change in children's physical self-concept and self-reported physical activity over a school transition period, as well as motivational and interpersonal influences on these two outcomes. Data were collected from 545 children (mean age = 10.82, SD = 0.39, 51% female) at three time points before and after the United Kingdom secondary school transition. Multilevel modeling revealed that physical self-concept and physical activity showed different patterns of decline over the course of the study. Changes in the extent to which physical education teachers were perceived to provide psychological need support, peer focus on self-referenced learning and mastery, and changes in autonomous motives toward physical education classes were positively associated with these outcome variables. The present study provides novel insight into important motivational and interpersonal factors that may need to be targeted to prevent negative developmental patterns over a potentially challenging period for children.


Subject(s)
Exercise/psychology , Interpersonal Relations , Motivation , Physical Education and Training/methods , Self Concept , Social Environment , Child , Female , Humans , Male , Peer Group , Schools , United Kingdom
19.
Prev Med ; 57(5): 696-702, 2013 Nov.
Article in English | MEDLINE | ID: mdl-24035889

ABSTRACT

OBJECTIVE: Physical education (PE) programs aim to promote physical activity (PA) and reach most school-aged youth. However, PA levels within PE lessons are often low. In this cluster-randomized controlled trial, we examined the effects of three self-determination theory-based motivational strategies on PA and sedentary behavior, as well as their hypothesized antecedents during PE lessons. METHODS: Data were collected in Sydney, Australia (October-December 2011). After baseline testing, teachers (n=16) and their classes (n=288 students; M=13.6 years, 50.4% male) were randomly assigned to one of four teaching strategy conditions: (1) explaining relevance; (2) providing choice; (3) complete free choice; or (4) usual practice. Teachers then delivered the assigned strategy. Primary outcomes were accelerometer-assessed PA and student motivation during lessons. Secondary outcomes included sedentary behavior, perceptions of teachers' support and psychological needs satisfaction. RESULTS: The 'free choice' intervention increased PA (p<.05). 'Providing choice' and 'free choice' interventions decreased sedentary behavior (p<.05). The interventions did not influence motivation, but students' autonomy increased during both choice-based interventions (p<.05). CONCLUSIONS: Promoting choice can produce short-term increases in PA and decreases in sedentary behavior, as well as increased perceived autonomy during PE lessons.


Subject(s)
Attitude to Health , Motivation , Motor Activity , Physical Education and Training/methods , Psychology, Adolescent , Adolescent , Child , Choice Behavior , Cluster Analysis , Female , Health Behavior , Health Promotion/methods , Humans , Male , New South Wales , Personal Autonomy , Sedentary Behavior , Surveys and Questionnaires
20.
Rehabil Psychol ; 57(4): 308-19, 2012 Nov.
Article in English | MEDLINE | ID: mdl-23148714

ABSTRACT

PURPOSE: Within supervised rehabilitation programs, Lent and Lopez (2002) proposed that clients and therapists develop a "tripartite" network of efficacy beliefs, comprising their confidence in their own ability, their confidence in the other person's ability, and their estimation of the other person's confidence in them. To date, researchers have yet to explore the potential relational outcomes associated with this model in rehabilitation contexts. METHOD: In Study 1, we recruited 170 exercise clients (Mage = 63.73, SD = 6.46) who were enrolled in a one-to-one aerobic exercise program with a therapist as a result of a lower-limb musculoskeletal disorder. Clients reported their tripartite efficacy beliefs and perceptions about the quality of their relationship with their therapist, and respective therapists rated each client's engagement in his or her exercise program. In Study 2, we recruited 68 separate exercise clients (Mage = 65.93, SD = 5.80) along with their therapists (n = 68, Mage = 31.89, SD = 4.79) from the same program, to examine whether individuals' efficacy perceptions were related to their own and/or the other person's relationship quality perceptions. RESULTS: In Study 1, each of the tripartite efficacy constructs displayed positive direct effects with respect to clients' relationship quality appraisals, as well as indirect effects in relation to program engagement. Actor-partner interdependence modeling in Study 2 demonstrated that clients and therapists reported more adaptive relationship perceptions when they themselves held strong tripartite efficacy beliefs (i.e., actor effects), and that clients viewed their relationship in a more positive light when their therapist was highly confident in the client's ability (i.e., partner effect). CONCLUSION: These findings underscore the potential utility of the tripartite efficacy framework in relation to motivational and relational processes within supervised exercise programs.


Subject(s)
Culture , Osteoarthritis/psychology , Osteoarthritis/rehabilitation , Patient Participation , Professional-Patient Relations , Adult , Aged , Aptitude , Clinical Competence , Exercise/psychology , Female , Humans , Male , Middle Aged , Motivation , Outcome and Process Assessment, Health Care , Patient Compliance/psychology , Patient Satisfaction , Self Concept , Self Efficacy , Treatment Outcome
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