Exercise social support, barriers, and instructions in venous thromboembolism survivors: a descriptive study.

Background: Diagnosis of venous thromboembolism (VTE) can be a significant life event that leads to changes in physical activity and exercise. Currently, little is known about the psychosocial experiences of survivors including perceived sources of social support, exercise barriers, and instructions for exercise from medical providers. Objectives: This study aimed to explore psychosocial characteristics associated with VTE survivors' postdiagnosis exercise. Specifically, 1) what are the main sources of social support utilized by VTE survivors for exercise, 2) what are the most significant exercise barriers (eg, physical, social, and psychological) faced by VTE survivors, and 3) what specific information relative to exercise is provided by medical professionals following diagnosis? Methods: VTE survivors (n = 472) were recruited through social media groups to participate in open-ended questions about psychosocial characteristics pertaining to postdiagnosis exercise. Results: VTE survivors reported multiple forms of exercise social support, although almost 1 in 4 participants reported having no support for exercise. Several postdiagnosis exercise barriers were noted, and the data indicated a wide variety of information from their medical providers regarding engaging in exercise following their diagnosis, suggesting that the unique benefits and drawbacks to these instructions should be examined in more detail. Conclusion: Although VTE survivors identified numerous categories of social support, there also exist numerous barriers, including a lack of standardized instructions for exercise. Further exploration of these characteristics is needed to better serve this population to encourage postdiagnosis exercise.

The role of sport participation on exercise self-efficacy, psychological need satisfaction, and resilience among college freshmen.

Objective: To evaluate the relationship between high school sport participation among university students and whether previous sports participation was associated with current levels of exercise-self efficacy, resilience, and psychological need satisfaction physical activity behaviors. Participants: College freshmen (n = 152) in the United States responded to an electronic survey sent out by their university. Methods: Participants completed a set of questionnaires assessing resilience, psychological need satisfaction in exercise, self-efficacy, and current PA. Results: Analysis of variance, Kruskal-Wallis H tests, independent samples t-tests, and ordinary least squares regression modeling were used. Total PA and having met moderate PA guidelines were both associated with exercise SE and PNSE. HS GPA, total PA, and being a college athlete were associated with both resilience and exercise SE. Conclusions: Sport participation may serve as an effective method for students to develop exercise SE, resilience, and PNSE. The development of these skills may support lifelong PA behaviors.

Current concepts and practical applications for recovery, growth, and peak performance following significant athletic injury.

For decades, physicians, athletic trainers, and other health care professionals have worked to standardize the recovery process following injury to enhance patient outcomes and to help set appropriate goals for return to competition. Traditionally, these efforts have focused primarily on physical and/or physiological aspects of healing with little consideration for psychological aspects. Concurrently, mental health professionals who work with athletes have developed strategies to enhance performance and minimize negative influences of mental aspects of recovery while promoting approaches that include mental as well as physical recovery. Several strategies have emerged that further encourage a multi-faceted and interdisciplinary approach when helping injured patients return to participation. While important in a healthy population, the practical applications of these strategies are likely more critical for an athlete working through the recovery process with an ultimate goal of returning to competition. Despite these realities, both practical experience and a dearth of literature point to the traditional athletic healthcare providers' common focus on physical aspects of recovery and psychological professionals' focus primarily on mental aspects has resulted in sub-optimal outcomes compared to the likely benefits of an integrated approach. This article is intended to characterize current concepts in the fields of sport psychology and mental health concerning the importance of mental aspects of recovery in returning to play. Next, the authors will examine how modern theories can influence practice and discuss how these strategies can be effectively integrated and leveraged to enhance recovery and the athlete's enjoyment of the rehabilitation and ultimately restoration process.

Impact of Social Support on the Physical Activity Behaviors of International College Students in the United States.

Research has suggested that international students' transition to the United States is often correlated with less physical activity after arriving in the U.S). One reason might be related to reduced social support when living in a foreign environment. The purpose of this cross-sectional study was to assess the impact of social support on international college students' physical activity behaviors. Participants (N = 318) from five public universities in one Midwest state completed an electronic survey assessing self-reported physical activity behaviors and perceived social support for exercise (SSE). Data analyses included multiple linear regression, multinomial logistic regression, and multiple logistic regression to test the study's hypotheses. Region of origin, academic level, and friends' SSE were all significant predictors of unhealthy physical activity behaviors. Specifically, friends' SSE was positively associated with higher total physical activity behaviors (F (12, 305) = 4.2, p < .001, R 2 = .142) and was a significant predictor of participants' physical activity levels. Although research suggests international students' transition to the United States can impart negative impacts on their physical activity behaviors, we found that greater levels of friends' SSE was associated with increased physical activity behaviors. As university administrators and wellness programs explore interventions promoting positive physical activity behaviors among international students, they should consider including elements that focus specifically on friendship social support to motivate physical activity behaviors.

The Influence of External Focus Instruction Characteristics on Children's Motor Performance.

PURPOSE: Research has demonstrated that verbal instructions directing attention externally (i.e., toward the effect of the movement) significantly enhance motor skill performance, and this effect is enhanced when the distance of the external focus relative to the body is increased. However, few studies have investigated this distance-of-focus effect in children. The present study aimed to examine the effect of increasing the distance of an external focus on children's motor performance in 2 experiments. METHOD: In Experiment 1, children performed standing long jumps under 3 instructional conditions (control, internal attentional focus, and external attentional focus). In Experiment 2, children performed standing long jumps under 4 instructional conditions (control, internal, proximal external attentional focus, and distal external attentional focus). RESULTS: In Experiment 1, results revealed a statistically significant jump distance advantage for the external focus condition. In Experiment 2, a statistically significant jump distance advantage for the distal external focus condition was found. However, instructional and task characteristics beyond distance of focus may have been influential. CONCLUSIONS: External focus instructions benefit children's jump performance, but specifically when they are supported by a concrete movement goal reflecting relevant performance criteria. These findings highlight the importance of examining the content of instructions and relevant task characteristics provided to children beyond attentional focus to consider their motivational characteristics.

An investigation of motivational variables in CrossFit facilities.

CrossFit is a growing fitness trend in the United States; however, little systematic research has addressed specific motivational principles within this unique exercise environment. The purpose of the study was to explore the influence of gender and membership time on perceptions of motivational climate and goals within the CrossFit environment. Specifically, people may set goals related to self-improvement (i.e., mastery) or focus on their performance in comparison to others (i.e., performance). Motivational climate refers to an individual's perception of being encouraged to focus on either mastery or performance goals from CrossFit trainers. A total of 144 members (88 females; 56 males) completed questionnaires to assess participants' perceptions of CrossFit goal structures and perceptions of the motivational climate encouraged by the trainer within their CrossFit box. Results indicated a significant main effect for gender on preferred goals (p ≤ 0.05), with males reporting higher levels of performance approach goals and females reporting higher levels of master avoidance goals. Participants who reported shorter membership times were found to have significantly higher mastery-related goals than individuals who reported longer membership times (p ≤ 0.05). The results from the study suggest that practitioners should consider how perceptions of the motivational climate and goals in group-based exercise settings such as CrossFit may vary based on demographic variables, and that these differences may impact how to most effectively motivate, encourage, and instruct group members, particularly with regard to helping members set goals that most effectively address their approach to the CrossFit regimen.

Cancer caregivers' perceptions of an exercise and nutrition program.

PURPOSE: Little research has addressed exercise and nutrition-based interventions for cancer caregivers. This study explored cancer caregivers' perceptions of participating in a structured exercise and nutrition program alongside cancer survivors for whom they provided care. METHODS: In-depth, semi-structured interviews were conducted by one interviewer with 12 cancer caregivers about their experiences participating in a structured, 12-week exercise and nutrition program designed for cancer survivors and caregivers to complete concurrently. Interviews were conducted until data saturation was reached. RESULTS: Inductive content analysis from individual interviews indicated three separate, but interrelated, themes: (1) the program was a positive mechanism through which caregivers shared and supported the cancer journey concurrently with survivors, (2) the program led to perceived physical and psychological benefits for both caregivers and survivors, and (3) participants perceived that participation in the program led to feeling increased social support in their caregiving duties. CONCLUSIONS: Findings from this study suggest that participating in an exercise- and nutrition-based intervention is viewed positively by caregivers and that the outcomes are seen as beneficial to both caregivers and survivors. Interventions that address the health needs of both members of the caregiver-survivor dyad should continue to be encouraged by allied health professionals.

Predictors of adolescent male body image dissatisfaction: implications for negative health practices and consequences for school health from a regionally representative sample.

BACKGROUND: Adolescent males are more likely to sustain intentional and unintentional injuries, be involved in a physical confrontation, and be successful in suicide attempts. Body image dissatisfaction (BID) has been linked as a possible contributing factor to these negative health behaviors and risks; however, research is limited with males. The interaction of intrapersonal, interpersonal, and social variables in a holistic model has yet to be explored for males. Variables precipitating adolescent males to develop an unhealthy body image and act on negative health behaviors, such as body image drug use, were the impetus for this study. METHODS: A randomized cross-sectional sample of 330 adolescent males answered questions concerning body image using the Adolescent Body Image Satisfaction Scale (ABISS). Pearson product moment correlations and stepwise regression analyses identified the strongest predictive variables of BID. RESULTS: The strongest contributing variables accounting for 56.7% of model variance were desire for the body of another person (r = .571, p < .001), teasing (r = .490, p < .001), satisfaction with their body when they were younger (r = .450, p < .001), and difficulty coping with criticism (r = .443, p < .001). No statistically significant differences were found for racial/ethnic background (p < .822, n.s.). CONCLUSIONS: Educators and school districts should consider the confluence of psychosocial variables affecting body image and adolescent male health risk behaviors based on a statistically sound predictive model as provided by the ABISS. Targeted programming to enhance body image and address teasing/bullying behaviors is strongly recommended.

Differences in children's recess physical activity: recess activity of the week intervention.

BACKGROUND: The increased prevalence in recent childhood obesity rates raises concern about youth health and the role that lack of physical activity plays in this trend. A focus on how children today choose to spend their discretionary time is one approach that may yield ideas for how to reduce childhood obesity. The purpose of the present study was to examine whether 3 separate recess activities of the week (RAWs) would make a difference in children's discretionary time physical activity levels. METHODS: Children (N = 65: 30 boys, 35 girls; 32 first and second graders; 33 third and fourth graders; 45 healthy body mass index [BMI], 20 overweight BMI) at 1 Midwest elementary school wore pedometers for each 15-minute morning recess period for 4 weeks. Following 1 no RAW (#1), a new RAW was introduced each subsequent week: #2, circuit course; #3, obstacle course; and #4, Frisbees. RESULTS: Repeated measures factorial analysis of variance results revealed that children were significantly more active during the no RAW and circuit course week than the Frisbee week. Males were significantly more physically active than females during the obstacle course week. Older children were significantly more active during the Frisbee week than younger children. Healthy BMI children were significantly more physically active during the circuit course week than children in the overweight/obese BMI category. CONCLUSIONS: Results imply that it is important for schools to consider demographic factors in the creation of recess opportunities to increase physical activity.

Coping styles for trait shame and anxiety intensity and direction in competitive athletes.

The purpose of the study was to assess if athletes who perceived their anxiety as debilitative to performance also scored higher on ratings of coping styles used to handle trait shame. The sample was comprised of 94 participants (males = 44, females = 50) ranging in age from 15 to 24 years (M = 18.8, SD = 2.3). Athletes in high school (n = 21) and college (n = 73) representing several sports were surveyed for this study. Competitive sport experience averaged 11 yr. (SD = 3.9) overall. The Competitive Trait Anxiety Inventory-2D was given to collect general anxiety perceptions related to the athlete's specific sport. The Compass of Shame Scale-Sport was administered to measure coping styles for trait shame responses connected with competitive sport experiences. The athletes were divided into Facilitative (n = 39) and Debilitative anxiety groups (n = 55) based on the overall direction of anxiety scores. Multivariate analysis of variance indicated no interaction, but did reveal significant main effects for sex and anxiety group. Univariate tests indicated significant differences for several of the shame and anxiety subscales based on sex and anxiety group.